Evidence map›Paper›PMID 41360454›Full record

ArticleBMJ open2025

Improving communication to enhance health literacy and self-management of heart failure: protocol for a multimethod study.

Neda Karimi, Francesco De Toni, Walter Abhayaratna, Blake Askelin, Philip Currie, Karol Edge, Christopher Etherton-Beer, Elizabeth Fewster, Liza Goncharov, Nisha Jijo and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Neda KarimiInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia neda.karimi@anu.edu.au.ORCID http://orcid.org/0000-0002-2841-637X
Francesco De ToniInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Walter AbhayaratnaCanberra Health Services, Garran, Australian Capital Territory, Australia.
Blake AskelinInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Philip CurrieHollywood Private Hospital, Nedlands, Western Australia, Australia.
Karol EdgeHollywood Private Hospital, Nedlands, Western Australia, Australia.
Christopher Etherton-BeerWA Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0001-5148-0188
Elizabeth FewsterInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Liza GoncharovInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Nisha JijoHollywood Private Hospital, Nedlands, Western Australia, Australia.
Susy MacqueenInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Nilufeur MckayCentre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
Suzanne RaineInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.
Amineh RashidiSchool of Allied Health (Nursing), The University of Western Australia, Perth, Western Australia, Australia.
Christopher RouenSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
Rosemary SaundersHollywood Private Hospital, Nedlands, Western Australia, Australia.ORCID http://orcid.org/0000-0001-6213-4694
Peter SchulzFaculty of Communication, Culture and Society, University of Lugano, Lugano, TI, Switzerland.
Rhea TecsonHollywood Private Hospital, Nedlands, Western Australia, Australia.
Diana SladeInstitute for Communication in Health Care, School of Literature, Languages and Linguistics, Australian National University, Canberra, Australian Capital Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelf-care plays a pivotal role in the management of heart failure (HF). Health literacy and empowerment are considered the prerequisites of effective self-care. This project aims to improve self-management in people with HF by describing, analysing and enhancing the communication practices of clinicians and patients to support people with HF to increase their health literacy skills and participate in shared decision-making. METHODS AND ANALYSIS: A multimethod research design incorporating an interview component, a concurrent mixed-methods component and a pilot intervention study is used. The study is currently being conducted at two Australian hospitals in metropolitan areas (one public and one private). The interview component involves semistructured interviews with healthcare providers and hospital executives and managers at the participating sites to explore perceived barriers and facilitators to HF self-management and understand the institutional context of HF care. The concurrent mixed-methods components include: (a) tracking and audio recording the clinical interactions of patients with HF (n=30) during their hospitalisation and up to 6 months after discharge and semistructured interviews with the patient (and the carer) and the participating clinician after each clinical interaction and (b) collecting longitudinal survey data (n=180, patients) to track patients' health literacy, empowerment and self-management over 6 months. The pilot feasibility study includes developing a complex intervention for clinicians and patients and evaluating its acceptability and potential in improving health literacy and reducing readmissions, length of stay and costs. ETHICS AND DISSEMINATION: This study was approved by the Australian Capital Territory Health (2023.ETH.00007) and Edith Cowan University (023-04314-SAUNDERS) Human Research Ethics Committees. Informed consent was obtained and will continue to be sought from all participants. Study results will be disseminated in peer-reviewed journals.

Indexed as

CommunicationHealth LiteracyHeart FailureSelf CareSelf-ManagementAustraliaHumansInterviews as TopicPilot ProjectsResearch DesignHealth LiteracyHeart failureSelf-Management

Identifiers

PMID41360454
PMCPMC12684120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.