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Feasibility of a group-based self-management program among congestive heart failure patients

  • Esther S T F Smeulders*
  • , Jolanda C M van Haastregt
  • , Josiane J J Janssen-Boyne
  • , Henri E J H Stoffers
  • , Jacques Th M van Eijk
  • , Gertrudis I J M Kempen
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: This study assessed the feasibility of the Chronic Disease Self-Management Program (CDSMP) among patients with congestive heart failure (CHF). The program emphasizes patients' central role and responsibility in managing their illness.

METHODS: Patients were randomly assigned to the program, which was led by a cardiac nurse specialist and a CHF patient. Data on performance according to protocol, adherence, and opinion about the program were collected among 186 patients and 18 leaders.

RESULTS: Eighty percent of the group sessions were carried out largely according to protocol. Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and lower New York Heart Association classification predicted good attendance.

CONCLUSION: Directly after the program and at 12-month follow-up, approximately three fourths of the patients stated that they had benefited from the program. Recommendations mainly concerned spending more time on several program topics and specifying patient-selection criteria in more detail. The program was considered feasible.

Original languageEnglish
Pages (from-to)499-512
Number of pages14
JournalHeart & Lung
Volume38
Issue number6
DOIs
Publication statusPublished - 1 Dec 2009

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Heart Failure/nursing
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance
  • Patient Satisfaction
  • Program Development
  • Program Evaluation
  • Self Care/methods
  • Self Efficacy

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