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Jaarsma, Tiny, ProfessorORCID iD iconorcid.org/0000-0002-4197-4026
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Publications (10 of 310) Show all publications
Säfström, E., Jaarsma, T. & Strömberg, A. (2018). Continuity and utilization of health and community care in elderly patients with heart failure before and after hospitalization. BMC Geriatrics, 18, Article ID 177.
Open this publication in new window or tab >>Continuity and utilization of health and community care in elderly patients with heart failure before and after hospitalization
2018 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, article id 177Article in journal (Refereed) Published
Abstract [en]

Background: The period after hospitalization due to deteriorated heart failure (HF) is characterized as a time of high generalized risk. The transition from hospital to home is often problematic due to insufficient coordination of care, leading to a fragmentation of care rather than a seamless continuum of care. The aim was to describe health and community care utilization prior to and 30 days after hospitalization, and the continuity of care in patients hospitalized due to de novo or deteriorated HF from the patients perspective and from a medical chart review. Methods: This was a cross-sectional study with consecutive inclusion of patients hospitalized at a county hospital in Sweden due to deteriorated HF during 2014. Data were collected by structured telephone interviews and medical chart review and analyzed with the Spearmans rank correlation coefficient and Chi square. A P value of 0. 05 was considered significant. Results: A total of 121 patients were included in the study, mean age 82.5 (+/- 6.8) and 49% were women. Half of the patients had not visited any health care facility during the month prior to the index hospital admission, and 79% of the patients visited the emergency room (ER) without a referral. Among these elderly patients, a total of 40% received assistance at home prior to hospitalization and 52% after discharge. A total of 86% received written discharge information, one third felt insecure after hospitalization and lacked knowledge of which health care provider to consult with and contact in the event of deterioration or complications. Health care utilization increased significantly after hospitalization. Conclusion: Most patients had not visited any health care facility within 30 days before hospitalization. Health care utilization increased significantly after hospitalization. Flaws in the continuity of care were found; even though most patients received written information at discharge, one third of the patients lacked knowledge about which health care provider to contact in the event of deterioration and felt insecure at home after discharge.

Place, publisher, year, edition, pages
BMC, 2018
Keywords
Heart failure; Health care utilization; Hospitalization; Continuity of care; Discharge; Elderly patients
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-150865 (URN)10.1186/s12877-018-0861-9 (DOI)000441406000001 ()30103688 (PubMedID)
Note

Funding Agencies|Linkoping University; Sormland County Council

Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2019-06-27
Waldreus, N., Jaarsma, T., van der Wal, M. & Perkiö Kato, N. (2018). Development and psychometric evaluation of the Thirst Distress Scale for patients with heart failure. European Journal of Cardiovascular Nursing, 17(3), 226-234
Open this publication in new window or tab >>Development and psychometric evaluation of the Thirst Distress Scale for patients with heart failure
2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 3, p. 226-234Article in journal (Refereed) Published
Abstract [en]

Background:

Patients with heart failure can experience thirst distress. However, there is no instrument to measure this in patients with heart failure. The aim of the present study was to develop the Thirst Distress Scale for patients with Heart Failure (TDS-HF) and to evaluate psychometric properties of the scale.

Methods and results:

The TDS-HF was developed to measure thirst distress in patients with heart failure. Face and content validity was confirmed using expert panels including patients and healthcare professionals. Data on the TDS-HF was collected from patients with heart failure at outpatient heart failure clinics and hospitals in Sweden, the Netherlands and Japan. Psychometric properties were evaluated using data from 256 heart failure patients (age 72±11 years). Concurrent validity of the scale was assessed using a thirst intensity visual analogue scale. Patients did not have any difficulties answering the questions, and time taken to answer the questions was about five minutes. Factor analysis of the scale showed one factor. After psychometric testing, one item was deleted. For the eight item TDS-HF, a single factor explained 61% of the variance and Cronbach’s alpha was 0.90. The eight item TDS-HF was significantly associated with the thirst intensity score (r=0.55, p<0.001). Regarding test-retest reliability, the intraclass correlation coefficient was 0.88, and the weighted kappa values ranged from 0.29–0.60.

