Effectiveness of self-care educational programme on clinical outcomes and self-care behaviour among heart failure peoples-A randomized controlled trial: Study protocol

J Adv Nurs. 2021 Nov;77(11):4563-4573. doi: 10.1111/jan.14981. Epub 2021 Jul 19.

Abstract

Aim: To evaluate the effectiveness of a self-care education programme on clinical outcomes, self-care behaviour and knowledge on heart failure (HF) among peoples with HF.

Design: Randomized controlled trial.

Methods: The participants (N = 160) will be randomly assigned (1:1) to the intervention and the control arms using block randomization. The participants assigned to the intervention arm will receive educational intervention on HF self-care comprising video-assisted teaching with teach-back technique, tailored teaching at discharge and a guide on self-care followed by telephonic calls and text messages after discharge for 6 months along with standard care. The participants in the control arm will receive only a guide on self-care with standard care. The clinical outcomes such as health-related quality of life, hospital readmissions, N-terminal pro-brain natriuretic peptide levels, symptom perception, functional status, left ventricular ejection fraction, Seattle HF score, self-care behaviour and knowledge on HF will be measured at the baseline, after 1 and 6 months of the intervention.

Discussion: Several studies conducted on self-care education interventions have shown positive effects, whereas few studies have shown no effect on the people outcomes. Providing the printed self-care guide alone may not improve behaviour associated with self-care and clinical outcomes. These peoples need continuous reinforcement on self-care. If this self-care educational intervention shows beneficial effects, it will contribute to the clinical practice and improve clinical outcomes.

Impact: This research will contribute to the evidence on the effectiveness of an educational intervention on self-care among peoples with HF. The results would assist the nurses caring for peoples with HF. They can also implement this intervention for improving the peoples' self-care behaviour.

Trial registration: The trial is registered with the Clinical Trial Registry India and the reference ID number CTRI/2019/10/021724.

Keywords: biomarkers; clinical outcome; educational intervention; heart failure; hospital readmissions; knowledge; left ventricular function; nursing; quality of life; self-care.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Heart Failure* / therapy
  • Humans
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Self Care*
  • Stroke Volume
  • Ventricular Function, Left