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Randomized Controlled Trial
. 2009 Nov-Dec;38(6):499-512.
doi: 10.1016/j.hrtlng.2009.01.007. Epub 2009 Apr 2.

Feasibility of a group-based self-management program among congestive heart failure patients

Esther S T F Smeulders  1 , Jolanda C M van Haastregt, Josiane J J Janssen-Boyne, Henri E J H Stoffers, Jacques Th M van Eijk, Gertrudis I J M Kempen
Affiliations
Randomized Controlled Trial

Feasibility of a group-based self-management program among congestive heart failure patients

Esther S T F Smeulders et al. Heart Lung. 2009 Nov-Dec.

Abstract

Objective: This study assessed the feasibility of the Chronic Disease Self-Management Program (CDSMP) among patients with congestive heart failure (CHF). The program emphasizes patients' central role and responsibility in managing their illness.

Methods: Patients were randomly assigned to the program, which was led by a cardiac nurse specialist and a CHF patient. Data on performance according to protocol, adherence, and opinion about the program were collected among 186 patients and 18 leaders.

Results: Eighty percent of the group sessions were carried out largely according to protocol. Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and lower New York Heart Association classification predicted good attendance.

Conclusion: Directly after the program and at 12-month follow-up, approximately three fourths of the patients stated that they had benefited from the program. Recommendations mainly concerned spending more time on several program topics and specifying patient-selection criteria in more detail. The program was considered feasible.

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