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COMPAR-EU Web RCTs
Swiss Interdisciplinary Management programme for Heart Failure (SWIM-HF): A randomised controlled trial study of an outpatient inter-professional management programme for heart failure patients in Switzerland
See more Setting of implementation: Hospital care (hospitalized) 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: Home-care, Hospital care (hospitalized) Professionals delivering the intervention: Nurses, Physicians Targeted self-management behaviours: Asking for professional help or emergency care when needed, Communication with healthcare and/or social care providers, Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Physical activity /exercise, Self-monitoring
Components
Education (E)
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.
Emotional-based change techniques (EB)
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.
Outcomes measured in the study
Desenlace | Medida | Tool |
---|---|---|
Hospital admissions | All-cause hospital readmissions | N/A |
Hospital admissions | HF-related hospital readmissions | N/A |
Mortality | All causes of mortality | N/A |
Patient characteristics
7.9 (+/- a standard deviation of 2.2)
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
Desenlace | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
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Hospital admissions - All-cause hospital readmissions | ||||||||
Hospital admissions - HF-related hospital readmissions | ||||||||
Mortality - All causes of mortality |
Learn more about the intervention: Action-based and emotional-based behavioural techniques
Recommendations for this type of intervention | |
Summary of findings | |
Evidence to Decision frameworks | |
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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