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Self-management measurement instruments specific to individuals with cardiovascular diseases: a systematic review
Jose Alexandre Barbosa de Almeida1,2, Karolinne Souza Monteiro1,2, Thayla Amorim Santino3
1Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil.
Insights
This systematic review evaluates health measurement instruments for cardiovascular disease self-management. It assesses the quality of tools to monitor patient health and improve outcomes.
Area of Science:
- Health Sciences
- Clinical Research
- Patient Self-Management
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality.
- Effective self-management strategies are vital for preventing CVD complications and improving patient outcomes.
- Validated instruments are essential for accurately measuring self-management behaviors.
Purpose of the Study:
- To systematically review and assess the quality of patient-reported instruments for measuring self-management in adults with CVDs.
- To apply the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology for robust evaluation.
- To identify reliable tools for monitoring CVD self-management and informing clinical practice.
Main Methods:
- A systematic review following COSMIN guidelines and Preferred Reporting Items for Systematic Review and Meta-analysis Protocol.
- Comprehensive literature searches across seven major databases and manual searches of relevant websites.
- Inclusion of studies on the development and validation of patient-reported self-management instruments for CVDs, with no date or language restrictions.
Main Results:
- The review will assess the psychometric properties and content of selected instruments.
- Data extraction and quality assessment will adhere to COSMIN standards.
- Evidence quality will be determined using the Modified Grading of Recommendations, Assessment, Development and Evaluation approach.
Conclusions:
- This review will provide a critical evaluation of existing CVD self-management instruments.
- Findings will guide the selection of high-quality measurement tools for research and clinical practice.
- The results aim to enhance the reliability and validity of self-management assessments in cardiovascular care.
Introduction:
Cardiovascular diseases (CVDs) are the leading cause of death worldwide, making the development of self-management strategies crucial for preventing complications and improving clinical outcomes. This process involves symptom monitoring, treatment adherence, emotional management and a healthy lifestyle, among others. Reliable instruments are necessary to measure self-management, requiring robust psychometric properties. In this way, this COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN)-based systematic review aims to assess the quality of specific self-management instruments for adults with CVDs.
Methods And Analysis:
This systematic review will follow the COSMIN and be reported according to the Preferred Reporting Items for Systematic Review and Meta-analysis Protocol. Searches will be conducted in seven databases: MEDLINE, Web of Science, Scopus, PsycINFO, EMBASE and CINAHL. Additionally, a manual search will be performed on PROQOLID, PROMIS and The Medical Outcome Trust websites. Studies on the development and validation of patient-reported instruments measuring specific self-management for individuals with CVDs will be included, without language or date restrictions. The search will be performed in November 2025, with the final version of the review expected to be completed in October 2026. Data extraction will follow COSMIN recommendations. The Modified Grading of Recommendations, Assessment, Development and Evaluation approach will be used to determine the quality of evidence. Instruments will be categorised according to COSMIN recommendations. All steps will be conducted by two independent reviewers, with a third reviewer involved in case of discrepancies. Additionally, the content of the instruments will be analysed and linked to the International Classification of Functioning, Disability and Health, following international recommendations.
Ethics And Dissemination:
This study does not require ethics committee approval as it is a review of published data. The review results will be disseminated through peer-reviewed journal publications and presentations at scientific conferences.
Prospero Registration Number:
CRD42024605969.
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