Effect of Patient Activation on Self-Management in Patients With Heart Failure

Shively, Martha J.; Gardetto, Nancy J.; Kodiath, Mary F.; Kelly, Ann; Smith, Tom L.; Stepnowsky, Carl; Maynard, Charles; Larson, Carolyn B.

doi:10.1097/jcn.0b013e318239f9f9

Cited by 203Heart Failure Treatment and ManagementCardiac Health and Mental HealthChronic Disease Management Strategies

Effect of Patient Activation on Self-Management in Patients With Heart Failure

Shively, Martha J., Gardetto, Nancy J., Kodiath, Mary F., Kelly, Ann, Smith, Tom L., Stepnowsky, Carl, Maynard, Charles, Larson, Carolyn B.·2013·Journal of Cardiovascular Nursing

DOI 10.1097/jcn.0b013e318239f9f9

Open this paper in CoChat — free account

Abstract

Background/objective Few studies have examined whether chronic heart failure (HF) outcomes can be improved by increasing patient engagement (known as activation) in care and capabilities for self-care management. The objective was to determine the efficacy of a patient activation intervention compared with usual care on activation, self-care management, hospitalizations, and emergency department visits in patients with HF. Methods This study used a randomized, 2-group, repeated-measures design. After consent was given, 84 participants were stratified by activation level and randomly assigned to usual care (n = 41) or usual care plus the intervention (n = 43). The primary outcomes and measures were patient activation using the Patient Activation Measure (PAM), self-management using the Self-Care of Heart Failure Index (SCHFI) and the Medical Outcomes Study (MOS) Specific Adherence Scale, and hospitalizations and emergency department visits. The intervention was a 6-month program to increase activation and improve HF self-management behaviors, such as adhering to medications and implementing health behavior goals. Results Participants were primarily male (99%), were white (77%), and had New York Heart Association III stage (52%). The mean (SD) age was 66 (11) years, and 71% reported 3 or more comorbidities. The intervention group compared with the usual care group showed a significant increase in activation/PAM scores from baseline to 6 months. No significant group-by-time inte…

Integrity signals

Registry

Crossref · 10.1097/jcn.0b013e318239f9f9

Cites

14 of 14 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

When individuals with a chronic condition like COPD actively participate in self-management, their medical outcomes improve.
“The evidence is clear that when individuals with a chronic condition, like COPD, actively participate in their own care through self-management, their medical outcomes improve.”
From The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease (2017) · cites this paper as [38]

Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638 · see citing works
The Medical Outcomes Study. An application of methods for monitoring the results of medical care
Tarlov, A. R. (1989) · JAMA · doi:10.1001/jama.262.7.925 · Cited by 1,214 · see citing works
The Medical Outcomes Study
Tarlov, A. R. (1989) · JAMA · doi:10.1001/jama.1989.03430070073033 · Cited by 881 · see citing works
The Situation-Specific Theory of Heart Failure Self-Care
Riegel, B. J., Dickson, V. V., & Faulkner, K. M. (2015) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000244 · Cited by 738 · see citing works
Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?
Bodenheimer, T., Chen, E., & Bennett, H. D. (2009) · Health Affairs · doi:10.1377/hlthaff.28.1.64 · Cited by 544 · see citing works
A Situation-Specific Theory of Heart Failure Self-care
Riegel, B. J., & Dickson, V. V. (2008) · The Journal of Cardiovascular Nursing · doi:10.1097/01.jcn.0000305091.35259.85 · Cited by 458 · see citing works
Psychometric testing of the self-care of heart failure index
Riegel, B. J., Carlson, B., Moser, D. K., Sebern, M., Hicks, F. D., & Roland, V. (2004) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2003.12.001 · Cited by 388 · see citing works
Improving the outcomes of disease management by tailoring care to the patient's level of activation.
Hibbard, J. H., Greene, J., & Tusler, M. (2009) · PubMed · Cited by 312 · see citing works
Adherence to Heart Failure Quality-of-Care Indicators in US Hospitals
Fonarow, G. C. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.13.1469 · Cited by 271 · see citing works
Toward a theory of patient and consumer activation
Hibbard, J. H., & Mahoney, E. R. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.12.015 · Cited by 238 · see citing works
The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study
Hays, R. D., Kravitz, R. L., Mazel, R. M., Sherbourne, C. D., DiMatteo, M. R., Rogers, W. H., & Greenfield, S. (1994) · Journal of Behavioral Medicine · doi:10.1007/bf01858007 · Cited by 193 · see citing works
Interventions for replacing missing teeth: management of soft tissues for dental implants
Esposito, M. A., Maghaireh, H., Grusovin, M. G., Ziounas, I., & Worthington, H. V. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006697.pub2 · Cited by 170 · see citing works
Assessing Activation Stage and Employing a “Next Steps” Approach to Supporting Patient Self-Management
Hibbard, J. H., & Tusler, M. (2007) · Journal of Ambulatory Care Management · doi:10.1097/00004479-200701000-00002 · Cited by 127 · see citing works
Improving Quality of Life in Patients With Heart Failure
Kodiath, M. F., Kelly, A. E., & Shively, M. (2005) · The Journal of Cardiovascular Nursing · doi:10.1097/00005082-200501000-00009 · Cited by 25 · see citing works
Self-citation

