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Randomized controlled trial of family-based education for patients with heart failure and their carers
Srisuk, Nittaya Cameron, Jan Ski, Chantal Thompson, David
Srisuk, Nittaya
Cameron, Jan
Ski, Chantal
Thompson, David
Abstract
Aim. The aim of this study was to evaluate a heart failure education programme developed for patients and carers in Thailand. Background. Heart failure is major health problem. This is the first trial of a family-based education programme for heart failure patients and carers residing in rural Thailand. Design. Randomized controlled trial. Methods. One hundred patient-carer dyads attending cardiac clinics in southern Thailand from April 2014 - March 2015 were randomized to usual care (n = 50) or a family-based education programme (n = 50) comprising face-to-face counselling, a heart failure manual and DVD and telephone support. Assessments of heart failure knowledge, health-related quality of life, self-care behaviours and perceived control were conducted at baseline, three and six months. Results. Linear mixed-effects model revealed that patients and carers who received the education programme had higher knowledge scores at three and six months than those who received usual care. Among those who received the education programme, when compared with those who received usual care, patients had better self-care maintenance and confidence, and health-related quality of life scores at three and six months, and better self-care management scores at six months, whereas carers had higher perceived control scores at three months. Conclusion. Addressing a significant service gap in rural Thailand, this familybased heart failure programme improved patient knowledge, self-care behaviours and health-related quality of life and carer knowledge and perceived control.
Keywords
education, family-based, heart failure, nursing, randomized controlled trial, Thailand
Date
2017
Type
Journal article
Journal
Journal of Advanced Nursing
Book
Volume
73
Issue
4
Page Range
857-870
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled