Key result
A web-based self-care intervention for heart failure patients produced small effects on HF knowledge (d=0.06), self-care (d=0.32), and self-efficacy (d=0.37) at 1-month follow-up.
Why the study?
Does a web-based self-care intervention improve heart failure knowledge, self-care, and self-efficacy in patients with HFrEF?
RCT (n=28)
Does a web-based self-care intervention improve heart failure knowledge, self-care, and self-efficacy in patients with HFrEF?
Effect estimate: d=0.06 (knowledge), d=0.32 (self-care), d=0.37 (self-efficacy)
A 1-month web-based self-management intervention did not significantly improve knowledge, self-care, or self-efficacy in patients with heart failure, highlighting challenges in digital engagement for this population.
Does not support short web-based HF self-care programs; challenges digital efficacy assumptions and warrants refined, longer trials.
BACKGROUND: Web-based interventions may have the potential to support self-care in patients with chronic disease, yet little is known about the feasibility of Web-based interventions in patients with heart failure (HF). OBJECTIVE: The objective of our study was to develop and pilot a Web-based self-care intervention for patients with HF. METHODS: Following development and pretesting, we pilot tested a Web-based self-care intervention using a randomized controlled design. A total of 28 participants completed validated measures of HF knowledge, self-care, and self-efficacy at baseline and 1-month follow-up. RESULTS: Change scores and effect size estimates showed that the mean differences in HF knowledge (d=0.06), self-care (d=0.32), and self-efficacy (d=0.37) were small. Despite email reminders, 7 of 14 participants (50%) of the sample accessed the site daily and 4 of 14 (28%) had no record of access. CONCLUSIONS: Larger randomized controlled trials are needed that attend to all sources of self-efficacy and include more comprehensive educational tools to improve patient outcomes.
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Bashi et al. (2016) conducted an RCT in Heart Failure (n=28). Web-based self-care intervention vs. Control was evaluated on HF knowledge, self-care, and self-efficacy (d=0.06 (knowledge), d=0.32 (self-care), d=0.37 (self-efficacy)). A web-based self-care intervention for heart failure patients produced small effects on HF knowledge (d=0.06), self-care (d=0.32), and self-efficacy (d=0.37) at 1-month follow-up.
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