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July 1, 2011The Journal of Cardiovascular Nursing

Educational interventions for heart failure demonstrated a significant effect in at least one outcome measure in 15 of 19 reviewed studies, though overall outcomes were variable.

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Why the study?

Do educational interventions improve outcomes in patients with heart failure?

Population

2686 patients with heart failure from 19 randomized controlled trials

Design

Systematic_review

Key result

Educational interventions for heart failure demonstrated a significant effect in at least one outcome measure in 15 of 19 reviewed studies, though overall outcomes were variable.

Authors

MBMary BoydeCTCatherine TurnerDTDavid R. Thompson

Discussion

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Overview

Supports educational interventions in heart failure despite variable outcomes; extends prior findings but highlights need for standardized trials.

Key Points

  • To systematically review the effectiveness of educational interventions for heart failure patients.
  • Reviewed randomized controlled trials from 1998 to 2008 in databases including CINAHL, MEDLINE, and Cochrane.
  • Independently assessed 1515 abstracts yielding 19 eligible studies with 2686 patients included.
  • Evaluated interventions often involving one-on-one sessions with nurses, supplemented by written and multimedia materials.
  • 15 of the 19 studies showed significant effects from the educational interventions on at least one measure.
  • Interventions varied widely in delivery methods, duration, and outcome measures used for evaluation.
  • Challenges in establishing the most effective strategy due to this heterogeneity were noted.

Study Design

Type

Systematic Review (n=2,686)

Structured PICO

Do educational interventions improve outcomes in patients with heart failure?

P
Population
2,686 patients with heart failure across 19 randomized controlled trials evaluating educational interventions.
I
Intervention
Educational interventions (commonly one-on-one didactic session conducted by nurses supplemented by written materials and multimedia approaches)
O
Outcome
Effectiveness evaluated by a variety of outcome measures

Educational interventions for heart failure patients show variable results due to study heterogeneity, though most studies report significant effects in at least one outcome measure.

Limitations

  • Heterogeneity of the included studies
  • Educational interventions varied considerably in delivery methods and duration
  • Outcome measures used for evaluation varied considerably
  • Heterogeneity of the studies included
  • Outcome measures varied considerably

Cite This Study

Boyde et al. (2011) conducted a systematic review in heart failure (n=2,686). Educational interventions was evaluated on Variety of outcome measures. Educational interventions for heart failure demonstrated a significant effect in at least one outcome measure in 15 of 19 reviewed studies, though overall outcomes were variable.

synapsesocial.com/papers/6a20a0faac6bb08424cd2b17https://doi.org/10.1097/jcn.0b013e3181ee5fb2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Educational interventions for patients with heart failure: a systematic review of randomized controlled trials2019 · 10 citations
  2. 2Effects of the Characteristics of Teaching on the Outcomes of Heart Failure Patient Education Interventions: A Systematic Review2009 · 66 citations
  3. 3Self-efficacy and Educational Interventions in Heart Failure2010 · 70 citations
  4. 4Effects of the characteristics of teaching on the outcomes of heart failure patient education interventions: a systematic review2021
  5. 5Effects of the characteristics of teaching on the outcomes of heart failure patient education interventions: a systematic review2021 · 1 citations