Conclusion:

The eight-item TDS-HF is valid and reliable for measuring thirst distress in patients with heart failure.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Thirst distress; heart failure; scale
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-147585 (URN)10.1177/1474515117728624 (DOI)000429799300005 ()28838260 (PubMedID)2-s2.0-85041391093 (Scopus ID)
Note

Funding Agencies|Riksforbundet-HjartLung [E100/13]; Stockholms lans landsting (Pick-Up project); Svensk Sjukskoterskeforening; Japan Society for the Promotion Science KAKENHI [JP25893059]

Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2019-06-27Bibliographically approved
Kraai, I. H., Vermeulen, K. M., Hillege, H. L. & Jaarsma, T. (2018). "Not getting worse": a qualitative study of patients perceptions of treatment goals in patients with heart failure. Applied Nursing Research, 39, 41-45
Open this publication in new window or tab >>"Not getting worse": a qualitative study of patients perceptions of treatment goals in patients with heart failure
2018 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 39, p. 41-45Article in journal (Refereed) Published
Abstract [en]

Background Knowledge of patient reported outcomes helps to provide personalized care on a patient level, optimize care on a population level, and identify the most appropriate patient reported outcomes for clinical trials. To be able to provide personalized care to patients with HF, it is important to know which treatment goals patients with HF consider the most important. This is particularly useful for interventions aimed at improving symptoms, functional status, or health-related quality of life. Aim: The aim of this study was (1) to explore which treatment goals patients with heart failure (HF) perceive as important for their treatment and (2) to identify which treatment goals take priority over other treatment goals. Methods: The study had a qualitative design and included one focus group interview with 6 patients with HF. Data were analyzed using qualitative content analysis. Results: The overall theme of this study was found to be Not getting worse. This theme was composed of 4 categories that described how the patients perceived the goals of treatment: to decrease symptoms, to improve physical function, to prevent readmission, and to live a normal life. None of the participants mentioned improved survival or being cured of their HF as a treatment goal. Conclusion Not getting worse was perceived as the treatment goal that matters to patients with HF and is in line with currently used endpoints for the evaluation of a treatment in a clinical trial. More research is necessary to develop endpoints that are consistent with the perception of patients, useful for clinical practice, and measurable.

Place, publisher, year, edition, pages
Saunders Elsevier, 2018
Keywords
Cardiovascular; Focus group; Patient centered care; Qualitative; Heart failure
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-145774 (URN)10.1016/j.apnr.2017.10.010 (DOI)000425838500007 ()29422175 (PubMedID)
Note

Funding Agencies|Dutch Ministry of Health, Welfare, and Sport

Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2019-06-27
Tromp, J., Richards, A. M., Tay, W. T., Teng, T.-H. K., Yeo, P. S., Sim, D., . . . Lam, C. S. P. (2018). N-terminal pro-B-type natriuretic peptide and prognosis in Caucasian vs. Asian patients with heart failure. ESC Heart Failure, 5(2), 279-287
Open this publication in new window or tab >>N-terminal pro-B-type natriuretic peptide and prognosis in Caucasian vs. Asian patients with heart failure
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2018 (English)In: ESC Heart Failure, E-ISSN 2055-5822, Vol. 5, no 2, p. 279-287Article in journal (Refereed) Published
Abstract [en]

N-terminal pro-B-type natriuretic peptide (NT-proBNP) is the most frequently used biomarker in heart failure (HF), but its prognostic utility across ethnicities is unclear.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Ethnicity; HFpEF; Heart failure; NT-proBNP; Prognosis
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:liu:diva-152531 (URN)10.1002/ehf2.12252 (DOI)000428992300008 ()29380931 (PubMedID)
Available from: 2019-03-28 Created: 2019-03-28 Last updated: 2019-06-27
Tingström, P., Jaarsma, T. & Nilsson, S. (2018). Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study. BMC Family Practice, 19, Article ID 76.
Open this publication in new window or tab >>Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study
2018 (English)In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 19, article id 76Article in journal (Refereed) Published
Abstract [en]

Abstract

Background:

In managing a life with coronary heart disease and the possibility of planning and following a

rehabilitation plan, patients

’ empowerment and self-efficacy are considered important. However, currently there is

limited data on levels of empowerment among patients with coronary heart disease, and demographic and clinical

characteristics associated with patient empowerment are not known.

The purpose of this study was to assess the level of patient empowerment and general self-efficacy in patients six

to 12 months after the cardiac event. We also aimed to explore the relationship between patient empowerment,

general self-efficacy and other related factors such as quality of life and demographic variables.

Methods:

A sample of 157 cardiac patients (78% male; age 68 ± 8.5 years) was recruited from a Swedish hospital.

Patient empowerment was assessed using the SWE-CES-10. Additional data was collected on general self-efficacy

and well-being (EQ5D and Ladder of Life). Demographic and clinical variables were collected from medical records

and interviews.

