Trial of a family-based education program for heart failure patients in rural Thailand

BMC Cardiovascular Disorders

David R Thompson²  Chantal F Ski²  Jan Cameron²  Nittaya Srisuk¹ 

[1] Faculty of Nursing, Suratthani Rajabhat University, Suratthani, Thailand;Centre for the Heart and Mind, Australian Catholic University, Melbourne, VIC, Australia

关键词: Thailand;    Heart failure;    Health-related quality of life;    Self-care;    Education;    Family;   

Others  :  1088645
DOI  :  10.1186/1471-2261-14-173

 received in 2014-07-08, accepted in 2014-11-27,  发布年份 2014

【 摘 要 】

Background

Heart failure (HF) significantly impacts on the daily lives of patients and their carers. In Western society HF education programs have increased patient and carer knowledge and improved health-related quality of life. However, there is a paucity of such evidence in Asia. For example, to date no studies have been conducted in Thailand to investigate the potential benefits of a family-based education program on the health outcomes of HF patients and carers.

Methods

This randomised controlled trial will evaluate the effectiveness of an education program on knowledge, self-care and health-related quality of life of Thai HF patients and their carers. Assessments will be conducted at baseline, three and six months. Participants will be assigned by independent random allocation to an intervention (family-based education plus usual care) or a control (usual care) group. Analyses will be conducted on an intention-to-treat basis.

Discussion

This trial will be the first to evaluate the effectiveness of family-based education for HF patients and carers residing in rural Thailand. It attempts to advance understanding of family-based HF education and address the gap in service provision.

