Allied health professional interventions promoting heart failure self-management, such as verbal education and skills practice, positively impacted health and quality of life across 20 reviewed articles.
Do interventions implemented by allied health professionals improve health and quality of life outcomes in individuals with heart failure?
Allied health professional interventions for heart failure self-management show nascent evidence of improving health and quality of life outcomes, highlighting the importance of interprofessional collaboration.
BACKGROUND: Heart failure (HF) is typically managed using both medical and patient self-management interventions. Individuals with HF often have frequent readmissions to hospital for medical management. Effective self-management can help to reduce the exacerbation of HF symptoms and the frequency of readmissions. METHODS: A scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review (PRISMA-ScR) guidelines was conducted to identify literature on the interventions used by allied health professionals to promote HF self-management. A search strategy was implemented, and articles were reviewed by two independent reviewers. RESULTS: Twenty articles met the inclusion criteria. Articles included interventions from physical therapy, nutrition, social work, and occupational therapy, as well as other health professions in team-based programs. The most common interventions were verbal education, textual information, monitoring resources, and skills practice. Interventions addressed diet/fluid control, exercise and activity, symptom monitoring, medication management, cardiovascular disease knowledge, and mental health. Many interventions were theory informed. CONCLUSION: There is nascent evidence that interventions promoting HF self-management positively impact health and quality of life outcomes. HF self-management is multi-faceted and requires interprofessional collaboration. Further work is warranted exploring the impact of theory-informed interventions, and the effectiveness of interventions on self-management competence and desired health outcomes.
Lancey et al. (Fri,) conducted a review in Heart failure (n=20). Self-management interventions by allied health professionals was evaluated on Interventions used to promote HF self-management. Allied health professional interventions promoting heart failure self-management, such as verbal education and skills practice, positively impacted health and quality of life across 20 reviewed articles.
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