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Randomized Controlled Trial
. 2017 Feb 15;17(1):51.
doi: 10.1186/s12872-017-0486-5.

Does improvement in self-management skills predict improvement in quality of life and depressive symptoms? A prospective study in patients with heart failure up to one year after self-management education

Gunda Musekamp  1 , Michael Schuler  2 , Bettina Seekatz  2 , Jürgen Bengel  3 , Hermann Faller  2 , Karin Meng  2
Affiliations
Randomized Controlled Trial

Does improvement in self-management skills predict improvement in quality of life and depressive symptoms? A prospective study in patients with heart failure up to one year after self-management education

Gunda Musekamp et al. BMC Cardiovasc Disord. .

Abstract

Background: Heart failure (HF) patient education aims to foster patients' self-management skills. These are assumed to bring about, in turn, improvements in distal outcomes such as quality of life. The purpose of this study was to test the hypothesis that change in self-reported self-management skills observed after participation in self-management education predicts changes in physical and mental quality of life and depressive symptoms up to one year thereafter.

Methods: The sample comprised 342 patients with chronic heart failure, treated in inpatient rehabilitation clinics, who received a heart failure self-management education program. Latent change modelling was used to analyze relationships between both short-term (during inpatient rehabilitation) and intermediate-term (after six months) changes in self-reported self-management skills and both intermediate-term and long-term (after twelve months) changes in physical and mental quality of life and depressive symptoms.

Results: Short-term changes in self-reported self-management skills predicted intermediate-term changes in mental quality of life and long-term changes in physical quality of life. Intermediate-term changes in self-reported self-management skills predicted long-term changes in all outcomes.

Conclusions: These findings support the assumption that improvements in self-management skills may foster improvements in distal outcomes.

Keywords: Cardiac rehabilitation; Chronic heart failure; Latent change; Patient education; Quality of life; Self-management.

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Figures

Fig. 1
Fig. 1
Latent change model (structural model) with standardized path coefficients. Predictor Self-management skills (SM), measurement points T1 throughT4. A1: Outcome Physical quality of life (pQL). B1: Outcome Mental quality of life (mQL). C1: Outcome Depressive symptoms (D). Circles represent latent variables, single-headed arrows show the impact of one variable on another, double arrows show correlations allowed between variables. Subscripted figures represent measurement points. *p < 0.05
Fig. 2
Fig. 2
Latent change model (structural model) with standardized path coefficients. Predictor Self-management skills (SM), measurement points T1, T3, and T4. A2: Outcome Physical quality of life (pQL). B2: Outcome Mental quality of life (mQL). C2: Outcome Depressive symptoms (D). Circles represent latent variables, single-headed arrows show the impact of one variable on another, double arrows show correlations allowed between variables. Subscripted figures represent measurement points. *p < 0.05
See this image and copyright information in PMC

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