Comparison of self-care behaviors of heart failure patients in 15 countries worldwide

Jaarsma, Tiny, Stromberg, Anna, Ben Gal, Tuvia, Cameron, Jan, Driscoll, Andrea, Duengen, Hans-Dirk, Inkrot, Simone, Huang, Tsuey-Yuan, Huyen, Nguyen Ngoc, Kato, Naoko, Koberich, Stefan, Lupon, Josep, Moser, Debra K., Pulignano, Giovanni, Rabelo, Eneida Rejane, Suwanno, Jom, Thompson, David R., Vellone, Ercole, Alvaro, Rosaria, Yu, Doris and Riegel, Barbara (2013) Comparison of self-care behaviors of heart failure patients in 15 countries worldwide. Patient Education and Counseling, 92 1: 114-120. doi:10.1016/j.pec.2013.02.017

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Author Jaarsma, Tiny
Stromberg, Anna
Ben Gal, Tuvia
Cameron, Jan
Driscoll, Andrea
Duengen, Hans-Dirk
Inkrot, Simone
Huang, Tsuey-Yuan
Huyen, Nguyen Ngoc
Kato, Naoko
Koberich, Stefan
Lupon, Josep
Moser, Debra K.
Pulignano, Giovanni
Rabelo, Eneida Rejane
Suwanno, Jom
Thompson, David R.
Vellone, Ercole
Alvaro, Rosaria
Yu, Doris
Riegel, Barbara
Title Comparison of self-care behaviors of heart failure patients in 15 countries worldwide
Journal name Patient Education and Counseling   Check publisher's open access policy
ISSN 0738-3991
Publication date 2013-07
Sub-type Article (original research)
DOI 10.1016/j.pec.2013.02.017
Open Access Status
Volume 92
Issue 1
Start page 114
End page 120
Total pages 7
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier Ireland
Collection year 2014
Language eng
Formatted abstract
Objective: Clinicians worldwide seek to educate and support heart failure patients to engage in self-care.
We aimed to describe self-care behaviors of patients from 15 countries across three continents.
Methods: Data on self-care were pooled from 5964 heart failure patients from the United States, Europe,
Australasia and South America. Data on self-care were collected with the Self-care of Heart Failure Index
or the European Heart Failure Self-care Behavior Scale.
Results: In all the samples, most patients reported taking their medications as prescribed but exercise
and weight monitoring were low. In 14 of the 22 samples, more than 50% of the patients reported low
exercise levels. In 16 samples, less than half of the patients weighed themselves regularly, with large
differences among the countries. Self-care with regard to receiving an annual flu shot and following a low
sodium diet varied most across the countries.
Conclusion: Self-care behaviors are sub-optimal in heart failure patients and need to be improved
Practice implications: Interventions that focus on specific self-care behaviors may be more effective than
general educational programs. Changes in some health care systems and national policies are needed to
support patients with heart failure to increase their self-care behavior.

Keyword Self-care
Disease management
Heart failure
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 26 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 17 Apr 2013, 13:59:12 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work