Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (HART)

GradyK.L.; DeLeonC.F.M.; KozakA.T.CursioJ.F.RichardsonD.AveryE.CalvinJr.J.E.PowellL.H.

首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (HART)

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Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (HART)

机译：Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (HART)

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Purpose: Heart failure (HF) is associated with poor health-related quality of life (HRQOL). The purpose of our study is to determine the effect of a self-management intervention on HRQOL domains across time, overall, and in prespecified demographic, clinical, and psychosocial subgroups of HF patients. Methods: HART was a single-center, multi-hospital randomized trial. Patients (n = 902) were randomized either to a self-management intervention with provision of HF educational information or an enhanced education control group which received the same HF educational materials. HRQOL was measured by the Quality of Life Index, Cardiac Version, modified, and the Medical Outcomes Study 36-item Short-Form Health Survey physical functioning scale. Analyses included descriptive statistics and mixed-effects regression models. Results: In general, overall, study participants' HRQOL improved over time. However, no significant differences in HRQOL domain were detected between treatment groups at baseline or across time (p > 0.05). Subgroup analyses demonstrated no differences by treatment arm for change in HRQOL from baseline to 3 years later. Conclusions: We conclude that in our cohort of patients, the self-management intervention had no benefit over enhanced education in improving domains of HRQOL and HRQOL for specified HF subgroups.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2014年第1期|31-38|共8页
作者
GradyK.L.; DeLeonC.F.M.; KozakA.T.CursioJ.F.RichardsonD.AveryE.CalvinJr.J.E.PowellL.H.;
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作者单位

Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, United;

Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, United;

Department of Psychology, Oakland University, Rochester, MI, United StatesDepartment of Preventive Medicine, Rush University Medical Center, Chicago, IL, United StatesDepartment of Cardiology, Rush University Medical Center, Chicago, IL, United States;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Heart failure; Quality of life; Self-management;

Does self-management counseling in patients with heart failure improve quality of life? Findings from the Heart Failure Adherence and Retention Trial (HART)

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