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COMPAR-EU RCTs Web
Clinical and psychological telemonitoring and telecare of high risk heart failure patients
See more Setting of implementation: Primary care centers (GPs) Professionals delivering the intervention: Nurses Targeted self-management behaviours: Early recognition of symptoms, Medication use and adherence
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), Virtual location Professionals delivering the intervention: Nurses, Physicians, Service Targeted self-management behaviours: Device management, Early recognition of symptoms, Medication use and adherence, Self-monitoring
Components
Education (E)
Monitoring techniques (MT)
Monitoring techniques (MT)
Self-monitoring training and feedback. Training and encouraging people to recognize, monitor, and record behaviours, symptoms, or clinical data. This process may include regular feedback from a clinician, or a synopsis of information registered in a digital tool to encourage you to continue monitoring your illness and behaviours.
Example: Showing a patient how to record blood sugar levels, physical activity, or pain.
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
Outcome | Measure | Tool |
---|---|---|
Adherence to medication or other treatment | Adherence to medication | Morisky Medication Adherence Scale-8 (MMAS-8), |
Exercise capacity (including effort test) | Exercise capacity | New York Heart Association (NYHA) Class of chronic HF |
Hospital admissions | HF-related hospital admissions | N/A |
Hospital admissions | Emergency room/department visits | N/A |
Mortality | All causes of mortality | N/A |
Quality of life | Quality of life | Perception of General Well-Being Inventory (PGWBI) |
Patient characteristics
Number of co-morbidities: N/A
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 |
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Adherence to medication or other treatment - Adherence to medication | ||||||||
Exercise capacity (including effort test) - Exercise capacity | ||||||||
Hospital admissions - Emergency room/department visits | ||||||||
Hospital admissions - HF-related hospital admissions | ||||||||
Mortality - All causes of mortality | ||||||||
Quality of life - Quality of life |
Learn more about the intervention: Monitoring 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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