driscoll-selfcareinterventions-2019.pdf (567.25 kB)
Self-care interventions that reduce hospital readmissions in patients with heart failure; towards the identification of change agents
journal contribution
posted on 2019-01-01, 00:00 authored by S R Toukhsati, T Jaarsma, A S Babu, Andrea DriscollAndrea Driscoll, D L HareUnplanned hospital readmissions are the most important, preventable cost in heart failure (HF) health economics. Current professional guidelines recommend that patient self-care is an important means by which to reduce this burden. Patients with HF should be engaged in their care such as by detecting, monitoring, and managing their symptoms. A variety of educational and behavioural interventions have been designed and implemented by health care providers to encourage and support patient self-care. Meta-analyses support the use of self-care interventions to improve patient self-care and reduce hospital readmissions; however, efficacy is variable. The aim of this review was to explore methods to achieve greater clarity and consistency in the development and reporting of self-care interventions to enable ‘change agents’ to be identified. We conclude that advancement in this field requires more explicit integration and reporting on the behaviour change theories that inform the design of self-care interventions and the selection of behaviour change techniques. The systematic application of validated checklists, such as the Theory Coding Scheme and the CALO-RE taxonomy, will improve the systematic testing and refinement of interventions to enable ‘change agent/s’ to be identified and optimised.
History
Journal
Clinical medicine insights: cardiologyVolume
13Pagination
1 - 8Publisher
SAGE PublicationsLocation
London, Eng.Publisher DOI
Link to full text
eISSN
1179-5468Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, The Author(s)Usage metrics
Categories
No categories selectedKeywords
self-careheart failurereadmissionadherencechange agentScience & TechnologyLife Sciences & BiomedicineCardiac & Cardiovascular SystemsCardiovascular System & CardiologyRANDOMIZED CONTROLLED-TRIALDISEASE MANAGEMENT PROGRAMBEHAVIOR-CHANGE TECHNIQUESELDERLY-PATIENTSGLOBAL HEALTHSUPPORTASSOCIATIONADMISSIONTAXONOMYEPIDEMIOLOGY
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC