Effect of Illness Perception Correction - Based Educational Program on Quality Of Life and Self- Care in Patients with Heart Failure: a Randomized Controlled Trial

Akbari, Ali; Cheraghi, Mohammad Ali; Anoushiravan, Kazemnejad; Nomali, Mahin; Zakerimoghadam, Masoumeh

doi:10.15171/jcs.2019.013

Cited by 18 publications

(18 citation statements)

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“…Trials in other conditions have illustrated that interventions aiming to promote positive illness perceptions and beliefs can lead to improvements in symptoms, self-management and quality of life [ 41–44 ], and studies in RA have shown that beliefs and illness perceptions are linked to adherence [ 45 , 46 ]. Given the intimate link between illness perceptions and outcomes in RA, demonstrated by this and other studies, interventions to improve the illness perceptions of patients with negative illness perceptions at treatment onset may have the potential to improve long-term outcomes through increased ability to adapt, better adherence to treatment and improvements in self-management, although randomized controlled trials are required to assess the efficacy of any such interventions.…”

Section: Discussionmentioning

confidence: 99%

Changes in the illness perceptions of patients with rheumatoid arthritis over the first year of methotrexate therapy

et al. 2020

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Objectives To describe the illness perceptions of patients with RA over the first year of MTX treatment, and the association between illness perceptions and outcomes. Methods Data came from the Rheumatoid Arthritis Medication Study (RAMS), a UK multicentre cohort study of RA patients starting MTX for the first time. Patients were assessed at baseline, and at 6 and 12 months. Patients completed the Brief Illness Perception Questionnaire (B-IPQ) at each assessment, as well as other patient-reported outcomes (PROs). The inflammation score (2-component DAS28) was calculated. Subgroups of patients with similar trajectories across the eight (B-IPQ) items were identified using a latent class growth model. Predictors of group membership were identified using multinomial logistic regression. Associations between subgroups and PROs over follow-up were assessed using linear mixed models. Results Three subgroups were identified in the analysis population (N = 1087): Positive illness perceptions (N = 322), Negative illness perceptions (N = 534) and Improvers (N = 231) who switched from negative to positive illness perceptions over follow-up. Baseline disability was associated with group membership [Positive vs Negative: relative risk ratio (RRR) 0.37, 95% CI: 0.25, 0.54; Improvers vs Negative: RRR 0.60, 95% CI: 0.43, 0.83], as were other PROs (pain, fatigue, anxiety, depression). The Negative group had worse disability, pain and fatigue over follow-up compared with the other groups, controlling for inflammation. Conclusion Negative illness perceptions are associated with poor PROs over time. The Improvers subgroup illustrated that illness perceptions can change in RA. Illness perceptions represent a potential therapeutic target that should be assessed using randomized trials.

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Section: Discussionmentioning

confidence: 99%

Changes in the illness perceptions of patients with rheumatoid arthritis over the first year of methotrexate therapy

et al. 2020

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“…Another reason might be the frequency of education. Previous studies adopted 30-40education sessions administered 3-4 times and showed significant improvement in the illness representations of patients with myocardial infarction or HF (Sadeghi Akbari et al, 2019;Sararoudi, Motmaen, Maracy, Pishghadam, & Kheirabadi, 2016). HF is a complex syndrome, and patients' decision-making can be affected by their day-to-day, real-world situations.…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have examined the effect of illness representation-focused interventions on illness representations and/ or self-care in patients with HF (Kordshooli, Rakhshan, & Ghanbari, 2018;Sadeghi Akbari, Cheraghi, Kazemnejad, Nomali, & Zakerimoghadam, 2019). Kordshooli et al (2018) examined the effect of a four-step family-centred empowerment model on the perception of the illness in patients with HF.…”

Section: Illness Representations Are Individuals' Perceptions and Belmentioning

confidence: 99%

Effects of illness representation‐focused patient education on illness representations and self‐care in patients with heart failure: A randomised clinical trial

Chang

Wang

Hsu

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To examine the effect of an illness representation‐focused patient education intervention on illness representations and self‐care behaviours in patients with heart failure 3 months after discharge from the hospital. Background Few intervention studies have examined the effect of illness representation‐focused interventions on illness representations and self‐care in patients with heart failure. Design A randomised clinical trial based on the Consolidated Standard of Reporting Trials—CONSORT 2010—guidelines was employed. The Clinical Trial Registry number is TCTR20190903002. Methods One hundred and seven participants were randomly assigned to 2 groups, and 62 participants (n = 30 in the intervention group and n = 32 in the usual care group) completed the baseline and one‐ and three‐month postdischarge follow‐up assessments. The instruments included the Survey of Illness Beliefs in Heart Failure and the Self‐care of Heart Failure Index. The intervention group received illness representation‐focused patient education while hospitalised and telephone follow‐ups after discharge. Data were analysed with linear mixed‐effects model analysis. Results The 107 participants had a mean age of 62.17 years and a mean left ventricular ejection of 53.03%. At baseline, the two groups tended to have accurate illness beliefs but insufficient self‐care confidence and self‐care maintenance. The analysis showed no significant differences between groups in the illness representation total scores, dimension scores or self‐care maintenance scores but did show a significant difference in the self‐care confidence scores (F = 3.42, p < .05) over the three months. Conclusion The study did not show an effect of the intervention on illness representations or self‐care maintenance behaviours. However, the intervention did maintain participants' self‐care confidence three months after discharge. Relevance to clinical practice It is necessary to conduct long‐term follow‐ups of patients' illness representations, discuss the implementation of self‐care behaviours with patients, enhance patients' self‐care confidence, and involve family members or caregivers in self‐care practices when needed.

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“…1) According to the Center for Disease Control and Prevention statistics in Iran, approximately 3,400 per 100,000 individuals are diagnosed with heart failure in Iran, and these individuals experience the debilitating complications of heart failure. 2) Heart failure is a widely common cause of early hospitalization and readmission in patients aged >65 years. 3) There are no specific statistics on the prevalence of cardiovascular diseases in Iran, but mortality from heart disease has increased by approximately 20% to 45% according to several studies in Iran.…”

Section: Introductionmentioning

confidence: 99%

“…Cardiovascular diseases are the number one cause of death in people aged >35 years in Iran [ 1 ]. According to the Center for Disease Control and Prevention statistics in Iran, approximately 3,400 per 100,000 individuals are diagnosed with heart failure in Iran, and these individuals experience the debilitating complications of heart failure [ 2 ]. Heart failure is a widely common cause of early hospitalization and readmission in patients aged >65 years [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial

2021

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Background: Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure. Methods: In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05. Results: The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group. Conclusion: Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.

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Effect of Illness Perception Correction - Based Educational Program on Quality Of Life and Self- Care in Patients with Heart Failure: a Randomized Controlled Trial

Cited by 18 publications

References 24 publications

Changes in the illness perceptions of patients with rheumatoid arthritis over the first year of methotrexate therapy

Changes in the illness perceptions of patients with rheumatoid arthritis over the first year of methotrexate therapy

Effects of illness representation‐focused patient education on illness representations and self‐care in patients with heart failure: A randomised clinical trial

The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial

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