Evidence map›Paper›PMID 25774836›Full record

Trial reportThe Journal of cardiovascular nursing

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments: Methods, Materials, and Outcomes Used in the Clinical Trial.

Carol E Smith, Ubolrat Piamjariyakul, Kathleen M Dalton, Christy Russell, Jo Wick, Edward F Ellerbeck

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04715490 (Effects of a Multimedia Symptom Management Program on Coping Strategies, Symptom Distress, Depressive Status, and Quality of Life in Patients With Heart Failure), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT04715490 nacompletednot on this map

Effects of a Multimedia Symptom Management Program on Coping Strategies, Symptom Distress, Depressive Status, and Quality of Life in Patients With Heart Failure: A Randomized Controlled Trial

TypeinterventionalSponsorTri-Service General Hospital (TSGH)Ran2012 to 2013Enrolled78ConditionsHeart FailureArmsThe Multimedia Symptom Management Program Intervention, Control group
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Effectiveness of nurse-led heart failure clinic: A systematic review.International journal of nursing sciences · 2024
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. 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

6 authors at 3 institutions in 2 countries.

Carol E SmithCarol E. Smith, PhD, RN, FAAN Professor, School of Nursing & Department of Preventive Medicine, University of Kansas. Ubolrat Piamjariyakul, PhD, RN Research Associate Professor, School of Nursing, University of Kansas. Kathleen M. Dalton, MSN, NP-C Cardiac Vascular Nurse Practitioner, University of Kansas Hospital. Christy Russell, ARNP-C Heart Failure Nurse Practitioner, University of Kansas Hospital. Jo Wick, PhD Assistant Professor, Biostatistics Department, University of Kansas. Edward F. Ellerbeck, MD, MPH Professor, Department of Preventive Medicine and Public Health, University of Kansas.
Ubolrat Piamjariyakul
Kathleen M Dalton
Christy Russell
Jo Wick
Edward F Ellerbeck
Office of the Director · USReykjavík University · ISThe University of Kansas Health System · US

Funding

HF Group Appointments Rehospitalization PreventionR01HL085397 · NHLBI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SMITH, CAROL E · 2006 to 2011
$3.7M
NHLBI NIH HHS HL 085397NHLBI NIH HHS R01 HL085397
6 · The paper itself

Abstract

backgroundThe Self-management and Care of Heart Failure through Group Clinics Trial evaluated the effects of multidisciplinary group clinic appointments on self-care skills and rehospitalizations in high-risk heart failure (HF) patients.

objectiveThe purpose of this article is to (1) describe key Self-management and Care of Heart Failure through Group Clinics Trial group clinic interactive learning strategies, (2) describe resources and materials used in the group clinic appointment, and (3) present results supporting this patient-centered group intervention.

methodsThis clinical trial included 198 HF patients (randomized to either group clinical appointments or to standard care). Data were collected from 72 group clinic appointments via patients' (1) group clinic session evaluations, (2) HF self-care behaviors skills, (3) HF-related discouragement and quality of life scores, and (4) HF-related reshopitalizations during the 12-month follow-up. Also, the costs of delivery of the group clinical appointments were tabulated.

resultsOverall, patients rated group appointments as 4.8 of 5 on the "helpfulness" in managing HF score. The statistical model showed a 33% decrease in the rate of rehospitalizations (incidence rate ratio, 0.67) associated with the intervention over the 12-month follow-up period when compared with control patients (χ(2)1=3.9, P=.04). The total cost for implementing 5 group appointments was $243.58 per patient.

conclusionThe intervention was associated with improvements in HF self-care knowledge and home care behavior skills and managing their for HF care. In turn, better self-care was associated with reductions in HF-related hospitalizations.

Indexed as

Self CareAmbulatory Care FacilitiesAppointments and SchedulesCardiovascular NursingFemaleGroup ProcessesHeart FailureHumansMaleMiddle AgedPatient Care TeamPatient Readmission

Identifiers

PMID25774836
PMCPMC4464953
OpenAlexW2081326240

What OpenQuestion holds

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Registered trials

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.