Evidence map›Paper›PMID 29983549›Full record

ArticlePatient preference and adherence2018

The dynamics of self-care in the course of heart failure management: data from the IN TOUCH study.

Edita Lycholip, Ina Thon Aamodt, Irene Lie, Toma Šimbelytė, Roma Puronaitė, Hans Hillege, Arjen de Vries, Imke Kraai, Anna Stromberg, Tiny Jaarsma and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
3.1field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  12. Capability for self-care of patients with heart failure.Clinical interventions in aging · 2018
    Article
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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

11 authors at 5 institutions in 5 countries.

Edita LycholipInstitute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania, edita.lycholip@santa.lt.
Ina Thon AamodtCentre for Patient-Centered Heart and Lung Research, Department of Cardiothoracic Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Oslo, Norway.
Irene LieCentre for Patient-Centered Heart and Lung Research, Department of Cardiothoracic Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Oslo, Norway.
Toma ŠimbelytėClinic of Internal Medicine, Centre of Family and Internal Medicine, Vilnius University Santaros Clinics, Vilnius University, Vilnius, Lithuania.
Roma PuronaitėCenter of Cardiology and Angiology, Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania, edita.lycholip@santa.lt.
Hans HillegeDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Arjen de VriesDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Imke KraaiPRA Health Sciences - Early Development Services, Groningen, the Netherlands.
Anna StrombergDepartment of Medical and Health Sciences, Linkoping University, Linkoping, Sweden.
Tiny JaarsmaDepartment of Social and Welfare Studies, Linkoping University, Norrkoping, Sweden.
Jelena ČelutkienėInstitute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania, edita.lycholip@santa.lt.
Vilnius University · LTLinköping University · SEOslo University Hospital · NOUniversity Medical Center Groningen · NLPRA Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelf-care is an important patient-reported outcome (PRO) for heart failure (HF) patients, which might be affected by disease management and/or telemonitoring (TM). The number of studies reporting the influence of TM on self-care is limited.

aimsThis study aimed: to assess whether TM, in addition to information-and-communication-technology (ICT)-guided disease management system (ICT-guided DMS), affects self-care behavior; to evaluate the dynamics of self-care during the study; to investigate factors contributing to self-care changes; and to identify a patient profile that predisposes the patient to improvement in self-care.

methodsIn the INnovative ICT-guided-DMS combined with Telemonitoring in OUtpatient clinics for Chronic HF patients (IN TOUCH) study, 177 patients were randomized to either ICT-guided DMS or TM+ICT-guided DMS, with a follow-up of 9 months. The current analysis included 118 participants (mean age: 69±11.5 years; 70% male) who filled the following PRO instruments: the nine-item European Heart Failure Self-care Behaviour scale (EHFScBs), Hospital Anxiety and Depression scale (HADs), and Minnesota Living with HF Questionnaire (MLHFQ).

resultsThe baseline level of self-care was better in the TM+ICT-guided-DMS group (n=58) compared to ICT-guided-DMS group (n=60,

conclusionTM did not have an advantage on self-care improvement. Poor physical aspect of quality of life, lower LVEF, and lower NYHA class were associated with self-care worsening. The greatest self-care improvement may be achieved in those patients who have low or medium initial self-care level in the absence of depression.

Indexed as

disease managementheart failurepatient-reported outcomesself-caretelemonitoring

Identifiers

PMID29983549
PMCPMC6027682
OpenAlexW2809771492

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.