Heart Failure
Conditions
Keywords
Heart failure, oman, motivation, telehealth, nurse
Brief summary
This is a pilot randomized clinical trial that have employed a motivational interviewing intervention to enhance self-care in heart failure patients.
Detailed description
This is a pilot randomised clinical trial that have employed a motivational interviewing intervention to enhance self-care in heart failure patients. The sample size was 60 patients, 30 participants in each arm. Results from this study will inform the planning for a larger study and on the initiation of a heart failure program to enhance self-care in HF patients. In this study the investigators found that patients were equal in terms of self care at baseline but has improved after the intervention for those who have received the education and follow up. The investigators recommend to initiate heart failure programs in hospitals in Oman to improve health outcomes and reduce the cost of care.
Interventions
BEHAVIORALMotivational interviewing
this group will receive motivational interviewing and education in addition to telephonic follow up
the patients will get standard care and educational materials
Sponsors
Sultan Qaboos University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Symptomatic adults who are 18 years and older with a heart failure diagnosis --Participants who are able to self-report their experience * English or Arabic speakers
Exclusion criteria
\- Patients who have a record of cognitive impairment (e.g. Alzheimer's), major psychiatric disorders (e.g. Depression), or concurrent terminal illness (e.g. terminal cancers)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Self Care of Heart Failure Index | At enrolment then at six and nine months | The Self-Care of Heart Failure Index (SCHFI) Version 6.2) is a validated self-report instrument that measures self-care among individuals with heart failure. It consists of 22 items across three subscales: self-care maintenance (10 items), self-care management (6 items), and self-care confidence (6 items). Scores for each subscale are standardised to a 0-100 scale, with higher scores indicating better self-care. A score of ≥70 is considered indicative of adequate self-care |
| Heart Failure Somatic Perception Scale (HFSPS v.3) | At enrolment and then at six and nine months | The 18-item Heart Failure Somatic Perception Scale (HFSPS v.3) is a validated self-report instrument that assesses the severity and burden of physical symptoms experienced by individuals with heart failure, such as dyspnea, fatigue, edema, and sleep disturbances. The total score ranges from 0 to 90, with higher scores indicating greater symptom burden and worse symptom perception. Scores are categorised as 0-18 (minimal), 19-36 (mild), 37-54 (moderate), 55-72 (high), and 73-90 (very high) symptom burden. |
Countries
Oman
Outcome results
None listed