Trial registration

Thai Clinical Trial Registry TCTR20140506003

【 授权许可】

   
2014 Srisuk et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Bui AB, Horwich TB, Fonarow GC: Epidemiology and risk profile of heart failure. Nat Rev Cardiol 2011, 8(1):30-41.
• [2]Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Judd SE, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Mackey RH, Magid DJ, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER 3rd, American Heart Association Statistics Committee and Stroke Statistics Subcommittee, et al.: Heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation 2014, 129(3):e28-e292.
• [3]Heidenreich PA, Albert NM, Allen LA, Bluemke DA, Butler J, Fonarow GC, Ikonomidis JS, Khavjou O, Konstam MA, Maddox TM, Nichol G, Pham M, Piña IL, Trogdon JG: Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail 2013, 6(3):606-619.
• [4]Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH, Fonarow GC, Gerac SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL: 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Coll Cardiol 2013, 62(16):e147-e239.
• [5]McAlister FA, Stewart S, Ferrua S, McMurray JJJV: Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. J Am Coll Cardiol 2004, 44(4):810-819.
• [6]Boren SA, Wakefield BJ, Gunlock TL, Wakefield DS: Heart failure self-management education: a systematic review of the evidence. Int J Evid Based Healthc 2009, 7(3):159-168.
• [7]Blue L, Lang E, McMurray JJV, Davie AP, McDonagh TA, Murdoch DR, Petrie MC, Connolly E, Norrie J, Round CE, Ford I, Morrison CE: Randomised controlled trial of specialist nurse intervention in heart failure. Br Med J 2001, 323(7315):715-718.
• [8]Cline CMJ, Israelsson BY, Willenheimer RB, Broms K, Erhardt LR: Cost effective management programme for heart failure reduces hospitalisation. Heart 1998, 80(5):442-446.
• [9]McDonald K, Ledwidge M, Cahill J, Quigley P, Maurer B, Travers B, Ryder M, Kieran E, Timmons L, Ryan E: Heart failure management: multidisciplinary care has intrinsic benefit above the optimization of medical care. J Card Fail 2002, 8(3):142-148.
• [10]Strömberg A, Mårtensson J, Fridlund B, Levin L-A, Karlsson J-E, Dahlstråm U: Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure results from a prospective, randomised trial. Eur Heart J 2003, 24(11):1014-1023.
• [11]Stewart S, Horowitz JD: Home-based intervention in congestive heart failure: long-term implications on readmission and survival. Circulation 2002, 105(24):2861-2866.
• [12]Stewart S, Marley JE, Horowitz JD: Effects of a multidisciplinary, home-based intervention on planned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet 1999, 354(9184):1077-1083.
• [13]Stewart S, Pearson S, Horowitz JD: Effects of a home-based intervention among patients with congestive heart failure discharged from acute hospital care. Arch Intern Med 1998, 158(10):1067-1072.
• [14]Krumholz HM, Amatruda J, Smith GL, Mattera JA, Roumanis SA, Radford MJ, Crombie P, Vaccarino V: Randomized trial of an education and support intervention to prevent readmission of patients with heart failure. J Am Coll Cardiol 2002, 39(1):83-89.
• [15]Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE: A multidisciplinary interventertion to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995, 2(333):1190-1195.
• [16]Rich MW, Vinson JM, Sperry JC, Shah AS, Spinner LR, Chung MK, Davila-Roman V: Prevention of readmission in elderly patients with congestive heart failure: results of a prospective randomized pilot study. J Gen Intern Med 1993, 8(11):585-590.
• [17]Riegel B, Carlson B, Kopp Z, LePetri B, Glaser D, Unnger A: Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. Arch Intern Med 2002, 162(6):705-712.
• [18]Laothavorn P, Hengrussamee K, Kanjanavanit R, Moleerergpoom W, Laorakpongse D, Pachirat O, Boonyaratavej S, Sritara P: Thai Acute Decompensated Heart Failure Registry (Thai ADHERE). CVD Prev Control 2010, 5(3):89-95.
• [19]Ditewig JB, Blok H, Havers J, Veenendaal HV: Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ Couns 2010, 78(3):297-315.
• [20]Rankin SH, Stallings KD: Patient Education: Principles & Practice. 4th edition. Philadelphia, PA: Lippincott, Williams and Wilkins; 2001.
• [21]Moser DK, Riegel B: Improving Outcomes in Heart Failure: An Interdisciplinary Approach. Gaithersburg, MD: Aspen; 2001.
• [22]Delaney C, Apostolidis B, Bartos S, Heather M, Smith L, Fortinsky R: A randomized trial of telemonitoring and self-care education in heart failure patients following home care discharge. Home Health Care Manag Pract 2013, 25(5):187-195.
• [23]Krum H, Jelinek MV, Stewart S, Sindone A, Atherton JJ, Hawkes AL: Guidelines for the prevention, detection and management of people with chronic heart failure in Australia 2006. Med J Aust 2006, 185(10):549-556.
• [24]McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Bo¨hm M, Dickstein K, Falk V, Filippatos G, Fonseca C, Gomez-Sanchez MA, Jaarsma T, Køber L, Lip GY, Maggioni AP, Parkhomenko A, Pieske BM, Popescu BA, Rønnevik PK, Rutten FH, Schwitter J, Seferovic P, Stepinska J, Trindade PT, Voors AA, Zannad F, Zeiher A: ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. Eur Heart J 2012, 33(14):1787-1847.
