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A Couples' Based Self-Management Program for Heart Failure: Results of a Feasibility Study
Ranak Trivedi1, Cindie Slightam2, Vincent S Fan3
1Stanford University, Stanford, CA, USA; VA Palo Alto Health Care System, Menlo Park, CA, USA.
Frontiers in Public Health
|September 15, 2016
Summary
This study shows that involving informal caregivers in heart failure (HF) self-management programs like SUCCEED can improve patient self-care and reduce caregiver burden. The program demonstrated high acceptability and positive trends in key areas for HF patients and their significant others.
Area of Science:
- Cardiology
- Behavioral Science
- Gerontology
Background:
- Heart failure (HF) management is challenged by frequent exacerbations and reduced lifespan, necessitating effective self-management support.
- Informal caregivers, often significant others, play a crucial role in HF patient self-management.
- Existing self-management programs often overlook caregiver needs, burden, and collaborative patient-caregiver dynamics.
Purpose of the Study:
- To develop and pilot test a family-centered self-management program (SUCCEED) for heart failure (HF) patients and their significant others.
- To address the dual needs of enhancing HF self-management and supporting informal caregivers.
- To evaluate the acceptability and preliminary effectiveness of the SUCCEED program.
Main Methods:
- Developed the Dyadic Health Behavior Change model and conducted interviews to identify self-management barriers.
- Created the "SUCCEED: Self-management Using Couples' Coping EnhancEment in Diseases" program based on participant feedback.
- Conducted a pilot study with 17 HF Veteran-significant other dyads, assessing program acceptability and using psychosocial surveys pre- and post-intervention.
Main Results:
- The SUCCEED program demonstrated high acceptability among participants, with 14 of 17 couples completing at least one session.
- Post-intervention, HF patients showed improved self-management, communication, and relationship quality.
- Caregivers reported reduced depressive symptoms and caregiver burden, though overall quality of life declined for both patients and caregivers.
Conclusions:
- The pilot study indicates positive trends in involving significant others in HF self-management through the SUCCEED program.
- SUCCEED shows potential for addressing the public health challenge of heart failure by integrating caregiver support.
- Further research is warranted to explore the long-term impact and broader applicability of dyadic self-management interventions in HF.
Keywords:
caregiver self-managementcaregiverscouples’ chronic illnesscouples’ disease managementdyadic behavior changeMore Related Videos
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