Results:

The mean levels of patient empowerment and general self-efficacy on a 0–4 scale were 3.69 (±0.54) and

3.13 (±0.52) respectively, and the relationship between patient empowerment and general self-efficacy was weak

(

r = 0.38). In a simple linear regression, patient empowerment and general self-efficacy were significantly correlated

with marital status, current self-rated health and future well-being. Multiple linear regressions on patient empowerment

(Model 1) and general self-efficacy (Model 2) showed an independent significant association between patient

empowerment and current self-rated health. General self-efficacy was not independently associated with any of the

variables.

Conclusions:

Patients with a diagnosis of coronary heart disease reported high levels of empowerment and general

self-efficacy at six to 12 months after the event. Clinical and demographic variables were not independently associated

with empowerment or low general self-efficacy. Patient empowerment and general self-efficacy were not mutually

interchangeable, and therefore both need to be measured when planning for secondary prevention in primary health

care.

Trial registration:

NCT01462799.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Patient empowerment, General self-efficacy, Coronary heart disease, Self-rated health, Well-being, Primary health care
National Category
Other Health Sciences Cardiac and Cardiovascular Systems General Practice
Identifiers
urn:nbn:se:liu:diva-148478 (URN)10.1186/s12875-018-0749-y (DOI)000434076700001 ()
Funder
The Swedish Heart and Lung Association, E091/10, E122/11, E083/12, E103/13
Note

Funding agencies: Swedish Heart and Lung Association [E091/10, E122/11, E083/12, E103/13]; County Council/Region Ostergotland, Sweden [LIO-92281, LIO-125151, LIO-27535, LIO-354951, LIO-433801]

Available from: 2018-06-12 Created: 2018-06-12 Last updated: 2019-06-27
Lee, C. S., Bidwell, J. T., Paturzo, M., Alvaro, R., Cocchieri, A., Jaarsma, T., . . . Vellone, E. (2018). Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart & Lung, 47(1), 40-46
Open this publication in new window or tab >>Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up
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2018 (English)In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 47, no 1, p. 40-46Article in journal (Refereed) Published
Abstract [en]

Background: Heart failure (HF) self-care is important in reducing clinical events (all-cause mortality, emergency room visits and hospitalizations). HF self-care behaviors are multidimensional and include maintenance (i.e. daily adherence behaviors), management (i.e. symptom response behaviors) and consulting behaviors (i.e. contacting a provider when appropriate). Across these dimensions, patterns of successful patient engagement in self-care have been observed (e.g. successful in one dimension but not in others), but no previous studies have linked patterns of HF self care to clinical events. Objectives: To identify patterns of self-care behaviors in HF patients and their association with clinical events. Methods: This was a prospective, non-experimental, cohort study. Community-dwelling HF patients (n = 459) were enrolled across Italy, and clinical events were collected one year after enrollment. We measured dimensions of self-care behavior with the Self-Care of HF Index (maintenance, management, and confidence) and the European HF Self-care Behavior Scale (consulting behaviors). We used latent class mixture modeling to identify patterns of HF self-care across dimensions, and Cox proportional hazards modeling to quantify event-free survival over 12 months of follow-up. Results: Patients (mean age 71.8 +/- 12.1 years) were mostly males (54.9%). Three patterns of self-care behavior were identified; we labeled each by their most prominent dimensional characteristic: poor symptom response, good symptom response, and maintenance-focused behaviors. Patients with good symptom response behaviors had fewer clinical events compared with those who had poor symptom response behaviors (adjusted hazard ratio = 0.66 10.46-0.96], p = 0.03). Patients with poor symptom response behaviors had the most frequent clinical events. Patients with poor symptom response and those with maintenance-focused behaviors had a similar frequency of clinical events. Conclusions: Self-care is significantly associated with clinical events. Routine assessment, mitigation of barriers, and interventions targeting self-care are needed to reduce clinical events in HF patients. (C) 2017 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
MOSBY-ELSEVIER, 2018
Keywords
Mortality; Heart failure; Prospective study; Self-care; Survival
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:liu:diva-143984 (URN)10.1016/j.hrtlng.2017.09.004 (DOI)000418210000006 ()29054487 (PubMedID)
Note

Funding Agencies|Center of Excellence for Nursing Scholarship, Rome, Italy

Available from: 2018-01-02 Created: 2018-01-02 Last updated: 2019-06-27
Verheijden Klompstra, L., Jaarsma, T. & Strömberg, A. (2018). Self-efficacy Mediates the Relationship Between Motivation and Physical Activity Patients With Heart Failure. Journal of Cardiovascular Nursing, 33(3), 211-216
Open this publication in new window or tab >>Self-efficacy Mediates the Relationship Between Motivation and Physical Activity Patients With Heart Failure
2018 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 3, p. 211-216Article in journal (Refereed) Published
Abstract [en]

