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Published on: July 12, 2024
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Determining Contextual Factors for a Heart Failure Self-Care Intervention: A Consensus Delphi Study (ACHIEVE)
Amanda Whittal1,2, Isabell Ehringfeld1, Paula Steinhoff1
1Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Summary
Engaging local stakeholders in Germany helped define key factors for a heart failure (HF) self-care intervention. Consensus was reached on interventionists, target groups, and delivery methods to improve patient outcomes.
Area of Science:
- Cardiology
- Health Services Research
- Patient Self-Management
Background:
- Heart failure (HF) self-care is crucial but challenging for patients.
- Theory-informed interventions require understanding context-specific implementation factors.
- Local stakeholders offer valuable insights for intervention design.
Purpose of the Study:
- To explore and determine contextual factors for designing and implementing an HF self-care intervention in Germany.
- To engage stakeholders to ensure intervention suitability and enhance participation.
Main Methods:
- A ranking-type Delphi approach was used with clinicians, patients, and policymakers.
- Seventeen participants engaged over three rounds to reach consensus on intervention components.
- Eight factors were evaluated: content, interventionist, target group, location, mode, intensity, duration, and format.
Main Results:
- Consensus identified HF specialist nurses as optimal interventionists.
- Target groups include patients and their carers.
- Intervention delivery in outpatient HF clinics, using mixed group/individual sessions (30 min), with frequency decreasing over time, was recommended.
Conclusions:
- Local stakeholder input is vital for tailoring HF self-care interventions to specific contexts.
- This approach enhances intervention suitability and patient engagement for better outcomes.
Keywords:
behavior changecomplex intervention designconsensus Delphi studyheart failurekey stakeholderself-careMore Related Videos
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