Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct 10:30:101017.
doi: 10.1016/j.conctc.2022.101017. eCollection 2022 Dec.

Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol

Misako Matsuda  1 , Nao Saito  2 , Ikuko Miyawaki  1
Affiliations

Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol

Misako Matsuda et al. Contemp Clin Trials Commun. .

Abstract

Background: The prevention of recurrent readmission among heart failure (HF) patients requires support for appropriate self-care behaviors to prevent exacerbation of HF and self-monitoring to allow for patients' early perception of physical changes during exacerbations. Such support may enable patients to seek early consultation. This study developed a self-monitoring intervention that aimed at increasing the perception of patient-unique physical sensations caused by HF, based on daily activity records of patients.

Method: A parallel two-arm randomized controlled trial is being conducted with 68 HF patients early after their discharge. Participants in both groups wear a wristwatch activity tracker from time-of-discharge. Participants in the self-monitoring intervention group receive support to reflect on their actual daily activities and the associated physical sensations they experienced, based on their daily activity records. The primary outcome is participants' "Asking for Help" dimension of self-care behavior, measured using the European Heart Failure Self-Care Behavior Scale at one month follow-up after intervention.

Conclusion: This study is the first trial to use an activity tracker as a tool for symptom perception among HF patients. The problem of delayed consultations during exacerbations may be resolved by assisting patients in improving their perception of their unique physical sensations associated with specific daily activities, based on their daily activity records. If the effect is clarified, it could lead to the construction of new nursing interventions for continuous disease management that aim towards re-hospitalization prevention.

Keywords: Daily activity; Heart failure; Self-care; Self-monitoring; Symptom perception.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Self-monitoring nursing intervention support protocol based on the Situation-Specific Theory of Heart Failure (Self-Care of Heart Failure Model) Self-care entails three separate but linked concepts (self-care maintenance, symptom perception, self-care management) that often are mastered in sequence [10]. Symptom perception, which is supported with our self-monitoring intervention in this study, is a process that precedes self-care management. Thus, self-monitoring intervention support may increase the perception of patients' own unique physical sensations associated with their daily activities and, thereby, promote self-care behaviors, especially with respect to early consultation (self-care management). Such actions, in turn, may reduce readmission. Modified with permission from Wolters Kluwer Health, Inc.: [B. Riegel, V.V. Dickson, K.M. Faulkner, The situation-specific theory of heart failure self-care: Revised and updated, J. Cardiovasc. Nurs. 31 (3), pp226–235, https://journals.lww.com/jcnjournal].
Fig. 2
Fig. 2
Sample of visualized daily activity record based on activity counts and time.
Fig. 3
Fig. 3
Trial flow.
See this image and copyright information in PMC

References

    1. Shiraishi Y., Kohsaka S., Sato N., Takano T., Kitai T., Yoshikawa T., Matsue Y. 9-year trend in the management of acute heart failure in Japan: a report from the national Consortium of Acute Heart Failure Registries. J. Am. Heart Assoc. 2018;7(18) doi: 10.1161/JAHA.118.008687. - DOI - PMC - PubMed
    1. Tsuchihashi-Makaya M., Hamaguchi S., Kinugawa S., Yokota T., Goto D., Yokoshiki H., Kato N., Takeshita A., Tsutsui H. JCARE-CARD Investigators, Characteristics and outcomes of hospitalized patients with heart failure and reduced vs preserved ejection fraction -A report from the Japanese cardiac registry of heart failure in cardiology (JCARE-CARD), Circ. J. 2009;73:1893–1900. doi: 10.1253/circj.cj-09-0254. - DOI - PubMed
    1. Lee C.S., Bidwell J.T., Paturzo M., Alvaro R., Cocchieri A., Jaarsma T., Strömberg A., Riegel B., Vellone E. Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart Lung. 2018;47(1):40–46. doi: 10.1016/j.hrtlng.2017.09.004. - DOI - PMC - PubMed
    1. Patel H., Shafazand M., Schaufelberger M., Ekman I. Reasons for seeking acute care in chronic heart failure. Eur. J. Heart Fail. 2007;9:702–708. doi: 10.1016/j.ejheart.2006.11.002. - DOI - PubMed
    1. Hedemalm A., Schaufelberger M., Ekman I. Symptom recognition and health care seeking among immigrants and native Swedish patients with heart failure. BMC Nurs. 2008;7(9):9. doi: 10.1186/1472-6955-7-9. - DOI - PMC - PubMed