Motivation is necessary in patients with heart failure (HF) who are attempting to become more physically active but may not be sufficient to initiate physical activity. Self-efficacy might explain the relationship between motivation and physical activity. Objective: The aim of this study was to examine the role of exercise self-efficacy in the relationship between exercise motivation and physical activity in patients with HF. Methods: A total of 100 stable patients with HF (88% in New York Heart Association class IVIII; mean age, 67 +/- 13 years; 62% men) were studied. Self-efficacy was measured with the Exercise Self-Efficacy Scale; motivation, with the Exercise Motivation Index; and physical activity, with a self-report questionnaire. Logistic regression analyses were made to examine the mediation effect of exercise self-efficacy on the relationship between exercise motivation and physical activity. Result: Forty-two percent of the 100 patients reported engaging in less than 60 minutes per week of physical activity. Motivation predicted physical activity (b = 0.58, P amp;lt; .05), but after controlling for self-efficacy, the relationship between motivation and physical activity was no longer significant (b = 0.76, P = .06), indicating full mediation. Conclusion: Motivation to be physically active is important but not sufficient. In addition to a high level of motivation to be physically active, it is important that patients with HF have a high degree of self-efficacy.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2018
Keywords
mediation; moderation; motivation; physical activity; self-efficacy
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:liu:diva-150298 (URN)10.1097/JCN.0000000000000456 (DOI)000440243400012 ()29189427 (PubMedID)
Note

Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3]; Swedish Heart and Lung Association [E085/12]; Swedish Heart-Lung Foundation [20130340]; Vardal Foundation [2014-0018]; FORSS [474681]; Swedish National Science Council/Swedish Research Council for Health, Working Life and Welfare (VR-FORTE) [2014-4100]

Available from: 2018-08-16 Created: 2018-08-16 Last updated: 2019-06-27
Mourad, G., Jaarsma, T., Strömberg, A., Svensson, E. & Johansson, P. (2018). The associations between psychological distress and healthcare use in patients with non-cardiac chest pain: does a history of cardiac disease matter?. BMC Psychiatry, 18(1), Article ID 172.
Open this publication in new window or tab >>The associations between psychological distress and healthcare use in patients with non-cardiac chest pain: does a history of cardiac disease matter?
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2018 (English)In: BMC Psychiatry, ISSN ISSN 1471-244X, Vol. 18, no 1, article id 172Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Psychological distress such as somatization, fear of body sensations, cardiac anxiety and depressive symptoms is common among patients with non-cardiac chest pain, and this may lead to increased healthcare use. However, the relationships between the psychological distress variables and healthcare use, and the differences in relation to history of cardiac disease in these patients has not been studied earlier. Therefore, our aim was to explore and model the associations between different variables of psychological distress (i.e. somatization, fear of body sensations, cardiac anxiety, and depressive symptoms) and healthcare use in patients with non-cardiac chest pain in relation to history of cardiac disease.

METHODS: In total, 552 patients with non-cardiac chest pain (mean age 64 years, 51% women) responded to the Patient Health Questionnaire-15, Body Sensations Questionnaire, Cardiac Anxiety Questionnaire, Patient Health Questionnaire-9 and one question regarding number of healthcare visits. The relationships between the psychological distress variables and healthcare visits were analysed using Structural Equation Modeling in two models representing patients with or without history of cardiac disease.

RESULTS: A total of 34% of the patients had previous cardiac disease. These patients were older, more males, and reported more comorbidities, psychological distress and healthcare visits. In both models, no direct association between depressive symptoms and healthcare use was found. However, depressive symptoms had an indirect effect on healthcare use, which was mediated by somatization, fear of body sensations, and cardiac anxiety, and this effect was significantly stronger in patients with history of cardiac disease. Additionally, all the direct and indirect effects between depressive symptoms, somatization, fear of body sensations, cardiac anxiety, and healthcare use were significantly stronger in patients with history of cardiac disease.

CONCLUSIONS: In patients with non-cardiac chest pain, in particular those with history of cardiac disease, psychological mechanisms play an important role for seeking healthcare. Development of interventions targeting psychological distress in these patients is warranted. Furthermore, there is also a need of more research to clarify as to whether such interventions should be tailored with regard to history of cardiac disease or not.

