TY - JOUR
T1 - Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme
AU - Smeulders, Esther S. T. F.
AU - van Haastregt, Jolanda C. M.
AU - Ambergen, Ton
AU - Stoffers, Henri E. J. H. Jelle
AU - Janssen-Boyne, Josiane J. J.
AU - Uszko-Lencer, Nicole H. K. M.
AU - Gorgels, Anton P. M.
AU - Lodewijks-van der Bolt, Cara L. B.
AU - van Eijk, Jacques Th. M.
AU - Kempen, Gertrudis I. J. M.
PY - 2010/11
Y1 - 2010/11
N2 - Objective: The Chronic Disease Self-Management Programme (CDSMP)was recently evaluated among patients with congestive heart failure (CHF) in a randomized controlled trial (n = 317) with twelve months of follow-up after the start of the programme. That trial demonstrated short-term improvements in cardiac-specific quality of life. The current study assessed which of the patients participating in this trial benefited most from the CDSMP with respect to cardiac-specific quality of life. Methods: Subgroup analyses were conducted using mixed-effects linear regression models to assess the relationship between patient characteristics and the effects of the CDSMP on cardiac-specific quality of life. Results: In the short term, patients with better cognitive status benefited more from the CDSMP than their poorer functioning counterparts. In addition, lower educated patients benefited more from the CDSMP than their higher educated counterparts during total follow-up. Conclusion: Subgroup effects were found for cognitive status and educational level. Future research should be performed to validate current findings and further explore the conditions under which CHF patients may benefit more from the programme. Practice implications: These results indicate that lower educated patients, in particular, should be encouraged to participate in the CDSMP. In addition, healthcare practitioners are recommended to take into account potential cognitive impairments of patients.
AB - Objective: The Chronic Disease Self-Management Programme (CDSMP)was recently evaluated among patients with congestive heart failure (CHF) in a randomized controlled trial (n = 317) with twelve months of follow-up after the start of the programme. That trial demonstrated short-term improvements in cardiac-specific quality of life. The current study assessed which of the patients participating in this trial benefited most from the CDSMP with respect to cardiac-specific quality of life. Methods: Subgroup analyses were conducted using mixed-effects linear regression models to assess the relationship between patient characteristics and the effects of the CDSMP on cardiac-specific quality of life. Results: In the short term, patients with better cognitive status benefited more from the CDSMP than their poorer functioning counterparts. In addition, lower educated patients benefited more from the CDSMP than their higher educated counterparts during total follow-up. Conclusion: Subgroup effects were found for cognitive status and educational level. Future research should be performed to validate current findings and further explore the conditions under which CHF patients may benefit more from the programme. Practice implications: These results indicate that lower educated patients, in particular, should be encouraged to participate in the CDSMP. In addition, healthcare practitioners are recommended to take into account potential cognitive impairments of patients.
KW - Heart failure
KW - Self-management
KW - Quality of life
KW - Nurse
KW - Subgroup analyses
KW - Differential effects
U2 - 10.1016/j.pec.2010.01.003
DO - 10.1016/j.pec.2010.01.003
M3 - Article
C2 - 20153132
VL - 81
SP - 214
EP - 221
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 2
ER -