• [25]Riegel B, Dickson VV: A situation-specific theory of heart failure self-care. J Cardiovasc Nurs 2008, 23(3):190-196.
• [26]Riegel B, Carlson B, Moser DK, Sebern M, Hicks FD: Psychometric testing of the self-care of heart failure index. J Card Fail 2004, 10(4):350-360.
• [27]Barnason S, Zimmerman L, Young L: An integrative review of interventions promoting self-care of patients with heart failure. J Clin Nurs 2011, 21(3–4):448-475.
• [28]Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL, Gurvitz MZ, Havranek EP, Lee CS, Lindenfeld J, Peterson PN, Pressler SJ, Schocken DD, Whellan DJ: State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation 2009, 120(12):1141-1163.
• [29]Buck HG, Harkness K, Wion R, Carroll SL, Cosman T, Kaasalainen S, Kryworuchko J, McGillion M, O’Keefe-McCarthy S, Sherifali D, Strachan PH, Arthur HM: Caregivers’ contributions to heart failure self-care: a systematic review. Eur J Cardiovasc Nursin press
• [30]Chen S, Yin Y, Krucoff MW: Effect of cardiac resynchronization therapy and implantable cardioverter defibrillator on quality of life in patients with heart failure: a meta-analysis. Europace 2012, 14(11):1602-1607.
• [31]Graven LJ, Grant JS: Social support and self-care behaviors in individuals with heart failure: an integrative review. Int J Nurs Stud 2014, 51(2):320-333.
• [32]Sacco SJ, Park CL, Suresh DP, Bliss D: Living with heart failure: psychosocial resources, meaning, gratitude and well-being. Heart Lung 2014, 43(3):213-218.
• [33]Sayers SL, Riegel B, Pawlowski S, Coyne JC, Samaha FF: Social support and self-care of patients with heart failure. Ann Behav Med 2008, 35(1):70-79.
• [34]Årestedt K, Saveman B-I, Johansson P, Blomqvist K: Social support and its association with health-related quality of life among older patients with chronic heart failure. Eur J Cardiovasc Nurs 2013, 12(1):69-77.
• [35]Lindenfeld J, Albert NM, Moser DK, Boehmer JP, Rogers JG, Collins SP, Starling RC, Ezekowitz JA, Stevenson WG, Givertz MM, Tang W, Teerlink JR, Walsh MN: HFSA 2010 comprehensive heart failure practice guideline. J Card Fail 2010, 16(6):e1-e194.
• [36]Arnold JMO, Howlett JG, Ducharme A, Ezekowitz JA, Gardner MJ, Giannetti N, Haddad H, Heckman GA, Isaac D, Jong P, Liu P, Mann E, McKelvie RS, Moe GW, Svendsen AM, Tsuyuki RT, O’Halloran K, Ross HJ, Sequeira EJ, White M: Canadian Cardiovascular Society Consensus Conference guidelines on heart failure – 2008 update: best practices for the transition of care of heart failure patients, and the recognition, investigation and treatment of cardiomyopathies. Can J Cardiol 2008, 24(1):21-40.
• [37]Krum H, Jelinek MV, Stewart S, Sindone A, Atherton JJ, National Heart Foundation of Australia; Cardiac Society of Australia and New Zealand: 2011 update to National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand guidelines for the prevention, detection and management of chronic heart failure in Australia 2006. MJA 2011, 194(8):405-409.
• [38]Strömberg A: The situation of caregivers in heart failure and their role in improving patient outcomes. Curr Heart Fail Rep 2013, 10(3):270-275.
• [39]Wongpiriyayothar A, Piamjariyakul U, Williams PD: Effects of patient teaching, educational materials, and coaching using telephone on dyspnea and physical functioning among persons with heart failure. Appl Nurs Res 2011, 24(4):e59-e66.
• [40]Kiatseesakul J, Momkong S, Pankakdee O, Choon-Ngarm T: The effect of a supportive educational program on knowledge self-care behavior, and the level of severity of heart failure. Thai J Cardio-Thoracic Nurs 2008, 19(2):23-39.
• [41]Rerkluenrit J, Khwanchai P, Soiorn T: Effects of a supportive educational program on functional status and self-care of persons with heart failure. Rama Nurs J 2012, 18(1):102-118.
• [42]Knodel J, Chayovan N: Intergenerational relationships and family care and support for Thai elderly. Ageing Int 2009, 35(1–4):15-27.
• [43]Thanakwang K: Social relationships influencing positive perceived health among Thai older persons: a secondary data analysis using the national elderly survey. Nurs Health Sci 2009, 11(2):144-149.
• [44]Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P: Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med 2008, 148(4):295-309.
• [45]Ho KL, Anderson KM, Kannel WB, Grossman W, Levy D: Survival after the onset of congestive heart failure in Framingham heart study subjects. Circulation 1993, 88(1):107-115.
• [46]McKelvie RS, Moe GW, Ezekowitz JA, Heckman GA, Costigan J, Ducharme A, Estrella-Holder E, Giannetti N, Grzeslo A, Harkness K, Howlett JG, Kouz S, Leblanc K, Mann E, Nigam A, O’Meara E, Rajda M, Steinhart B, Swiggum E, Le VV, Zieroth S, Arnold JM, Ashton T, D’Astous M, Dorian P, Haddad H, Isaac DL, Leblanc MH, Liu P, Rao V, et al.: The 2012 Canadian Cardiovascular Society heart failure management guidelines update: focus on acute and chronic heart failure. Can J Cardiol 2013, 29(2):168-181.
• [47]Knowles MS, Holton EF, Swanson RA: The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. London: Elsevier; 2005.
• [48]Boyde M, Tuckett A, Peters R, Thompson DR, Turner C, Stewart S: Learning for heart failure patients (The L-HF patient study). J Clin Nurs 2009, 18(14):2030-2039.
• [49]Chiaranai C: A phenomenological study of day-to-day experiences of living with heart failure. J Cardiovasc Nurs 2014, 29(4):e9-e17.
