Evidence map›Paper›PMID 23743855›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2014

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

Kathleen L Grady, Carlos F Mendes de Leon, Andrea T Kozak, John F Cursio, DeJuran Richardson, Elizabeth Avery, James E Calvin, Lynda H Powell

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Facilitated group work for people with long-term conditions: a systematic review of benefits from studies of group-work interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Pooled it
  3. Meaning-making and quality of life in heart failure interventions: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kathleen L GradyDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA, kgrady@nmh.org.
Carlos F Mendes de Leon
Andrea T Kozak
John F Cursio
DeJuran Richardson
Elizabeth Avery
James E Calvin
Lynda H Powell

Funding

Heart Failure Adherence and Retention Trial (HART)R01HL065547 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI POWELL, LYNDA H · 2001 to 2007
$6.9M
NHLBI NIH HHS HL065547NHLBI NIH HHS R01 HL065547
6 · The paper itself

Abstract

purposeHeart 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.

methodsHART 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.

resultsIn 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.

conclusionsWe 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.

Indexed as

Quality of LifeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCounselingFemaleHealth Status IndicatorsHeart FailureHumansMaleMiddle AgedNew YorkPatient CompliancePsychotherapy, GroupResearch DesignSelf CareSocioeconomic FactorsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonists

Identifiers

PMID23743855
PMCPMC3825836

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.