Flagged first, then by citations

Research works printed but not linked: 1

Taylor, 2005, . Clinical service organisation for heart failure Systematic Review., Cochrane Database of Systematic Reviews, 2, 2

Sorted by citations

What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs
Hibbard, J. H., & Greene, J. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1061 · Cited by 1,787 · see citing works
Psychological interventions for coronary heart disease.
Richards, S. H., Anderson, L., Jenkinson, C. E., Whalley, B., Rees, K., Davies, P., Bennett, P., Liu, Z., West, R., Thompson, D. R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002902.pub4 · Cited by 571 · see citing works
Medication Adherence Interventions Improve Heart Failure Mortality and Readmission Rates: Systematic Review and Meta‐Analysis of Controlled Trials
Ruppar, T. M., Cooper, P. S., Mehr, D. R., Delgado, J. M., & Dunbar‐Jacob, J. M. (2016) · Journal of the American Heart Association · doi:10.1161/jaha.115.002606 · Cited by 416 · see citing works
Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients’ ‘Scores’
Hibbard, J. H., Greene, J., & Overton, V. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1064 · Cited by 398 · see citing works
Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews
Bashi, N. G. G., Karunanithi, M., Fatehi, F., Ding, H., & Walters, D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6571 · Cited by 312 · see citing works
Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications
Cross, A. J., Elliott, R. A., Petrie, K., Kuruvilla, L., & George, J. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012419.pub2 · Cited by 269 · see citing works
The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease
Spathis, A., Booth, S., Moffat, C., Hurst, R., Ryan, R., Chin, C., & Burkin, J. (2017) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-017-0024-z · Cited by 226 · see citing works
Disease management interventions for heart failure
Takeda, A., Martin, N., Taylor, R. S., & Taylor, S. J. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002752.pub4 · Cited by 194 · see citing works
The Influence of Wireless Self-Monitoring Program on the Relationship Between Patient Activation and Health Behaviors, Medication Adherence, and Blood Pressure Levels in Hypertensive Patients: A Substudy of a Randomized Controlled Trial
Kim, J. Y., Wineinger, N. E., & Steinhubl, S. R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5429 · Cited by 180 · see citing works
Taking the Long View
Hibbard, J. H., Greene, J., Shi, Y., Mittler, J., & Scanlon, D. P. (2015) · Medical Care Research and Review · doi:10.1177/1077558715573871 · Cited by 160 · see citing works
The role of Patient Health Engagement Model (PHE-model) in affecting patient activation and medication adherence: A structural equation model
Graffigna, G., Barello, S., & Bonanomi, A. G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0179865 · Cited by 156 · see citing works
The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: A systematic review
Kinney, R. L., Lemon, S. C., Person, S. D., Pagoto, S., & Saczynski, J. S. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.02.005 · Cited by 152 · see citing works
Patient activation and the use of information to support informed health decisions
Hibbard, J. H. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.07.006 · Cited by 133 · see citing works
What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? An Individual Patient Data Meta-analysis
Jonkman, N. H., Westland, H., Groenwold, R. H. H., Ågren, S., Anguita, M. P., Blue, L., de la Porte, P. W. F. B., DeWalt, D. A., Hebert, P. L., Heisler, M., et al. (2016) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2016.06.422 · Cited by 134 · see citing works
Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association
Barnason, S. A., White‐Williams, C., Rossi, L., Centeno, M., Crabbe, D. L., Lee, K. S., McCabe, N. M., Nauser, J. A., Schulz, P., Stamp, K. D., et al. (2017) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/hcq.0000000000000025 · Cited by 126 · see citing works
Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records
Barker, I., Steventon, A., Williamson, R., & Deeny, S. R. (2018) · BMJ Quality & Safety · doi:10.1136/bmjqs-2017-007635 · Cited by 112 · see citing works
Patient activation, depression and quality of life
Magnezi, R., Glasser, S., Shalev, H., Sheiber, A., & Reuveni, H. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2013.10.015 · Cited by 107 · see citing works
Does patient activation level affect the cancer patient journey?
Hibbard, J. H., Mahoney, E. R., & Sonet, E. M. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.03.019 · Cited by 107 · see citing works
Does patient activation predict the course of type 2 diabetes? A longitudinal study
Sacks, R. M., Greene, J., Hibbard, J. H., Overton, V., & Parrotta, C. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.01.014 · Cited by 96 · see citing works
The effectiveness of psychological interventions on self-care, psychological and health outcomes in patients with chronic heart failure-a systematic review and meta-analysis
Jiang, Y., Shorey, S., Seah, B., Chan, W. X., Tam, W. W. S., & Wang, W. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2017.08.006 · Cited by 88 · see citing works
A systematic review of the main mechanisms of heart failure disease management interventions
Clark, A. M., Wiens, K. S., Banner, D., Kryworuchko, J., Thirsk, L. M., McLean, L., & Currie, K. (2016) · Heart · doi:10.1136/heartjnl-2015-308551 · Cited by 85 · see citing works
Dialysis Regret
Saeed, F., Ladwig, S., Epstein, R. M., Monk, R. D., & Duberstein, P. R. (2020) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.13781119 · Cited by 85 · see citing works
Improving Population Health Management Strategies: Identifying Patients Who Are More Likely to Be Users of Avoidable Costly Care and Those More Likely to Develop a New Chronic Disease
Hibbard, J. H., Greene, J., Sacks, R. M., Overton, V., & Parrotta, C. (2016) · Health Services Research · doi:10.1111/1475-6773.12545 · Cited by 81 · see citing works
The gap between policy and practice: a systematic review of patient-centred care interventions in chronic heart failure
Kane, P. M., Murtagh, F. E., Ryan, K., Mahon, N., McAdam, B. F., McQuillan, R., Ellis-Smith, C. I., Tracey, C., Howley, C., Raleigh, C., et al. (2015) · Heart Failure Reviews · doi:10.1007/s10741-015-9508-5 · Cited by 79 · see citing works
Psychometric evaluation of the German version of the patient activation measure (PAM13)
Zill, J. M., Dwinger, S., Kriston, L., Rohenkohl, A. C., Härter, M. C., & Dirmaier, J. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1027 · Cited by 78 · see citing works
Improving Treatment Adherence in Heart Failure
Unverzagt, S., Meyer, G., Mittmann, S., Samos, F.-A. Z., Unverzagt, M., & Prondzinsky, R. (2016) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2016.0423 · Cited by 76 · see citing works
Health Status and Self-care Outcomes After an Education-Support Intervention for People With Chronic Heart Failure
Clark, A. P., McDougall, G. J., Riegel, B. J., Joiner‐Rogers, G., Innerarity, S., Meraviglia, M. G., Delville, C. L., & Davila, A. (2014) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000169 · Cited by 74 · see citing works
Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial
Young, L., Hertzog, M. A., & Barnason, S. A. (2016) · BMC Cardiovascular Disorders · doi:10.1186/s12872-016-0339-7 · Cited by 72 · see citing works
Planning for the Discharge, not for Patient Self-Management at Home – An Observational and Interview Study of Hospital Discharge
Flink, M., & Ekstedt, M. (2017) · International Journal of Integrated Care · doi:10.5334/ijic.3003 · Cited by 70 · see citing works
Patient activation for self-management is associated with health status in patients with atrial fibrillation
