Educational interventions for patients with heart failure: a systematic review of randomized controlled trials
Published:
Jun 30, 2019
Keywords:
Heart failure outcomes patient education
Abstract
Background: Patient education is an important intervention for the management of heart failure; however, in practice patient education varies considerably. The purpose is to systematically review educational interventions that have been implemented for heart failure patients and assess their effectiveness.
Method and Material: Randomized controlled trials from 2008 to 2018 in MEDLINE were reviewed using the following search terms: nursing teaching, education, intervention, patients with heart failure, hospital. From the Randomized controlled trials 26 abstracts were reviewed.
Results: A total of 2484 patients were included in the 19 studies that met the inclusion criteria. Commonly, the initial educational intervention was a one-on-one didactic session conducted by nurses supplemented by written materials and multimedia approaches. One study referred to a theoretical model as a framework for their educational intervention. Studies used a variety of outcome measures to evaluate their effectiveness. Of the studies reviewed, 17 demonstrated a significant effect from their intervention in at least one of their outcome measures.
Conclusions: Despite improvements in knowledge, we have variable results in outcomes and this is very likely related to the heterogeneity of the studies included in this review. It was difficult to establish the most effective educational strategy as the educational interventions varied considerably in delivery methods and duration as well as the outcome measures that were used for the evaluation. A patient-centered multidisciplinary approach based on educational theory and evaluated appropriately may assist to develop an evidence base for patient education.
Article Details
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Kroustalli, E., Papadopoulos, C. H., Vasileiadis, I., Karatzanos, E., & Nanas, S. (2019). Educational interventions for patients with heart failure: a systematic review of randomized controlled trials. Health & Research Journal, 5(3), 109–123. https://doi.org/10.12681/healthresj.21008
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References
Ponikowski P, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic Heart Failure. European Heart Journal 2016, 37: 2129-2200.
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Colvin MM, et al. 2016 ACC/AHA/HFSA Focused Update on New Pharmacological Therapy for Heart Failure: An Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Card Fail 2016, 22:659-69.
Wood RL, Migliore LA, Nasshan SJ, Mirghani SR, Contasti AC. Confronting Challenges in Reducing Heart Failure 30-Day Readmissions: Lessons Learned With Implications for Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 2018; 1–8
Nadrian H, Shojafard J, Mahmoodi H, Rouhi Z, Rezaeipandari H. Cognitive determinants of self-care behaviors among patients with heart failure: A path analysis. Health PromotPerspect 2018, 8:275-282.
Kollia Z, GiakoumidakisK,Brokalaki H. The Effectivenessof Nursing Educationon Clinical Outcomes of Patients With Heart Failure: A Systematic Review. Jundishapur J Chronic Dis Care, 2016, 5:35881.
Edelmann F, Knosalla C, Mörike K, Muth C, Prien P, Störk S. Chronic Heart Failure. DtschArzteblInt 2018, 115:124-130.
Boyde M, Peters R, New N, Hwang R, Ha T, Korczyk D. Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial. Eur J CardiovascNurs 2018,17:178-185.
Wang S, Lin L, Lee C, Wu S. Effectiveness of a Self-Care Program in Improving Symptom Distress and Quality of Life in Congestive Heart Failure Patients: A Preliminary Study. J ClinNurs 2011, 19:257-266.
Gilmour J, Strong A, Hawkins M, Broadbent R, Huntington A. Nurses and heart failure education in medical wards. NursPrax N Z 2013,29:5-17.
Gellis ZD, Kenaley B, McGinty J, Bardelli E, Davitt J, Ten Have T. Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. Gerontologist 2012, 52:541-52.
Jaschke K, Brown D, Clark A, Doull S, English A, Hoover N, et al. Speed of blood withdrawal and accurate measurement of oxygen content in mixed venous blood. Am J Crit Care 2014,23:486-93.
Connolly MJ, Broad JB, Boyd M, Zhang TX, Kerse N, Foster S, Lumley T, Whitehead N. The 'Big Five'. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisationsfrom long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial. Age Ageing 2016,45:415-20.
Yan J, You LM, Liu BL, Jin SY, Zhou JJ, Lin CX, Li Q, Gu J. The effect of a telephone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: a randomized controlled trial. Ιnt J Nurs Stud 2014,51:844-55.
Black J, Romano P, Sadeghi B, Auerbach A, Ganiats T. A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial. Trials 2014, 15:124.
Palmer Μ, Marquez C, Li Y, Hawkins S, Smith F, Busby-Whitehead J. A Feasibility. Study for a Posthospital Intervention for Lower Urinary Tract Symptoms in Adults With Heart Failure. J Wound Ostomy Continence Nurs 2015,42:539-546.
Domingues F, Clausell N, Aliti G, Dominguez D ,Rabelo E. Education and Telephone Monitoring by Nurses of Patients with Heart Failure: Randomized Clinical Trial. Arq Bras Cardiol 2011,96:233-239.
Chen Υ, Funk Μ, Wen J , Tang X, He G, Liu H. Effectiveness of a multidisciplinary disease management program on outcomes in patients with heart failure in China: A randomized controlled single center study. Effectiveness of a multidisciplinary disease management program on outcomes in patients with heart failure in China: A randomized controlled single center study. Heart Lung 2018,47:24-31.
