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Evaluation of a self-management programme for congestive heart failure patients: design of a randomised controlled

Esther S T F Smeulders1, Jolanda C M van Haastregt, Elisabeth F M van Hoef

  • 1Maastricht University, Faculty of Health Sciences, Department of Health Care Studies, P.O. Box 616, 6200 MD Maastricht, The Netherlands. e.smeulders@zw.unimaas.nl

BMC Health Services Research
|July 22, 2006
PubMed

Insights

This study evaluates the Chronic Disease Self-Management Program (CDSMP) for congestive heart failure (CHF) patients. The randomized controlled trial assesses its impact on quality of life and healthcare use.

Area of Science:

  • Cardiology
  • Health Psychology
  • Clinical Trials

Background:

  • Congestive heart failure (CHF) significantly impacts patient quality of life and healthcare utilization.
  • Effective self-management is crucial for patients with chronic conditions like CHF.
  • The Chronic Disease Self-Management Program (CDSMP) has shown promise for various chronic conditions but not specifically for CHF.

Purpose of the Study:

  • To design and conduct a randomized controlled trial (RCT) evaluating the CDSMP for CHF patients.
  • To assess the effects of CDSMP on psychosocial factors, health behaviors, quality of life, and healthcare utilization in CHF patients.

Main Methods:

  • A two-group randomized controlled trial (RCT) involving 318 CHF patients with physical activity limitations.
  • Intervention group received the six-week CDSMP; control group received usual care.
  • Follow-up assessments at immediate post-intervention, 6, and 12 months, measuring primary outcomes (self-efficacy, perceived control, symptom management) and secondary outcomes (health behaviors, quality of life, healthcare utilization).

Main Results:

  • Data collection is ongoing, with results expected after January 2007.
  • The trial aims to provide insights into the effectiveness of CDSMP for CHF management.
  • Feasibility will be assessed through protocol compliance, attendance, and patient feedback.

Conclusions:

  • The study is designed to determine the efficacy of the CDSMP in improving outcomes for congestive heart failure patients.
  • Results will inform the potential integration of CDSMP into standard care for CHF management.
  • This trial addresses a gap in evidence regarding self-management programs for this specific patient population.
Abstract

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