• [50]Kato N, Kinugawa K, Sano M, Seki S, Kogure A, Kobukata K, Ochiai R, Wakita S, Kazuma K: Development of self-care educational material for patients with heart failure in Japan: a pilot study. Nurs Health Sci 2012, 14(2):156-164.
• [51]Yu M, Chair SY, Chan CE, Li X, Choi KC: Perceived learning needs of patients with heart failure in China: a cross-sectional questionnaire survey. Contemp Nurse 2012, 41(1):41-47.
• [52]Borrelli B, Sepinwall D, Ernst D, Bellg AJ, Czajkowski S, Breger R, DeFrancesco C, Levesque C, Sharp DL, Ogedegbe G, Resnick B, Orwig D: A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research. J Consult Clin Psychol 2005, 73(5):852-860.
• [53]Borrelli B: The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. J Public Health Dent 2011, 71(Suppl 1):S52-S63.
• [54]Schillinger D, Piette J, Grumbach G, Wang F, Wilson C, Daher K, Leong-Grotz K, Castro C, Blindman AB: Physician communication with diabetic patients who have low health literacy. Arch Intern Med 2003, 163(1):83-90.
• [55]Kripalani S, Bengtzen R, Henderson LE, Jacobson TA: Clinical research in low-literacy populations: using teachback to assess comprehension of informed consent and privacy information. IRB Ethics Human Res 2008, 30(2):13-19.
• [56]Wilson FL, Baker LM, Nordstrom CK, Legwand C: Using the teach-back and Orem’s self-care deficit nursing theory to increase childhood immunization communication among low-income mothers. Issues Compr Pediatr Nurs 2008, 31(1):7-22.
• [57]White M, Garbez R, Carroll M, Brinker E, Howie-Esquivel J: Is “teach-back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients? J Cardiovasc Nurs 2013, 28(2):137-146.
• [58]Mahramus T, Penoyer DA, Frewin S, Chamberlain L, Sole ML: Assessment of an educational intervention on nurses’ knowledge and retention of heart failure self-care principles and the teach back method. Heart Lung 2014, 43(3):204-212.
• [59]Chew LD, Griffin JM, Partin MR, Noorbaloochi S, Grill JP, Snyder A, Bradley KA, Nugent SM, Baines AD, VanRyn M: Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med 2008, 23(5):561-566.
• [60]Nasreddine ZS, Phillips NA, Be´dirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H: The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005, 53(4):695-699.
• [61]Charlson ME, Pompei P, Ales KL, MacKenzie CR: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987, 40(5):373-383.
• [62]The Criteria Committee of the New York Heart Association: Diseases of the Heart and Blood Vessels: Nomenclature and Criteria for Diagnosis. 9th edition. Boston, MA: Little; Brown; 1994.
• [63]van der Wal MH, Jaarsma T, Moser DK, van Veldhuisen DJ: Development and testing of the Dutch Heart Failure Knowledge Scale. Eur J Cardiovasc Nurs 2005, 4(4):273-277.
• [64]Boyde M, Song S, Peters R, Turner C, Thompson DR, Stewart S: Pilot testing of a self-care education intervention for patients with heart failure. Eur J Cardiovasc Nurs 2012, 12(1):39-46.
• [65]Boyne JJ, Vrijhoef HJ, Spreeuwenberg M, Weerd GD, Kragten J, Gorgels AP, TEHAF investigators: Effects of tailored telemonitoring on heart failure patients’ knowledge, self-care, self-efficacy and adherence: a randomized controlled trial. Eur J Cardiovasc Nurs 2014, 13(3):243-252.
• [66]Riegel B, Lee CS, Dickson VV, Carlson B: An update on the Self-Care of Heart Failure Index. J Cardiovasc Nurs 2009, 24(6):485-497.
• [67]Suwanno J, Petpichetchian W, Riegel B, Issaramalai S-A: A model predicting health status of patients with heart failure. J Cardiovasc Nurs 2009, 24(2):118-126.
• [68]Rector TS, Cohn JN: Assessment of patient outcome with the Minnesota Living with Heart Failure questionnaire: reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan. Am Heart J 1992, 124(4):1017-1025.
• [69]Heo S, Moser DK, Riegel B, Hall LA, Christman N: Testing the psychometric properties of the Minnesota Living with Heart Failure questionnaire. Nurs Res 2005, 54(4):265-272.
• [70]Krethong P, Jirapaet V, Jitpanya C, Sloan R: A causal model of health-related quality of life in Thai patients with heart-failure. J Nurs Scholarsh 2008, 40(3):254-260.
• [71]Strömberg A: The crucial role of patient education in heart failure. Eur J Heart Fail 2005, 7(3):363-369.
• [72]Ware JE, Kosinski M, Keller SK: A 12-item Short-Form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996, 34(3):220-233.
• [73]McHorney CA, Ware JE, Lu R, Sherbourne CD: The MOS 36-item Short-Form health survey (SF-36): III tests of data quality, scaling, assumptions, and reliability across diverse patient group. Med Care 1994, 32(1):40-66.
• [74]Chiaranai C, Salyer J: Self-care and quality of life in patients with heart failure: do gender differences exist? Songkla Med J 2009, 27(6):451-463.
• [75]Moser DK, Dracup K: Psychosocial recovery from a cardiac event: the influence of perceived control. Heart Lung 1995, 24(4):273-280.
• [76]Moser DK, Dracup K: Impact of cardiopulmonary resuscitation training on perceived control in spouses of recovering cardiac patients. Res Nurs Health 2000, 23(4):270-278.
• [77]World Health Organisation: Process of translation and adaptation of instruments. [http://www.who.int/substance_abuse/research_tools/translation/en/ webcite]