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COMPAR-EU RCTs Web

Multidisciplinary group clinic appointments: the Self-Management and Care of Heart Failure (SMAC-HF) trial

Author: Smith, C. E. Country/countries: United States Number of patients participating in the study: 198 This study was focused on patients living with Heart Failure
Intervention analysed in the study: Usual Care Plus Intervention components: UCP
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Setting of implementation: Hospital care (hospitalized), Outpatient care (hospital) Professionals delivering the intervention: Nurses Targeted self-management behaviours: N/A
Intervention analysed in the study: Monitoring, action-based behavioural techniques and emotional-based behavioural techniques and social support delivered in groups Intervention components: E+MT+AB+EB+SS+G
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Setting of implementation: Hospital care (hospitalized), Outpatient care (hospital) Professionals delivering the intervention: Dietician/nutritionist, Nurses, Social worker Targeted self-management behaviours: Communication with healthcare and/or social care providers, Early recognition of symptoms, Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Self-monitoring, Social roles

Outcomes measured in the study

Outcome Measure Tool
Hospital admissions HF-related hospital readmissions N/A
Mortality HF-related mortality N/A

Patient characteristics

Age: 62.3 years (+/- a standard deviation of 13.2) Gender: 38.0% female Time since diagnosis of Heart Failure: N/A Severity of the disease: N/A Multi-morbidity: Charlson Comorbidity Index (CCI)
  • 6.7 (+/- a standard deviation of 2.8)

  • Number of co-morbidities: 1.0

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: 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
Mortality - HF-related mortality

Other publications associated with this study

The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure Link: 10.1016/j.hrtlng.2018.02.005 Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments: Methods, Materials, and Outcomes Used in the Clinical Trial Link: 10.1097/jcn.0000000000000255