Heart Smart: A Virtual Self-Management Intervention for Homebound People With Heart Failure: A Pilot Study

S. Frye, Alison Bell
{"title":"Heart Smart: A Virtual Self-Management Intervention for Homebound People With Heart Failure: A Pilot Study","authors":"S. Frye, Alison Bell","doi":"10.1177/10848223221101194","DOIUrl":null,"url":null,"abstract":"Heart failure is a chronic medical condition that requires lifelong self-management to optimize health. Self-management strategies include self-monitoring symptoms, managing medications, modifying the diet, and maintaining healthy activity levels. However, knowledge of self-management skills is insufficient; people with heart failure must develop self-efficacy in order to take action to improve their health. Self-management programs rely on group interaction to build self-efficacy, but specialized group interventions are inaccessible to individuals who are homebound. The purpose of this pilot study was to examine the feasibility of Heart Smart, a 5-week, virtual program to increase self-efficacy for heart failure self-management. Three participants were enrolled from a large academic home health system in the greater Philadelphia area. All 3 participants demonstrated improved scores on the Self-Efficacy for Managing Chronic Diseases 6-Item Scale. Two out of the 3 participants had clinically important gains on the Kansas City Cardiomyopathy Questionnaire. All 3 participants made gains on the Atlanta Heart Failure Knowledge Test. Participants were able to log in and access the virtual meeting platform effectively with minimal training. Participant satisfaction within the group was high. These pilot study results indicate the potential for positive self-management gains, and larger scale trials of the Heart Smart intervention are recommended.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Home Health Care Management and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/10848223221101194","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Heart failure is a chronic medical condition that requires lifelong self-management to optimize health. Self-management strategies include self-monitoring symptoms, managing medications, modifying the diet, and maintaining healthy activity levels. However, knowledge of self-management skills is insufficient; people with heart failure must develop self-efficacy in order to take action to improve their health. Self-management programs rely on group interaction to build self-efficacy, but specialized group interventions are inaccessible to individuals who are homebound. The purpose of this pilot study was to examine the feasibility of Heart Smart, a 5-week, virtual program to increase self-efficacy for heart failure self-management. Three participants were enrolled from a large academic home health system in the greater Philadelphia area. All 3 participants demonstrated improved scores on the Self-Efficacy for Managing Chronic Diseases 6-Item Scale. Two out of the 3 participants had clinically important gains on the Kansas City Cardiomyopathy Questionnaire. All 3 participants made gains on the Atlanta Heart Failure Knowledge Test. Participants were able to log in and access the virtual meeting platform effectively with minimal training. Participant satisfaction within the group was high. These pilot study results indicate the potential for positive self-management gains, and larger scale trials of the Heart Smart intervention are recommended.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
心脏智能:一个虚拟的自我管理干预的家庭与心力衰竭的人:一个试点研究
心力衰竭是一种慢性疾病,需要终身自我管理以优化健康。自我管理策略包括自我监测症状、管理药物、调整饮食和保持健康活动水平。然而,对自我管理技能的了解不足;心力衰竭患者必须培养自我效能,才能采取行动改善健康。自我管理项目依赖于群体互动来建立自我效能,但在家的个人无法获得专门的群体干预。这项试点研究的目的是检验Heart Smart的可行性,这是一项为期5周的虚拟项目,旨在提高心力衰竭自我管理的自我效能。三名参与者来自大费城地区的一个大型学术家庭卫生系统。所有3名参与者在管理慢性病的自我效能6项量表上的得分都有所提高。三分之二的参与者在堪萨斯城心肌病问卷中获得了临床上重要的结果。所有3名参与者都在亚特兰大心力衰竭知识测试中取得了成绩。参与者能够在最少的培训下有效登录和访问虚拟会议平台。参与者对小组的满意度很高。这些试点研究结果表明了积极的自我管理收益的潜力,建议对心脏智能干预进行更大规模的试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.30
自引率
18.20%
发文量
29
期刊介绍: Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.
期刊最新文献
Inter-Organizational Home Care Nursing Teams: A Comparison of a Region Wide Organizational Change Initiative With Success Factors Identified by Forerunners and Team Theory Is Palliative Care Cost-Effective? A Systematic Review of the Literature “They Are Lost Souls”: Medicare Home Care Nurses’ Perceptions of Medicare’s Inadequate Coverage of Homebound Persons With Alzheimer’s Disease An Online, Self-Report Version of the Home Falls and Accidents Screening Tool (HOME FAST-SR) to Identify Fall-Related Hazards in the Homes of Older People The Effect on Home Caregivers of a Family Support Program Based on a Nurse-Led Case Management Model: A Randomized Controlled Pilot Trial
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1