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Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents
Federat Univ Australia, Australia; Univ Melbourne, Australia; Austin Hlth, Australia.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Australian Catholic Univ, Australia.ORCID iD: 0000-0002-4197-4026
Univ Melbourne, Australia; Austin Hlth, Australia; Manipal Acad Higher Educ, India.
Austin Hlth, Australia; Deakin Univ, Australia.
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2019 (English)In: Clinical Medicine Insights: Cardiology, ISSN 1179-5468, E-ISSN 1179-5468, Vol. 13Article, review/survey (Refereed) Published
Abstract [en]

Unplanned hospital readmissions are the most important, preventable cost in heart failure (HF) health economics. Current professional guidelines recommend that patient self-care is an important means by which to reduce this burden. Patients with HF should be engaged in their care such as by detecting. monitoring, and managing their symptoms. A variety of educational and behavioural interventions have been designed and implemented by health care providers to encourage and support patient self-care. Meta-analyses support the use of self-care interventions to improve patient self-care and reduce hospital readmissions; however, efficacy is variable. The aim of this review was to explore methods to achieve greater clarity and consistency in the development and reporting of self-care interventions to enable change agents to be identified. We conclude that advancement in this field requires more explicit integration and reporting on the behaviour change theories that inform the design of self-care interventions and the selection of behaviour change techniques. The systematic application of validated checklists, such as the Theory Coding Scheme and the CALO-RE taxonomy, will improve the systematic testing and refinement of interventions to enable change agent/s to be identified and optimised.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2019. Vol. 13
Keywords [en]
self-care; heart failure; readmission; adherence; change agent
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-158973DOI: 10.1177/1179546819856855ISI: 000472906600001PubMedID: 31217696OAI: oai:DiVA.org:liu-158973DiVA, id: diva2:1338134
Available from: 2019-07-19 Created: 2019-07-19 Last updated: 2019-11-11

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