TY - JOUR
T1 - Effectiveness of self-care educational programme on clinical outcomes and self-care behaviour among heart failure peoples—A randomized controlled trial
T2 - Study protocol
AU - D’Souza, Prima J.J.
AU - Devasia, Tom
AU - Paramasivam, Ganesh
AU - Shankar, Ravi
AU - Noronha, Judith A.
AU - George, Linu S.
N1 - Funding Information:
The Indian Council of Medical Research (ICMR) has funded the study from February 2021 for 3 years—No: 5/4/1‐12/2020—NCD‐1. This project is funded by a research grant from the ICMR with an amount of 21,74,337 INR equivalent to 21501.66 £ sterling (Reference No: 5/4/1‐12/2020—NCD‐1).
Publisher Copyright:
© 2021 John Wiley & Sons Ltd
PY - 2021/11
Y1 - 2021/11
N2 - Aim: To evaluate the effectiveness of a self-care education programme on clinical outcomes, self-care behaviour and knowledge on heart failure (HF) among peoples with HF. Design: Randomized controlled trial. Methods: The participants (N = 160) will be randomly assigned (1:1) to the intervention and the control arms using block randomization. The participants assigned to the intervention arm will receive educational intervention on HF self-care comprising video-assisted teaching with teach-back technique, tailored teaching at discharge and a guide on self-care followed by telephonic calls and text messages after discharge for 6 months along with standard care. The participants in the control arm will receive only a guide on self-care with standard care. The clinical outcomes such as health-related quality of life, hospital readmissions, N-terminal pro-brain natriuretic peptide levels, symptom perception, functional status, left ventricular ejection fraction, Seattle HF score, self-care behaviour and knowledge on HF will be measured at the baseline, after 1 and 6 months of the intervention. Discussion: Several studies conducted on self-care education interventions have shown positive effects, whereas few studies have shown no effect on the people outcomes. Providing the printed self-care guide alone may not improve behaviour associated with self-care and clinical outcomes. These peoples need continuous reinforcement on self-care. If this self-care educational intervention shows beneficial effects, it will contribute to the clinical practice and improve clinical outcomes. Impact: This research will contribute to the evidence on the effectiveness of an educational intervention on self-care among peoples with HF. The results would assist the nurses caring for peoples with HF. They can also implement this intervention for improving the peoples’ self-care behaviour. Trial registration: The trial is registered with the Clinical Trial Registry India and the reference ID number CTRI/2019/10/021724.
AB - Aim: To evaluate the effectiveness of a self-care education programme on clinical outcomes, self-care behaviour and knowledge on heart failure (HF) among peoples with HF. Design: Randomized controlled trial. Methods: The participants (N = 160) will be randomly assigned (1:1) to the intervention and the control arms using block randomization. The participants assigned to the intervention arm will receive educational intervention on HF self-care comprising video-assisted teaching with teach-back technique, tailored teaching at discharge and a guide on self-care followed by telephonic calls and text messages after discharge for 6 months along with standard care. The participants in the control arm will receive only a guide on self-care with standard care. The clinical outcomes such as health-related quality of life, hospital readmissions, N-terminal pro-brain natriuretic peptide levels, symptom perception, functional status, left ventricular ejection fraction, Seattle HF score, self-care behaviour and knowledge on HF will be measured at the baseline, after 1 and 6 months of the intervention. Discussion: Several studies conducted on self-care education interventions have shown positive effects, whereas few studies have shown no effect on the people outcomes. Providing the printed self-care guide alone may not improve behaviour associated with self-care and clinical outcomes. These peoples need continuous reinforcement on self-care. If this self-care educational intervention shows beneficial effects, it will contribute to the clinical practice and improve clinical outcomes. Impact: This research will contribute to the evidence on the effectiveness of an educational intervention on self-care among peoples with HF. The results would assist the nurses caring for peoples with HF. They can also implement this intervention for improving the peoples’ self-care behaviour. Trial registration: The trial is registered with the Clinical Trial Registry India and the reference ID number CTRI/2019/10/021724.
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U2 - 10.1111/jan.14981
DO - 10.1111/jan.14981
M3 - Article
AN - SCOPUS:85110795061
SN - 0309-2402
VL - 77
SP - 4563
EP - 4573
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 11
ER -