Evidence map›Paper›PMID 23829407›Full record

Trial reportJournal of clinical nursing2013

Cost-effectiveness of a nurse-led education and psychosocial programme for patients with chronic heart failure and their partners.

Susanna Ågren, Lorraine S Evangelista, Thomas Davidson, Anna Strömberg

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical nursing, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 8 pooled it
1.0field-weighted citation impact, top 22% of its field
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

11 citing papers in PubMed, 8 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
    Pooled it
  6. Pooled it
  7. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
  8. Pooled it
  9. Article
  10. A Heart Failure Management Program Using Shared Medical Appointments.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2017
    Article
  11. 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

4 authors at 2 institutions in 2 countries.

Susanna ÅgrenThoracic and Vascular Nursing, Department of Medicine and Health Sciences, Linköping University, Division of Nursing Sciences, Linköping University, Linköping, Sweden. susanna.agren@liu.se
Lorraine S Evangelista
Thomas Davidson
Anna Strömberg
University of California, Irvine · USLinköping University · SE

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Examining the Effects of High Protein Diet on Outcomes in Heart Failure PatientsR01HL093466 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EVANGELISTA, LORRAINE S · 2009 to 2013
$1.9M
NHLBI NIH HHS 1R01HL093466-01NHLBI NIH HHS R01 HL093466NIA NIH HHS P30 AG021684NIA NIH HHS P30-AG02-1684
6 · The paper itself

Abstract

AIMS AND

objectivesThis randomised controlled trial was conducted to estimate the cost-effectiveness of a nurse-led education and psychosocial support programme for patients with heart failure (HF) and their partners.

backgroundThere are few studies evaluating cost-effectiveness of interventions among HF patient-partner dyads.

methodsDyads randomised to the experimental group received nurse-led counselling, computer-based education and written materials aimed at developing problem-solving skills at two, six and 12 weeks after hospitalisation with HF exacerbation. The dyads in the control group received usual care. A cost-effectiveness analysis that included costs associated with staff time to deliver the intervention and travel costs was conducted at 12 months. Quality-adjusted life-year (QALY) weights for patients and partners were estimated by SF-6D.

resultsA total of 155 dyads were included. The intervention cost was €223 per patient. Participants in both groups showed improvements in QALY weights after 12 months. However, no significant difference in QALY weights was found between the patients in the two groups, nor among their partners.

conclusionThe intervention was not proven cost-effective, neither for patients nor for partners. The intervention, however, had trends (but not significant) effects on the patient-partner dyads, and by analysing the QALY gained from the dyad, a reasonable mean cost-effectiveness ratio was achieved. RELEVANCE TO CLINICAL PRACTICE: The study shows trends of a cost-effective education and psychosocial care of HF patient-partner dyads.

Indexed as

Cost-Benefit AnalysisPractice Patterns, Nurses'AgedAged, 80 and overCase-Control StudiesChronic DiseaseFemaleHeart FailureHumansMaleMiddle AgedPatient Education as TopicQuality-Adjusted Life Yearsdyadshealth-related quality of lifeheart failurenursingQALY

Identifiers

PMID23829407
PMCPMC4446697
OpenAlexW1741117157

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.