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COMPAR-EU Web RCTs
Effect of a seated exercise program to improve physical function and health status in frail patients > or = 70 years of age with heart failure
See more Setting of implementation: N/A Professionals delivering the intervention: N/A 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, Virtual location Professionals delivering the intervention: Physiotherapists Targeted self-management behaviours: Physical activity /exercise, Self-monitoring
Components
Education (E)
Monitoring techniques (MT)
Action-based behavioural change techniques (AB)
Emotional-based change techniques (EB)
Emotional-based change techniques (EB)
There are different emotional-based behavioural change techniques:
Stress and/or emotional management. This technique consists in helping you to understand the role of stress and emotions and teaching them to use different coping strategies to manage, for example, stress and painful emotions caused by your disease.
Examples: Mindfulness, exercise, stretching, listening to music, deep breathing, or meditation.
Coaching and motivational interviewing. This kind of support helps you to change behaviours by looking what’s important to you, and then offering support, taking into account your needs and preferences. One provider (healthcare professional, peer or lay person) is usually your coach. Motivational interviewing and counselling are included, as well as collaborative conversations with a practitioner, helping with motivation and commitment, minimizing resistance, and resolve ambivalence to change.
Examples: coaching sessions led by a nurse to ease the transition from hospital to home, or rehabilitation programs using coaching methods.
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 |
---|---|---|
Exercise capacity (including effort test) | Exercise capacity | 6-min walking test (6MWT) |
Hospital admissions | Cardiovascular-related hospital admissions | N/A |
Hospital admissions | Emergency room/department visits | N/A |
Mortality | All causes of mortality | N/A |
Physical Activities | Physical activities | N/A |
Quality of life | Quality of life | Chronic Heart Failure Questionnaire (CHQ) |
Patient characteristics
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 |
---|---|---|---|---|---|---|---|---|
Exercise capacity (including effort test) - Exercise capacity | ||||||||
Hospital admissions - Cardiovascular-related hospital admissions | ||||||||
Hospital admissions - Emergency room/department visits | ||||||||
Mortality - All causes of mortality | ||||||||
Physical Activities - Physical activities | ||||||||
Quality of life - Quality of life |
Learn more about the intervention: Monitoring, 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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