Effectiveness of self-care educational programme on clinical outcomes and self-care behaviour among heart failure peoples—A randomized controlled trial: Study protocol

D’Souza, Prima JJ and Devasia, Tom and Paramasivam, Ganesh and Shankar, Ravi and Noronha, Judith A and George, Linu Sara (2021) Effectiveness of self-care educational programme on clinical outcomes and self-care behaviour among heart failure peoples—A randomized controlled trial: Study protocol. Journal of Advanced Nursing, 77 (11). pp. 4563-4573. ISSN 1365-2648

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Abstract

Aim: To evaluate the effectiveness of a self-care education programme on clinical outcomes, self-care behaviour and knowledge on heart failure (HF) among peoples with HF. Design: Randomized controlled trial. Methods: The participants (N = 160) will be randomly assigned (1:1) to the intervention and the control arms using block randomization. The participants assigned to the intervention arm will receive educational intervention on HF self-care comprising video-assisted teaching with teach-back technique, tailored teaching at discharge and a guide on self-care followed by telephonic calls and text messages after discharge for 6 months along with standard care. The participants in the control arm will receive only a guide on self-care with standard care. The clinical outcomes such as health-related quality of life, hospital readmissions, N-terminal pro-brain natriuretic peptide levels, symptom perception, functional status, left ventricular ejection fraction, Seattle HF score, self-care behaviour and knowledge on HF will be measured at the baseline, after 1 and 6 months of the intervention. Discussion: Several studies conducted on self-care education interventions have shown positive effects, whereas few studies have shown no effect on the people outcomes. Providing the printed self-care guide alone may not improve behaviour associated with self-care and clinical outcomes. These peoples need continuous reinforcement on self-care. If this self-care educational intervention shows beneficial effects, it will contribute to the clinical practice and improve clinical outcomes. Impact: This research will contribute to the evidence on the effectiveness of an educational intervention on self-care among peoples with HF. The results would assist the nurses caring for peoples with HF. They can also implement this intervention for improving the peoples' self-care behaviour. Trial registration: The trial is registered with the Clinical Trial Registry India and the reference ID number CTRI/2019/10/021724.

Item Type: Article
Uncontrolled Keywords: Biomarkers, clinical outcome, educational intervention, heart failure, hospital readmissions, knowledge, left ventricular function, nursing, quality of life, self-care.
Subjects: Medicine > KMC Manipal > Cardiology
Departments at MU > Statistics
Nursing > MCON Manipal > Fundamentals of Nursing
Nursing > MCON Manipal > Obstetrics and Gynaecology
Depositing User: KMC Library
Date Deposited: 29 Dec 2021 08:50
Last Modified: 29 Dec 2021 08:50
URI: http://eprints.manipal.edu/id/eprint/157789

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