Educational interventions for patients with heart failure: A systematic review of randomized controlled trials

Boyde, M., Turner, C., Thompson, D.R. and Stewart, S. (2011) Educational interventions for patients with heart failure: A systematic review of randomized controlled trials. Journal of Cardiovascular Nursing, 26 4: E27-E35.

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Author Boyde, M.
Turner, C.
Thompson, D.R.
Stewart, S.
Title Educational interventions for patients with heart failure: A systematic review of randomized controlled trials
Journal name Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 0889-4655
1550-5049
Publication date 2011-07
Year available 2010
Sub-type Article (original research)
DOI 10.1097/JCN.0b013e3181ee5fb2
Volume 26
Issue 4
Start page E27
End page E35
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2011
Language eng
Formatted abstract Background: Patient education is an important intervention for the management of heart failure; however, in practice patient education varies considerably.

Aim: To systematically review educational interventions that have been implemented for heart failure patients and assess their effectiveness.

Methods: Randomized controlled trials from 1998 to 2008 in CINAHL, MEDLINE, PsychInfo, EMBASE, and Cochrane were reviewed using the following search terms: patient education, education, educational intervention, self-care in combination with heart failure. There were 1515 abstracts reviewed independently by 2 reviewers.

Results:
A total of 2686 patients were included in the 19 studies that met the inclusion criteria. Commonly, the initial educational intervention was a one-on-one didactic session conducted by nurses supplemented by written materials and multimedia approaches. Seven studies referred to a theoretical model as a framework for their educational intervention. Studies used a variety of outcome measures to evaluate their effectiveness. Of the studies reviewed, 15 demonstrated a significant effect from their intervention in at least one of their outcome measures.

Conclusion:
All we hope from patient education has not yet been realized. Despite improvements in knowledge, we have variable results in outcomes, and this is very likely related to the heterogeneity of the studies included in this review. It was difficult to establish the most effective educational strategy as the educational interventions varied considerably in delivery methods and duration as well as the outcome measures that were used for the evaluation. A patient-centered approach to education based on educational theory and evaluated appropriately may assist to develop an evidence base for patient education.
Keyword Heart failure
Outcomes
Patient education
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Publication date: July/August 2011. Publish Ahead of Print, post author corrections, 10 November 2010. Authors' prepress title: "Educational interventions for patients with heart failure: A systematic review of randomised controlled trials".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing and Midwifery Publications
 
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Created: Fri, 11 Mar 2011, 08:06:28 EST by Dr Mary Boyde on behalf of School of Nursing and Midwifery