dc.date.accessioned | 2019-06-21T05:50:29Z | |
dc.date.available | 2019-06-21T05:50:29Z | |
dc.date.created | 2018-11-28T10:34:58Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Lycholip, Edita Aamodt, Ina Marie Thon Lie, Irene Simbelytè, Toma Puronaité, Roma Hillege, Hans de Vries, Arjen Kraai, Imke Strömberg, Anna Jaarsma, Tiny Celutkiené, Jelena . The dynamics of self-care in the course of heart failure management: data from the IN TOUCH study. Patient Preference and Adherence. 2018, 12, 1113-1122 | |
dc.identifier.uri | http://hdl.handle.net/10852/68467 | |
dc.description.abstract | Introduction: Self-care is an important patient-reported outcome (PRO) for heart failure (HF) patients, which might be affected by disease management and/or telemonitoring (TM). The number of studies reporting the influence of TM on self-care is limited.
Aims: This study aimed: to assess whether TM, in addition to information-and-communication-technology (ICT)-guided disease management system (ICT-guided DMS), affects self-care behavior; to evaluate the dynamics of self-care during the study; to investigate factors contributing to self-care changes; and to identify a patient profile that predisposes the patient to improvement in self-care.
Methods: In the INnovative ICT-guided-DMS combined with Telemonitoring in OUtpatient clinics for Chronic HF patients (IN TOUCH) study, 177 patients were randomized to either ICT-guided DMS or TM+ICT-guided DMS, with a follow-up of 9 months. The current analysis included 118 participants (mean age: 69±11.5 years; 70% male) who filled the following PRO instruments: the nine-item European Heart Failure Self-care Behaviour scale (EHFScBs), Hospital Anxiety and Depression scale (HADs), and Minnesota Living with HF Questionnaire (MLHFQ).
Results: The baseline level of self-care was better in the TM+ICT-guided-DMS group (n=58) compared to ICT-guided-DMS group (n=60, p=0.023). Self-care behavior improved in the ICT-guided-DMS group (p<0.01) but not in the TM+ICT-guided-DMS group. Factors associated with self-care worsening were as follows: higher physical subscale of MLHFQ (per 10 points, p<0.05), lower left ventricular ejection fraction (LVEF) (per 5%, p<0.05), lower New York Heart Association (NYHA) class (class III vs class II, p<0.05). The subgroups of patients who had an initial EHFScBs total score >28, or from 17 to 28 with concomitant HADs depression subscale (HADs_D) score ≤8, demonstrated the greatest potential to improve self-care during the study.
Conclusion: TM did not have an advantage on self-care improvement. Poor physical aspect of quality of life, lower LVEF, and lower NYHA class were associated with self-care worsening. The greatest self-care improvement may be achieved in those patients who have low or medium initial self-care level in the absence of depression. | |
dc.language | EN | |
dc.publisher | Dove Medical Press Ltd. | |
dc.rights | Attribution-NonCommercial 3.0 Unported | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/ | |
dc.title | The dynamics of self-care in the course of heart failure management: data from the IN TOUCH study | |
dc.type | Journal article | |
dc.creator.author | Lycholip, Edita | |
dc.creator.author | Aamodt, Ina Marie Thon | |
dc.creator.author | Lie, Irene | |
dc.creator.author | Simbelytè, Toma | |
dc.creator.author | Puronaité, Roma | |
dc.creator.author | Hillege, Hans | |
dc.creator.author | de Vries, Arjen | |
dc.creator.author | Kraai, Imke | |
dc.creator.author | Strömberg, Anna | |
dc.creator.author | Jaarsma, Tiny | |
dc.creator.author | Celutkiené, Jelena | |
cristin.unitcode | 185,52,12,0 | |
cristin.unitname | Avdeling for sykepleievitenskap | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1636228 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Patient Preference and Adherence&rft.volume=12&rft.spage=1113&rft.date=2018 | |
dc.identifier.jtitle | Patient Preference and Adherence | |
dc.identifier.volume | 12 | |
dc.identifier.volume | 2018 | |
dc.identifier.startpage | 1113 | |
dc.identifier.endpage | 1122 | |
dc.identifier.doi | http://dx.doi.org/10.2147/PPA.S162219 | |
dc.identifier.urn | URN:NBN:no-71621 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1177-889X | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/68467/1/Lycholip-2018-The%2Bdynamics%2Bof%2Bself-care%2Bin%2Bthe.pdf | |
dc.type.version | PublishedVersion | |
dc.relation.project | NORDFORSK/76015 | |