Self-care

Riegel, Bárbara; Moser, Debra K.

doi:10.1097/jcn.0000000000000517

Cited by 9 publications

(6 citation statements)

References 77 publications

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“…In Germany, HF represents a significant public health burden (Holstiege et al, 2018), with a national prevalence of 3.4% of people with statutory health insurance, a compulsory insurance in Germany covering about 90% (70 million) of the German population (Bundesgesundheitsministerium, 2021). There is a rising awareness of the need for specialized treatments for patients with HF and the crucial role self-care plays in managing the condition (Riegel & Moser, 2018).Self-care refers to an individual's ability to engage in symptom monitoring and management, treatment adherence, and lifestyle changes necessary to manage their illness, such as daily weighing, fluid restriction, or regular physical exercise (Riegel et al, 2017). Adhering to recommended self-care behaviors can substantially contribute to reducing illness symptoms, hospital admissions, and mortality, and improving quality of life for people living with HF (Riegel & Moser, 2018).…”

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confidence: 99%

“…There is a rising awareness of the need for specialized treatments for patients with HF and the crucial role self-care plays in managing the condition (Riegel & Moser, 2018).Self-care refers to an individual's ability to engage in symptom monitoring and management, treatment adherence, and lifestyle changes necessary to manage their illness, such as daily weighing, fluid restriction, or regular physical exercise (Riegel et al, 2017). Adhering to recommended self-care behaviors can substantially contribute to reducing illness symptoms, hospital admissions, and mortality, and improving quality of life for people living with HF (Riegel & Moser, 2018). Despite these positive effects, many patients fail to 1043116H EBXXX10.…”

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Determining Contextual Factors for a Heart Failure Self-Care Intervention: A Consensus Delphi Study (ACHIEVE)

et al. 2021

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There is a rising recognition of the crucial role self-care plays in managing heart failure (HF). Yet patients often have difficulties implementing ongoing self-care recommendations into their daily lives. There is also recognition of the importance of theory for successful intervention design, and understanding of key factors for implementation so interventions fit a given context. Local key stakeholders can provide valuable insights to help understand relevant context-specific factors for intervention implementation. This study sought to engage stakeholders to explore and determine relevant contextual factors needed to design and facilitate successful implementation of an HF self-care intervention in the German health care system. A ranking-type Delphi approach was used to establish consensus from stakeholders (i.e., clinicians, patients, policymakers/potential funders) regarding eight factors (content, interventionist, target group, location, mode of delivery, intensity, duration, and format) to adequately define the components and implementation strategy of the intervention. Seventeen participants were invited to participate in the first Delphi round. A response rate of 94% (16/17) was achieved and maintained for all three Delphi rounds. Stakeholder consensus determined that nurses specializing in HF are the most appropriate interventionists, target groups should include patients and carers, and the intervention should occur in an outpatient HF clinic, be a mixture of group and individual training sessions, and last for 30 minutes. Sessions should take place more frequently in the beginning and less often over time. Local stakeholders can help determine contextual factors that must be taken into account for successful delivery of an intervention. This enables the intervention to be developed and applied based on these factors, to make it suitable for the target context and to enhance participation to achieve the desired outcomes.

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Determining Contextual Factors for a Heart Failure Self-Care Intervention: A Consensus Delphi Study (ACHIEVE)

et al. 2021

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“…Examples of self-care behaviours comprise daily weighing, medication adherence, regular physical activity and monitoring of fluid intake and symptoms to prevent exacerbations [ 4 ]. Adherence to these behaviours has been found effective for alleviating illness symptoms, increasing quality of life and reducing hospital re-admissions and mortality better than drug therapy alone [ 5 ], while non-adherence results in the opposite [ 6 ]. Still, many patients fail to implement on-going self-care into their daily lives [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying relevant factors for successful implementation into routine practice: expert interviews to inform a heart failure self-care intervention (ACHIEVE study)

