Evidence map›Paper›PMID 34344316›Full record

Trial reportBMC cardiovascular disorders2021

Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia.

Getenet Dessie, Sahai Burrowes, Henok Mulugeta, Dessalegn Haile, Ayenew Negess, Dubie Jara, Girma Alem, Bekele Tesfaye, Haymanot Zeleke, Tenaw Gualu and 6 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  5. Non-pharmacological symptom self-management in non-malignant chronic disease: A scoping review.African journal of primary health care & family medicine · 2025
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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

16 authors at 5 institutions in 3 countries.

Getenet DessieDepartment of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia. ayalew.d16@gmail.com.ORCID 0000-0001-7276-0891
Sahai BurrowesPublic Health Program, College of Education and Health Sciences, Touro University California, Vallejo, USA.
Henok MulugetaDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Dessalegn HaileDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Ayenew NegessDepartments of Human Nutrition and Food Science, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Dubie JaraDepartment of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Girma AlemDepartment of Midwifery, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Bekele TesfayeDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Haymanot ZelekeDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Tenaw GualuDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Temsgen GetanehDepartment of Midwifery, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Getiye Dejenu KibretAustralian Centre for Public and Population Health Research, School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Desalegne AmareDepartment of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Endalkachew Worku MengeshaDepartment of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Fasil WagnewDepartments of Nursing, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Rasheda KhanamSchool of Commerce, Centre for Health Research, University of Southern Queensland, Toowoomba City, Australia.
Debre Markos University · ETBahir Dar University · ETTouro University California · USUniversity of Southern Queensland · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the burden of cardiovascular disease increases in sub-Saharan Africa, there is a growing need for low-cost interventions to mitigate its impact. Providing self-care health education to patients with chronic heart failure (CHF) is recommended as an intervention to prevent complications, improve quality of life, and reduce financial burdens on fragile health systems. However, little is known about health education's effectiveness at improving CHF self-management adherence in sub-Saharan Africa. Therefore the present study aimed to assess the effectiveness of an educational intervention to improve self-care adherence among patients with CHF at Debre Markos and Felege Hiwot Referral Hospitals in Northwest Ethiopia.

methodsTo address this gap, we adapted a health education intervention based on social cognitive theory comprising of intensive four-day training and, one-day follow-up sessions offered every four months. Patients also received illustrated educational leaflets. We then conducted a clustered randomized control trial of the intervention with 186 randomly-selected patients at Debre Markos and Felege Hiwot referral hospitals. We collected self-reported data on self-care behavior before each educational session. We analyzed these data using a generalized estimating equations model to identify health education's effect on a validated 8-item self-care adherence scale.

resultsSelf-care adherence scores were balanced at baseline. After the intervention, patients in the intervention group (n = 88) had higher adherence scores than those in the control group (n = 98). This difference was statistically significant (β = 4.15, p < 0.05) and increased with each round of education. Other factors significantly associated with adherence scores were being single (β = - 0.25, p < 0.05), taking aspirin (β = 0.76, p < 0.05), and having a history of hospitalization (β = 0.91, p < 0.05).

conclusionsWe find that self-care education significantly improved self-care adherence scores among CHF patients. This suggests that policymakers should consider incorporating self-care education into CHF management. TRIAL REGISTRATION NUMBER: PACTR201908812642231.

Indexed as

Patient ComplianceAdultEthiopiaFemaleHeart FailureHumansMaleMarital StatusMiddle AgedPatient Education as TopicSelf CareSelf-ManagementSocioeconomic FactorsEthiopiaHeart failureSelf-care adherenceSelf-care education

Identifiers

PMID34344316
PMCPMC8336108
OpenAlexW3188139015

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.