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.

Autor:	Santero M; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Song Y; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Beltran J; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Medina-Aedo M; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Canelo-Aybar C; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Valli C; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain., Rocha C; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., León-García M; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Salas-Gama K; Quality, Process and Innovation Direction, Vall d'Hebron Hospital Universitari, 08035 Barcelona, Spain., Kaloteraki C; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Niño de Guzmán E; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain., Ballester M; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 08007 Barcelona, Spain., González-González AI; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain., Poortvliet R; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., van der Gaag M; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Spoiala C; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Gurung P; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Willemen F; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Cools I; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Bleeker J; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Kancheva A; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Ertl J; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Laure T; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Kancheva I; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Pacheco-Barrios K; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.; Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain., Zafra-Tanaka JH; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.; Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain., Tsokani S; Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece., Veroniki AA; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.; Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON M5S 3G8, Canada., Seitidis G; Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece., Christogiannis C; Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece., Kontouli KM; Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece., Groene O; OptiMedis, 20095 Hamburg, Germany.; Faculty of Management, Economics and Society, University of Witten/Herdecke, 58455 Witten, Germany., Sunol R; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.; Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain., Orrego C; Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 08007 Barcelona, Spain.; Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain., Heijmans M; Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands., Alonso-Coello P; Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Jan 24; Vol. 12 (3). Date of Electronic Publication: 2024 Jan 24.
DOI:	10.3390/healthcare12030302
Abstrakt:	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.
Databáze:	MEDLINE
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