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COMPAR-EU RCTs Web
Effectiveness of a follow-up program for elderly heart failure patients after hospital discharge. A randomized controlled trial
See more Setting of implementation: Hospital care (hospitalized), Primary care centers (GPs) Professionals delivering the intervention: Physicians Targeted self-management behaviours: N/A
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Hospital care (hospitalized), Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physicians, Social worker Targeted self-management behaviours: Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise
Components
Education (E)
Education (E)
Sharing information. This form of support consists in sharing of information about self-management topics like coping with symptoms, diet, exercise, medication, information about what other people are doing, and information about the disease itself, or about any other relevant aspects that could lead to improved self-management, and ultimately better health. This information can be told or distributed in printed materials like a folder or workbook, or via website or DVD.
Examples: Educational session on healthy eating for people with obesity, provision of a printed leaflet on the importance of foot care in diabetes, or a link to a website with information on chronic obstructive pulmonary disease care.
Action-based behavioural change techniques (AB)
Action-based behavioural change techniques (AB)
There are different action-based behavioural change techniques:
Enhancing problem-solving skills. This technique consists in teaching on how to analyse factors that influence your behaviour and provide you or help you to develop strategies to reduce or overcome barriers and/or support facilitators (e.g., not eating unhealthy foods when you feel depressed). Strategies include anticipation, self-treatment, resource utilization, and problem management. Ideally, there should be an initial plan, but this is not a requisite.
Example: Identification and attenuation of environmental barriers (e.g., no gym in the neighbourhood when one want to exercise) and facilitators (e.g., someone who keeps you company during exercise) to everyday physical activities.
Goal setting and action planning. This technique consists in encouraging you to set one or more achievable goals based on your needs and preferences. These goals may be behaviours (e.g., a consuming a healthy meal three times a day) or outcomes (e.g., less pain) and can be used as a starting point. The process usually involves the formulation of a detailed action plan, specifying what you would do and at least when and/or where you will do it. It could also include an assessment of your behaviours with your health care provider and a discussion of goals and the writing up of agreed-on action plans, including plans for emergency situations.
Examples of goals: achieving a daily walking distance of 2 km or a weight loss of some kilograms in x months with diet and exercise.
In group
Two or more patients or caregivers receive a self-management intervention. Group interventions are normally organized for efficiency purposes or to facilitate learning and knowledge exchange among peers (people living with the same health condition). For example, peer-led education group to enhance physical activity in obese individuals.
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
| Outcome | Measure | Tool |
|---|---|---|
| Hospital admissions | HF-related hospital readmissions | N/A |
| Hospital admissions | All-cause hospital readmissions | N/A |
| Hospital admissions | Hospital days (Lenght of stay) | N/A |
| Mortality | All causes of mortality | N/A |
| Mortality | HF-related mortality | N/A |
Patient characteristics
2.95 (+/- a standard deviation of 1.7)
Number of co-morbidities: 1.0
Tool: N/A
Risk of Bias of this study
| Outcome | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
|---|---|---|---|---|---|---|---|---|
| Hospital admissions - HF-related hospital readmissions | ||||||||
| Hospital admissions - All-cause hospital readmissions | ||||||||
| Hospital admissions - Hospital days (Lenght of stay) | ||||||||
| Mortality - All causes of mortality | ||||||||
| Mortality - HF-related mortality |
Other publications associated with this study
Learn more about the intervention: Action-based behavioural techniques delivered in groups
RCTs that also analysed this type of intervention | |
Related cost-effectiveness analysis |
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To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
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Related contextual analysis |
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To learn more about the contextual factors that can facilitate or hinder the implementation of a self-management intervention check our section on the topic: Contextual factors
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