Key result
Intermediate-term improvements in self-reported self-management skills over six months significantly predicted long-term improvements in physical quality of life, mental quality of life, and depressive symptoms at twelve months.
Why the study?
Does improvement in self-management skills predict improvement in quality of life and depressive symptoms in patients with heart failure?
Observational (n=342)
Yes
Does improvement in self-management skills predict improvement in quality of life and depressive symptoms in patients with heart failure?
Effect estimate: β = 0.39 for physical QoL, β = 0.22 for mental QoL, β = -0.20 for depressive symptoms
p-value: p=<0.05
Improvements in self-management skills following inpatient rehabilitation predict subsequent long-term improvements in physical and mental quality of life and reductions in depressive symptoms in patients with heart failure.
May inform self-management support after HF rehabilitation; hypothesis-generating pending randomized confirmation.
BACKGROUND: Heart failure (HF) patient education aims to foster patients' self-management skills. These are assumed to bring about, in turn, improvements in distal outcomes such as quality of life. The purpose of this study was to test the hypothesis that change in self-reported self-management skills observed after participation in self-management education predicts changes in physical and mental quality of life and depressive symptoms up to one year thereafter. METHODS: The sample comprised 342 patients with chronic heart failure, treated in inpatient rehabilitation clinics, who received a heart failure self-management education program. Latent change modelling was used to analyze relationships between both short-term (during inpatient rehabilitation) and intermediate-term (after six months) changes in self-reported self-management skills and both intermediate-term and long-term (after twelve months) changes in physical and mental quality of life and depressive symptoms. RESULTS: Short-term changes in self-reported self-management skills predicted intermediate-term changes in mental quality of life and long-term changes in physical quality of life. Intermediate-term changes in self-reported self-management skills predicted long-term changes in all outcomes. CONCLUSIONS: These findings support the assumption that improvements in self-management skills may foster improvements in distal outcomes.
No takes yet. Share an insight, caveat, or question.
Musekamp et al. (2017) conducted an observational in Chronic heart failure (n=342). Improvement in self-management skills vs. Lack of improvement in self-management skills was evaluated on Changes in physical quality of life, mental quality of life, and depressive symptoms at 12 months (β = 0.39 for physical QoL, β = 0.22 for mental QoL, β = -0.20 for depressive symptoms, p=<0.05). Intermediate-term improvements in self-reported self-management skills over six months significantly predicted long-term improvements in physical quality of life, mental quality of life, and depressive symptoms at twelve months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: