Evidence map›Paper›PMID 25519812›Full record

ArticleBMC health services research2014

Patient participation in patients with heart failure receiving structured home care--a prospective longitudinal study.

Lena Näsström, Tiny Jaarsma, Ewa Idvall, Kristofer Årestedt, Anna Strömberg

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. [Application of Patient-reported Outcomes and Shared Decision-making 
in Thoracic Surgery].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Review
  4. Article
  5. Article
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

5 authors at 2 institutions in 1 country.

Lena NäsströmDepartment of Medical and Health Sciences, Linköping University, Linköping, 581 85, Sweden. lena.nasstrom@liu.se.
Tiny JaarsmaDepartment of Social and Welfare studies, Linköping University, Norrköping, Sweden. tiny.jaarsma@liu.se.
Ewa IdvallDepartment of Care Science, Malmö University, and Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden. ewa.idvall@mah.se.
Kristofer ÅrestedtSchool of Health and Caring Sciences, Linnaeus University, Kalmar, and Palliative Research Centre, Ersta Sköndal University Collage and Ersta Hospital, Stockholm, Sweden. kristofer.arestedt@liu.se.
Anna StrömbergDepartment of Medical and Health Sciences, Linköping University, and Department of Cardiology, County Council of Östergötland, Linköping, Sweden. anna.stromberg@liu.se.
Linköping University · SEMalmö University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient participation is important for improving outcomes, respect for self-determination and legal aspects in care. However, how patients with heart failure view participation and which factors may be associated with participation is not known. The aim of this study was therefore to describe the influence of structured home care on patient participation over time in patients diagnosed with heart failure, and to explore factors associated with participation in care.

methodsThe study had a prospective pre-post longitudinal design evaluating the influence of structured home care on participation in patients at four different home care units. Patient participation was measured using 3 scales and 1 single item. Self-care behavior, knowledge, symptoms of depression, socio- demographic and clinical characteristics were measured to explore factors associated with patient participation. Repeated measure ANOVA was used to describe change over time, and stepwise regression analyses were used to explore factors associated with patient participation.

resultsOne hundred patients receiving structured heart failure home care were included. Mean age was 82 years, 38 were women and 80 were in New York Heart Association functional class III. One aspect of participation, received information, showed a significant change over time and had increased at both six and twelve months. Better self-care behavior was associated with all four scales measuring different aspects of participation. Experiencing lower degree of symptoms of depression, having better knowledge, being of male sex, being of lower age, cohabiting and having home help services were associated with one or two of the four scales measuring different aspects of participation.

conclusionPatients experienced a fairly high level of satisfaction with participation in care at baseline, and there was a significant improvement over time for participation with regard to received information after being admitted to structured home care. Higher level of patient participation was consistently associated with better self-care behavior. This study shows that patient participation may need to be further focused upon, and that the association with self-care may be interesting to target in future interventions.

Indexed as

Heart FailureHome Care ServicesPatient ParticipationAgedAged, 80 and overDepressionFemaleHumansLongitudinal StudiesMaleNetherlandsProspective StudiesRegression AnalysisSelf CareSurveys and Questionnaires

Identifiers

PMID25519812
PMCPMC4279700
OpenAlexW1991635205

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.