Herber

Ehringfeld

Steinhoff

et al. 2021

BMC Health Serv Res

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Background Adherence to heart failure (HF) self-care behaviours has been found to be effective for alleviating illness symptoms, increasing quality of life and reducing hospital re-admissions and mortality. However, many patients fail to implement on-going self-care into their daily lives. It is therefore crucial to improve the behaviour of HF patients to increase self-care adherence. The aim of this study is to identify relevant factors to successfully implement a complex, theory-based HF self-care intervention into routine practice. Methods We conducted semi-structured interviews to obtain key stakeholders’ opinions on previously developed behaviour change techniques for enhancing HF patients’ self-care behaviours, in order to optimise implementation of these techniques in an intervention. The interview topic guide was developed based on the Normalisation Process Theory (NPT), a tool that takes into account the feasibility of implementation and the acceptability to stakeholders. Interviews were analysed using thematic analysis and supported by MAXQDA 2020, a software for qualitative research. Results Interview participants included 18 key stakeholders consisting of three crucial groups: clinical experts (n = 7), patients (n = 3) and high calibre policy makers/potential funders (n = 8). The interviews revealed numerous factors to consider for successful implementation of an intervention into routine practice. The findings are presented according to two major categories: (1) themes within the NPT framework and (2) themes beyond the NPT framework. Themes within the NPT component ‘Coherence’ include three sub-themes: ‘understandability’, ‘value beyond existing interventions’ and ‘perceived benefits’. The NPT component ‘Cognitive participation’ revealed two sub-themes: ‘time resources’ and ‘financial sustainability’. Finally, the NPT component ‘Collective action’ uncovered three sub-themes: ‘need for training’, ‘compatibility with existing practice’ and ‘influence on roles’. A further two themes were identified beyond the NPT framework, namely: ‘structural challenges’ and (2) ‘role of carers’. Conclusions Factors identified previously by NPT were validated, but stakeholders further identified relevant aspects beyond NPT. Based on these findings, we suggest the existing NPT framework could be expanded to include a fifth component: questions considering specific environmental factors (contextual considerations). Sensitising researchers to these issues at an early stage when designing an intervention can facilitate its later success.

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“…Heart failure (HF) is considered the cardiac syndrome with the highest rates of morbidity and mortality and the main cause of hospital admissions, with worldwide prevalence rates of 1% to 7% ( 1 - 2 ) . Adequate self-care in HF has positive effects on patients’ clinical outcomes ( 3 - 5 ) , and the confidence that the person has that he/she can do self-care is fundamental for proper self-care ( 6 - 9 ) .…”

Section: Introductionmentioning

confidence: 99%

SCHFI 6.2 Self-Care Confidence Scale - Brazilian version: psychometric analysis using the Rasch model

Cruz

Wilson

Melo

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the psychometric properties of the Self-Care Confidence Scale in heart failure in the Brazilian version of the Self Care Heart Failure Index, version 6.2, using the Rasch model criteria. Method: secondary study, of psychometric analysis, using the Rasch model, of the six items of the scale. The sample consisted of 409 patients with heart failure undergoing outpatient treatment [mean age 57.9 (standard deviation = 11.6) years, 54.8% male]. Results: of the total of six items, one (“De maneira geral, você está confiante sobre estar livre dos sintomas de insuficiência cardíaca?”) presented maladjustment to the model (Infit = 1.84 and Outfit = 1.99). After the exclusion of this item, the others showed a good fit, composed one dimension and explained 55% of the variance in the data; the categories of response to the items were adequate, the values of separation and reliability of person were 2.13 and 0.82, respectively, and Cronbach’s alpha was 0.87. Items of extreme difficulty were identified and there is no differential functioning of the items in relation to sex. Conclusion: with the exclusion of the first item, the Self-Care Confidence Scale showed good psychometric properties, with caution in interpreting the results of the six-item scale.

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Self-care

Cited by 9 publications

References 77 publications

Determining Contextual Factors for a Heart Failure Self-Care Intervention: A Consensus Delphi Study (ACHIEVE)

Determining Contextual Factors for a Heart Failure Self-Care Intervention: A Consensus Delphi Study (ACHIEVE)

Identifying relevant factors for successful implementation into routine practice: expert interviews to inform a heart failure self-care intervention (ACHIEVE study)

SCHFI 6.2 Self-Care Confidence Scale - Brazilian version: psychometric analysis using the Rasch model

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