Koberich S, Lohrmann C, Mittag O, Dassen T. Effects of a hospital-based education programme on self-care behaviour, care dependency and quality of life in patients with heart failure – a randomised controlled trial. J ClinNurs 2015, 24:1643–1655.
Löfvenmark C, Saboonchi F, Edner M, Billing E, Mattiasso A. Evaluation of an educational programme for family members of patients living with heart failure: a randomised controlled trial. J ClinNurs 2013,22:115-26.
Hwang R, Mandrusiak A, Morris NR, Peters R, Korczyk D, Bruning J, Russell T. Exploring patient experiences and perspectives of a heart failure telerehabilitation program: A mixed methods approach. Heart Lung 2017,46:320-327.
Wu JR, Moser DK, DeWalt DA, Rayens MK, Dracup K. Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure. Circ Heart Fail 2016,9:1-19.
Mussi CM, Ruschel K, de Souza EN, Lopes AN, Trojahn MM, Paraboni CC, Rabelo ER. Home visit improves knowledge, self-care and adhesion in heart failure: Randomized Clinical Trial HELEN-I. Rev Lat Am Enfermagem 2013,21:20-8.
Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H.J-HOMECARE Investigators. Home-based disease management program to improve psychological status in patients with heart failure in Japan. CircJ 2013,77:926-33.
White MM, Howie-Esquivel J, Caldwell MA. Improving heart failure symptom recognition: a diary analysis. J CardiovascNurs 2010,25:7-12.
Gellis ZD, Kenaley BL, Ten Have T. Integrated telehealth care for chronic illness and depression in geriatric home care patients: the Integrated Telehealth Education and Activation of Mood (I-TEAM) study. J Am GeriatrSoc 2014,62:889-95.
Aguado O, Morcillo C, Delàs J, Rennie M, Bechich S, Schembari A, Fernández F, Rosell F. Long-term implications of a single home-based educational intervention in patients with heart failure. Heart Lung 2010,39:14-22.
Masterson Creber R, Patey M, Lee CS, Kuan A, Jurgens C, Riegel B. Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient EducCouns 2016,99:256-64.
Smith CE, Piamjariyakul U, Wick JA, Spertus JA, Russell C, Dalton KM, Elyachar A, Vacek JL, Reeder KM, NazirN, Ellerbeck EF. Multidisciplinary group clinic appointments: the Self-Management and Care of Heart Failure (SMAC-HF) trial. Circ Heart Fail 2014,7:888-94.
Cockayne S, Pattenden J, Worthy G, Richardson G, Lewin R. Nurse facilitated Self-management support for people with heart failure and their family carers (SEMAPHFOR): a randomised controlled trial. Int J Nurs Stud 2014,51:1207-13.
Wang XH, Qiu JB, Ju Y, Chen GC, Yang JH, Pang JH, Zhao X. Reduction of heart failure rehospitalization using a weight management education intervention. J CardiovascNurs 2014,29:528-34.
Kommuri NV, Johnson ML, Koelling TM. Relationship between improvements in heart failure patient disease specific knowledge and clinical events as part of a randomized controlled trial. Patient EducCouns 2012,86:233-8.
Leventhal ME, Denhaerynck K, Brunner-La Rocca HP, Burnand B, Conca-Zeller A, Bernasconi AT, et al. Swiss Interdisciplinary Management Programme for Heart Failure (SWIM-HF): a randomised controlled trial study of an outpatient inter-professional management programme for heart failure patients in Switzerland. Swiss Med Wkly 2011,141:w13171.
Chang YL, Chiou AF, Cheng SM, Lin KC. Tailored educational supportive care programme on sleep quality and psychological distress in patients with heart failure: A randomised controlled trial. Int J Nurs Stud 2016,61:219-29.
Moon MK, Yim JE, Jeon MY. The effect of a telephone-based self-management program led by nurses on self-care behavior, biological index for cardiac function, and depression, in ambulatory heart failure patients. Asian Nurs Res 2018, 1976-1317:30192-0.
Driver R, Oldham V. A constructivist approach to curriculum development in science. Studies in Science Education 1986,13: 05-122.
Duane B, Satre M. Utilizing constructivism learning theory in collaborative testing as a creative strategy to promote essential nursing skills. Nurse Education Today 2014,34 :31–34.
Jiang Y, Shorey S, Seah B, Chan WX, Tam WWS, Wang W. The effectiveness of psychological interventions on self-care, psychological and health outcomes in patients with chronic heart failure-A systematic review and meta-analysis. Int J Nurs Stud 2018,78:16-25.
Brokalaki H, Patelarou E, Giakoumidakis K, Kollia Z, Fotos N, Vivilaki V, et al. Translation and Validation of the Greek “Minnesota Living with Heart Failure” Questionnaire. Hellenic J Cardiol 2015, 56: 10-19
Bidwell JT, Higgins MK, Reilly CM, Clark PC, Dunbar SB. Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads. Heart Lung 2018, 47:32-39.
Gathright EC, Goldstein CM, Josephson RA, Hughes JW. Depression increases the risk of mortality in patients with heart failure: A meta-analysis. J Psychosom Res 2017, 94:82-89.
Plakas S, Mastrogiannis D, Mantzorou M, AdamakidouTh, Fouka G , Bouziou A, et al. Validation of the 8-Item Morisky Medication Adherence Scale in Chronically Ill Ambulatory Patients in Rural Greece. Journal of Nursing 2016, 6:158-169.
