A randomized controlled trial to evaluate an educational strategy involving community health volunteers in improving self-care in patients with chronic heart failure: Rationale, design and methodologyReport as inadecuate




A randomized controlled trial to evaluate an educational strategy involving community health volunteers in improving self-care in patients with chronic heart failure: Rationale, design and methodology - Download this document for free, or read online. Document in PDF available to download.

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, 3:689

Medicine

Abstract

BackgroundChronic heart failure CHF is an increasingly important health problem worldwide. Effective self-care can improve the outcomes and quality of life in patients with CHF. Acknowledging the important role of educational interventions for improving self-care, we sought to assess a new educational strategy involving community health volunteers CHVs that could reduce the cost and, hypothetically, increase the effectiveness of self-care education in patients with CHF.

Methods-DesignIn this ongoing three-arm controlled trial, approved by two human research ethics committees in Australia and Iran, 231 patients with CHF registered at a referral cardiovascular hospital in Iran were randomly allocated into three groups -trained by community health volunteers at patients’ homes, rained by formal health professionals at hospital; and a control group with no formal educational exposure. Data obtained through interviewing participants and using the Persian self-care of CHF index pSCHFI before and two months after interventions will be analysed using SAS and SPSS.

DiscussionThe results of this study may help health service systems, especially in countries with limited resources, make use of community volunteers to teach patients with CHF to develop self-care behaviors and skills, reducing the cost of care and improving CHF outcomes. Also, this home-based educational strategy using face-to-face training, if successful, may provide psychosocial supports for patients suffering from chronic illnesses.

Trial registration numberACTRN12614000788673 Australian New Zealand Clinical Trials Registry

KeywordsCommunity health workers Chronic illnesses Home-based education Health education Congestive heart failure Self-management Medical adherence Adherence to treatment Electronic supplementary materialThe online version of this article doi:10.1186-2193-1801-3-689 contains supplementary material, which is available to authorized users.

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Author: Soraya Siabani - Tim Driscoll - Patricia M Davidson - Stephen R Leeder

Source: https://link.springer.com/







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