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Feasibility of a group-based self-management program among congestive heart failure patients
Esther S T F Smeulders1, Jolanda C M van Haastregt, Josiane J J Janssen-Boyne
1Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands.
Objective:
This study assessed the feasibility of the Chronic Disease Self-Management Program (CDSMP) among patients with congestive heart failure (CHF). The program emphasizes patients' central role and responsibility in managing their illness.
Methods:
Patients were randomly assigned to the program, which was led by a cardiac nurse specialist and a CHF patient. Data on performance according to protocol, adherence, and opinion about the program were collected among 186 patients and 18 leaders.
Results:
Eighty percent of the group sessions were carried out largely according to protocol. Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and lower New York Heart Association classification predicted good attendance.
Conclusion:
Directly after the program and at 12-month follow-up, approximately three fourths of the patients stated that they had benefited from the program. Recommendations mainly concerned spending more time on several program topics and specifying patient-selection criteria in more detail. The program was considered feasible.
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