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Collaborative care intervention for patients with chronic heart failure: A systematic review and meta-analysis

Xiaoting Cui1, Wenyi Dong2, Hongxiao Zheng1

  • 1Department of Cardiology, Beijing He Ping Li Hospital.

Medicine
|March 29, 2019
PubMed

Insights

Collaborative care intervention significantly improves quality of life, anxiety, and physical function in chronic heart failure patients. Face-to-face interventions offer greater quality of life benefits than telephone-only approaches.

Area of Science:

  • Cardiology
  • Public Health
  • Psychosocial Care

Background:

  • Chronic heart failure (HF) significantly impairs patients' quality of life (QoL) due to persistent symptoms.
  • Collaborative care intervention (CCI) integrates psychosocial and palliative strategies into chronic care to enhance QoL and manage symptoms.

Purpose of the Study:

  • To evaluate the effectiveness of collaborative care intervention (CCI) in improving QoL and other health outcomes for patients with chronic heart failure (HF).

Main Methods:

  • A systematic review and meta-analysis of 21 studies involving 2999 patients with chronic heart failure.
  • Searched PubMed, EMBASE, and Cochrane Library databases up to September 2018.
  • Pooled data using standard mean differences (SMDs) with 95% confidence intervals (CIs) via fixed- and random-effects models.

Main Results:

  • CCI significantly improved QoL in HF patients compared to routine care (SMD = 0.60).
  • Face-to-face interventions demonstrated a greater QoL improvement (SMD = 0.54) than telephone-only interventions.
  • CCI also led to significant improvements in anxiety levels (SMD = 0.33) and the 6-minute walk test (SMD = 0.46).

Conclusions:

  • Collaborative care intervention is effective in enhancing QoL, psychological well-being (anxiety), and physical function (6-min walk test) in chronic heart failure patients.
  • Face-to-face CCI modalities yield superior QoL improvements compared to telephone-based interventions alone.
Abstract

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