Effectiveness and Cost-Effectiveness of Self-Management Interventions for Adults Living with Heart Failure to Improve Patient-Important Outcomes : An Evidence Map of Randomized Controlled Trials
Santero, Marilina (Institut de Recerca Sant Pau)
Song, Yang (Institut de Recerca Sant Pau)
Beltran, Jessica (Institut de Recerca Sant Pau)
Medina-Aedo, Melixa (Institut de Recerca Sant Pau)
Canelo Aybar, Carlos Gilberto (Institut de Recerca Sant Pau)
Valli, Claudia (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Rocha, Claudio (Institut de Recerca Sant Pau)
León-García, Montserrat (Institut de Recerca Sant Pau)
Salas-Gama, Karla (Hospital Universitari Vall d'Hebron)
Kaloteraki, Chrysoula (Institut de Recerca Sant Pau)
Niño de Guzmán, Ena Pery (Institut de Recerca Sant Pau)
Ballester, Marta (Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS))
González González, Ana Isabel (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Poortvliet, Rune (Netherlands Institute for Health Services Research (NIVEL))
Van der Gaag, Marieke (Netherlands Institute for Health Services Research (NIVEL))
Spoiala, Cristina (Netherlands Institute for Health Services Research (NIVEL))
Gurung, Pema (Netherlands Institute for Health Services Research (NIVEL))
Willemen, Fabienne (Netherlands Institute for Health Services Research (NIVEL))
Cools, Iza (Netherlands Institute for Health Services Research (NIVEL))
Bleeker, Julia (Netherlands Institute for Health Services Research (NIVEL))
Kancheva, Angelina (Netherlands Institute for Health Services Research (NIVEL))
Ertl, Julia (Netherlands Institute for Health Services Research (NIVEL))
Laure, Tajda (Netherlands Institute for Health Services Research (NIVEL))
Kancheva, Ivana (Netherlands Institute for Health Services Research (NIVEL))
Pacheco-Barrios, Kevin (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Zafra-Tanaka, Jessica (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Tsokani, Sofia (University of Ioannina)
Veroniki, Areti Angeliki (University of Toronto)
Seitidis, Georgios (University of Ioannina)
Christogiannis, Christos (University of Ioannina)
Kontouli, Katerina Maria (University of Ioannina)
Groene, Oliver (University of Witten/Herdecke)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Heijmans, Monique (Netherlands Institute for Health Services Research (NIVEL))
Alonso-Coello, Pablo (Institut de Recerca Sant Pau)

Fecha:	2024
Resumen:	Self-management interventions (SMIs) may enhance heart failure (HF) outcomes and address challenges associated with disease management. This study aims to review randomized evidence and identify knowledge gaps in SMIs for adult HF patients. Within the COMPAR-EU project, from 2010 to 2018, we conducted searches in the databases MEDLINE, CINAHL, Embase, Cochrane, and PsycINFO. We performed a descriptive analysis using predefined categories and developed an evidence map of randomized controlled trials (RCTs). We found 282 RCTs examining SMIs for HF patients, comparing two to four interventions, primarily targeting individual patients (97%) globally (34 countries, only 31% from an European country). These interventions involved support techniques such as information sharing (95%) and self-monitoring (62%), often through a mix of in-person and remote sessions (43%). Commonly assessed outcomes included quality of life, hospital admissions, mortality, exercise capacity, and self-efficacy. Few studies have focused on lower socio-economic or minority groups. Nurses (68%) and physicians (30%) were the primary providers, and most studies were at low risk of bias in generating a random sequence for participant allocation; however, the reporting was noticeably unclear of methods used to conceal the allocation process. Our analysis has revealed prevalent support techniques and delivery methods while highlighting methodological challenges. These findings provide valuable insights for researchers, clinicians, and policymakers striving to optimize SMIs for individuals living with HF.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Heart failure ; Randomized controlled trials ; Self-management interventions ; Systematic review
Publicado en:	Healthcare, Vol. 12 (january 2024) , ISSN 2227-9032

DOI: 10.3390/healthcare12030302
PMID: 38338187

14 p, 1.6 MB

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