PMID- 26316725
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150828
LR  - 20220409
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 9
DP  - 2015
TI  - Adherence to self-care in patients with heart failure in the HeartCycle study.
PG  - 1195-206
LID - 10.2147/PPA.S88482 [doi]
AB  - PURPOSE: The purpose of this study was to evaluate a novel online education and 
      coaching program to promote self-care among patients with heart failure. In this 
      program, education and coaching content is automatically tailored to the 
      knowledge and behavior of the patient. PATIENTS AND METHODS: The evaluation of 
      the program took place within the scope of the HeartCycle study. This 
      multi-center, observational study examined the ability of a third generation 
      telehealth system to enhance the management of patients recently (<60 days) 
      admitted to the hospital for worsening heart failure or outpatients with 
      persistent New York Heart Association (NYHA) Functional Classification III/IV 
      symptoms. Self-reported self-care behavior was assessed at baseline and study-end 
      by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence 
      to daily weighing, blood pressure monitoring, and reporting of symptoms was 
      determined by analyzing the system's database. RESULTS: Of 123 patients enrolled, 
      the mean age was 66+/-12 years, 66% were in NYHA III and 79% were men. 
      Self-reported self-care behavior scores (n=101) improved during the study for 
      daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction 
      (P<0.05). Average adherence (n=120) to measuring weight was 90%+/-16%, to measuring 
      blood pressure was 89%+/-17% and to symptom reporting was 66%+/-32%. CONCLUSION: 
      Self-reported self-care behavior scores improved significantly during the period 
      of observation, and the objective evidence of adherence to daily weight and blood 
      pressure measurements was high and remained stable over time. However, adherence 
      to daily reporting of symptoms was lower and declined in the long-term.
FAU - Stut, Wim
AU  - Stut W
AD  - Philips Research Europe, Eindhoven, the Netherlands.
FAU - Deighan, Carolyn
AU  - Deighan C
AD  - The Heart Manual Department, NHS Lothian, Edinburgh, UK.
FAU - Cleland, John G
AU  - Cleland JG
AD  - National Heart and Lung Institute, Royal Brompton and Harefield Hospitals 
      Imperial College, London, UK.
FAU - Jaarsma, Tiny
AU  - Jaarsma T
AD  - Department of Social and Welfare studies, Faculty of Health Sciences, Linkoping 
      University, Linkoping, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20150819
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC4548736
OTO - NOTNLM
OT  - e-coaching
OT  - lifestyle
OT  - patient adherence
OT  - telehealth
EDAT- 2015/09/01 06:00
MHDA- 2015/09/01 06:01
PMCR- 2015/08/19
CRDT- 2015/08/29 06:00
PHST- 2015/08/29 06:00 [entrez]
PHST- 2015/09/01 06:00 [pubmed]
PHST- 2015/09/01 06:01 [medline]
PHST- 2015/08/19 00:00 [pmc-release]
AID - ppa-9-1195 [pii]
AID - 10.2147/PPA.S88482 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2015 Aug 19;9:1195-206. doi: 10.2147/PPA.S88482. 
      eCollection 2015.