Keywords
Cardiac anxiety, Cardiac disease, Depressive symptoms, Fear of body sensations, Healthcare visits, Non-cardiac chest pain, Somatization
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-148445 (URN)10.1186/s12888-018-1689-8 (DOI)000434313300001 ()29866125 (PubMedID)
Note

Funding agencies: County Council of Ostergotland, Sweden [LIO-439131]; Medical Research of Southeast Sweden [FORSS-475291]

Available from: 2018-06-11 Created: 2018-06-11 Last updated: 2019-06-27
Murphy, P. J., Noone, C., DEath, M., Casey, D., Doherty, S., Jaarsma, T., . . . Byrne, M. (2018). The CHARMS pilot study: a multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland. Pilot and feasibility studies, 4, Article ID 88.
Open this publication in new window or tab >>The CHARMS pilot study: a multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland
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2018 (English)In: Pilot and feasibility studies, ISSN 2055-5784, Vol. 4, article id 88Article in journal (Refereed) Published
Abstract [en]

Many people living with cardiovascular disease (CVD) are affected by sexual problems associated with the condition. International guidelines recommend all patients with CVD should receive sexual counselling, yet this is rarely provided by health professionals. The current study piloted the Cardiac Health and Relationship Management and Sexuality (CHARMS) intervention, a complex multi-level intervention designed to increase the implementation of sexual counselling guidelines in hospital-based cardiac rehabilitation (CR) in Ireland.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Behaviour change; Cardiac rehabilitation; Cardiovascular disease; Complex intervention; Feasibility study; Implementation intervention; Pilot trial; Sexual counselling
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-152512 (URN)10.1186/s40814-018-0278-4 (DOI)29988602 (PubMedID)
Available from: 2019-03-28 Created: 2019-03-28 Last updated: 2019-06-27
Lycholip, E., Aamodt, I. T., Lie, I., Simbelyte, T., Puronaite, R., Hillege, H., . . . Celutkiene, J. (2018). The dynamics of self-care in the course of heart failure management: data from the IN TOUCH study. Patient Preference and Adherence, 12, 1113-1122
Open this publication in new window or tab >>The dynamics of self-care in the course of heart failure management: data from the IN TOUCH study
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2018 (English)In: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 12, p. 1113-1122Article in journal (Refereed) Published
Abstract [en]

Introduction: Self-care is an important patient-reported outcome (PRO) for heart failure (HF) patients, which might be affected by disease management and/or telemonitoring (TM). The number of studies reporting the influence of TM on self-care is limited. Aims: This study aimed: to assess whether TM, in addition to information-and-communication-technology (ICT)-guided disease management system (ICT-guided DMS), affects self-care behavior; to evaluate the dynamics of self-care during the study; to investigate factors contributing to self-care changes; and to identify a patient profile that predisposes the patient to improvement in self-care. Methods: In the INnovative ICT-guided-DMS combined with Telemonitoring in OUtpatient clinics for Chronic HF patients (IN TOUCH) study, 177 patients were randomized to either ICT-guided DMS or TM+ICT-guided DMS, with a follow-up of 9 months. The current analysis included 118 participants (mean age: 69 +/- 11.5 years; 70% male) who filled the following PRO instruments: the nine-item European Heart Failure Self-care Behaviour scale (EHFScBs), Hospital Anxiety and Depression scale (HADs), and Minnesota Living with HF Questionnaire (MLHFQ). Results: The baseline level of self-care was better in the TM+ICT-guided-DMS group (n=58) compared to ICT-guided-DMS group (n=60, p=0.023). Self-care behavior improved in the ICT-guided-DMS group (p amp;lt; 0.01) but not in the TM+ICT-guided-DMS group. Factors associated with self-care worsening were as follows: higher physical subscale of MLHFQ (per 10 points, p amp;lt; 0.05), lower left ventricular ejection fraction (LVEF) (per 5%, p amp;lt; 0.05), lower New York Heart Association (NYHA) class (class III vs class II, p amp;lt; 0.05). The subgroups of patients who had an initial EHFScBs total score amp;gt; 28, or from 17 to 28 with concomitant HADs depression subscale (HADs_D) score amp;lt;= 8, demonstrated the greatest potential to improve self-care during the study. Conclusion: TM did not have an advantage on self-care improvement. Poor physical aspect of quality of life. lower LVEF, and lower NYHA class were associated with self-care worsening. The greatest self-care improvement may be achieved in those patients who have low or medium initial self-care level in the absence of depression.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2018
Keywords
heart failure; self-care; telemonitoring; disease management; patient-reported outcomes
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-149751 (URN)10.2147/PPA.S162219 (DOI)000437184500001 ()29983549 (PubMedID)
Note

Funding Agencies|Dutch Ministry of Health, Department of Pharmaceutical Affairs and Medical Technology (GMT); NordForsks "Nordic Programme on Health and Welfare" [76015]

Available from: 2018-07-24 Created: 2018-07-24 Last updated: 2019-06-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4197-4026

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