Evidence map›Paper›PMID 39202023›Full record

ArticleJournal of personalized medicine2024

Propelling Nurse-Led Structured Intervention to Enhance Self-Care among Patients with Chronic Heart Failure (PROACT-HF): A Cluster Randomized Controlled Trial Study Protocol.

Momoko Okazaki, Takahiro Suzuki, Atsushi Mizuno, Toshimi Ikegame, Noriki Ito, Mai Onoda, Ikuko Miyawaki, Yuka Moriyama, Taku Yabuki, Satomi Yamada and 4 more

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

14 authors.

Momoko OkazakiDepartment of Cardiovascular Medicine, St. Luke's International Hospital, Tokyo 104-8560, Japan.
Takahiro SuzukiDepartment of Cardiovascular Medicine, St. Luke's International Hospital, Tokyo 104-8560, Japan.
Atsushi MizunoDepartment of Cardiovascular Medicine, St. Luke's International Hospital, Tokyo 104-8560, Japan.ORCID 0000-0002-7596-7633
Toshimi IkegameDepartment of Nursing, Sakakibara Heart Institute, Tokyo 183-0003, Japan.
Noriki ItoDepartment of Nursing, Yumino Medical Corporation, Tokyo 171-0033, Japan.
Mai OnodaDepartment of Nursing, Social Insurance Union of Societies Related to Nursing, Tokyo 150-0001, Japan.
Ikuko MiyawakiDepartment of Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Yuka MoriyamaDepartment of Nursing, Aso Iizuka Hospital, Fukuoka 820-8505, Japan.
Taku YabukiDepartment of Internal Medicine, Tochigi Medical Center, Tochigi 320-8580, Japan.ORCID 0000-0003-4854-4317
Satomi YamadaDepartment of Medicine, Kawasaki University of Health and Welfare, Okayama 701-0193, Japan.
Daisuke YoneokaCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo 162-8640, Japan.
Yuko IwasawaDepartment of Nursing, Japanese Nursing Association, Tokyo 150-0001, Japan.
Kyoko TagamiDepartment of Nursing, Japanese Nursing Association, Tokyo 150-0001, Japan.
Kumiko YoshikawaDepartment of Nursing, Japanese Nursing Association, Tokyo 150-0001, Japan.

Funding

Japan Agency for Medical Research and Development 23rea522009h0001
6 · The paper itself

Abstract

backgroundHeart Failure (HF) is a common chronic disease that has a high readmission rate and is associated with worsening symptoms and major financial impacts. Disease management implemented during or after an HF hospitalization has been shown to reduce hospitalization and mortality rates. Particularly for outpatients, it is necessary to provide self-care interventions. Structured nurse-led support such as timely follow-ups, including phone calls, is beneficial for improving self-care assessments. Evidence for nurse-led support has been investigated but is less than conclusive. The aim of this study is to compare the effectiveness of a nurse-led structured intervention for outpatients with chronic HF against the usual medical care in terms of self-care behaviors and occurrence of symptom exacerbation or rehospitalization. METHODS AND ANALYSIS: This is a cluster-randomized controlled trial. A total of 40 facilities with certified HF nurses will be allocated to two-arm clusters at a 1:1 ratio, randomly to the intervention or usual care arms. A total of 210 participants will be assigned from the hospital. Participants will be adults aged 18 years or older diagnosed with chronic HF who are classified as Stage C according to the ACCF/AHA Heart Failure staging system. In the intervention group, patients will receive structured nursing support. This begins with weekly support, including phone calls, for the first month, then transitions to monthly support thereafter. The aim is to ensure the stability of their living conditions, promote medication adherence, and encourage self-management. In the control group, patients will receive the usual care. Primary outcomes will assess the improvement or continuation of self-care behavior as measured by changes in EHFScBS (European Heart Failure Self-Care Behavior Scale) scores. Secondary outcomes include occurrence of readmission within 30 days, 3 months, 6 months, and 1 year after discharge, duration of home care until readmission, and blood levels of BNP and NT-proBNP.

Indexed as

European Heart Failure Self-Care Behavior Scaleheart failurenurse-led structured interventionself-care

Identifiers

PMID39202023
PMCPMC11355338

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Registered trials

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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.