Evidence map›Paper›PMID 31992064›Full record

ArticleEuropean journal of cardiovascular nursing2020

Trajectory of self-care behaviour in patients with heart failure: the impact on clinical outcomes and influencing factors.

Maria Liljeroos, Naoko P Kato, Martje Hl van der Wal, Maaike Brons, Marie Louise Luttik, Dirk J van Veldhuisen, Anna Strömberg, Tiny Jaarsma

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

Article in European journal of cardiovascular nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  8. Dual trajectories of capacity management behavior and quality of life in hemodialysis patients: a longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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

8 authors at 4 institutions in 2 countries.

Maria LiljeroosDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Naoko P KatoDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Martje Hl van der WalDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Maaike BronsDepartment of Cardiology, University Medical Centre Utrecht, The Netherlands.
Marie Louise LuttikResearch Group Nursing Diagnostics, School of Nursing, University of Applied Sciences Groningen, The Netherlands.
Dirk J van VeldhuisenDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, The Netherlands.
Anna StrömbergDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Tiny JaarsmaDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Linköping University · SEUniversity of Groningen · NLUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients' self-care behaviour is still suboptimal in many heart failure (HF) patients and underlying mechanisms on how to improve self-care need to be studied.

aims(1) To describe the trajectory of patients' self-care behaviour over 1 year, (2) to clarify the relationship between the trajectory of self-care and clinical outcomes, and (3) to identify factors related to changes in self-care behaviour.

methodsIn this secondary analysis of the COACH-2 study, 167 HF patients (mean age 73 years) were included. Self-care behaviour was assessed at baseline and after 12 months using the European Heart Failure Self-care Behaviour scale. The threshold score of ⩾70 was used to define good self-care behaviour.

resultsOf all patients, 21% had persistent poor self-care behaviour, and 27% decreased from good to poor. Self-care improved from poor to good in 10%; 41% had a good self-care during both measurements. Patients who improved self-care had significantly higher perceived control than those with persistently good self-care at baseline. Patients who decreased their self-care had more all-cause hospitalisations (35%) and cardiovascular hospitalisations (26%) than patients with persistently good self-care (2.9%,

conclusionPerceived control is a positive factor to improve self-care, and a decrease in self-care is related to worse outcomes. Interventions to reduce psychological distress combined with self-care support could have a beneficial impact on patients decreasing or persistently poor self-care behaviour.

Indexed as

Attitude to HealthAgedAged, 80 and overFemaleHeart FailureHumansMaleMiddle AgedPatientsSelf CareTreatment Outcomedepressionheart failure outcomesself-care behaviourSelf-management

Identifiers

PMID31992064
PMCPMC7272123
OpenAlexW3003407522

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.