McCabe, P. J., Stuart-Mullen, L. G., McLeod, C. J., Byrne, T. O., Schmidt, M. M., Branda, M. E., & Griffin, J. M. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s172970 · Cited by 69 · see citing works
The association between patient activation and self‐care practices: A cross‐sectional study of an Australian population with comorbid diabetes and chronic kidney disease
Zimbudzi, E., Lo, C., Ranasinha, S., Kerr, P. G., Polkinghorne, K. R., Teede, H. J., Usherwood, T., Walker, R. G., Johnson, G., Fulcher, G., et al. (2017) · Health Expectations · doi:10.1111/hex.12577 · Cited by 66 · see citing works
Medication adherence and survival among hospitalized heart failure patients in a tertiary hospital in Tanzania: a prospective cohort study
Pallangyo, P., Millinga, J., Bhalia, S. V., Mkojera, Z., Misidai, N., Swai, H. J., Hemed, N. R., Kaijage, A., & Janabi, M. (2020) · BMC Research Notes · doi:10.1186/s13104-020-04959-w · Cited by 66 · see citing works
Patient activation in adults with chronic conditions: A systematic review
Newland, P., Lorenz, R. A., & Oliver, B. J. (2020) · Journal of Health Psychology · doi:10.1177/1359105320947790 · Cited by 65 · see citing works
Patient perceptions of patient‐empowering nurse behaviours, patient activation and functional health status in postsurgical patients with life‐threatening long‐term illnesses
Jerofke, T., Weiss, M., & Yakusheva, O. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12286 · Cited by 61 · see citing works
The use of participatory action research to design a patient-centered community health worker care transitions intervention
Kangovi, S., Grande, D., Carter, T., Barg, F. K., Rogers, M. A., Glanz, K., Shannon, R. P., & Long, J. A. (2014) · Healthcare · doi:10.1016/j.hjdsi.2014.02.001 · Cited by 60 · see citing works
Self-Management Interventions in Stages 1 to 4 Chronic Kidney Disease
Welch, J. L., Johnson, M. L., Zimmerman, L. M., Russell, C. L., Perkins, S. M., & Decker, B. S. (2014) · Western Journal of Nursing Research · doi:10.1177/0193945914551007 · Cited by 60 · see citing works
Variables associated with patient activation in persons with multiple sclerosis
Goodworth, M.-C. R., Stepleman, L. M., Hibbard, J. H., Johns, L., Wright, D. E., Hughes, M. D., & Williams, M. J. (2014) · Journal of Health Psychology · doi:10.1177/1359105314522085 · Cited by 57 · see citing works
Digital tools as promoters for person-centered care practices in chronic care? Healthcare professionals’ experiences from rheumatology care
Granström, E., Wannheden, C., Brommels, M., Hvitfeldt, H., & Nyström, M. E. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05945-5 · Cited by 56 · see citing works
A systematic review and meta-analysis of patient activation in people living with chronic conditions
Cuevas, H. E., Heitkemper, E., Huang, Y., Jang, D. E., García, A. A., & Zuniga, J. A. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.02.016 · Cited by 53 · see citing works
A Couples’ Based Self-Management Program for Heart Failure: Results of a Feasibility Study
TRIVEDI, R. B., Slightam, C. A., Fan, V. S., Rosland, A.-M. M., Nelson, K. M., Timko, C., Asch, S. M., Zeliadt, S. B., Heidenreich, P. A., Hebert, P. L., et al. (2016) · Frontiers in Public Health · doi:10.3389/fpubh.2016.00171 · Cited by 51 · see citing works
“Get Ready and Empowered About Treatment” (GREAT) Study: a Pragmatic Randomized Controlled Trial of Activation in Persons Living with HIV
Carroll, J. K., Tobin, J. N., Luque, A. E., Farah, S., Sanders, M., Cassells, A. N., Fine, S. M., Cross, W. F., Boyd, M., Holder, T., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05102-7 · Cited by 50 · see citing works
Patient Activation in Acute Decompensated Heart Failure
Dunlay, S. M., Griffin, J. M., Redfield, M. M., & Roger, V. L. (2016) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000367 · Cited by 49 · see citing works
Tailoring of Self-Management Interventions in Patients With Heart Failure
Bos-Touwen, I. D., Jonkman, N. H., Westland, H., Schuurmans, M. J., Rutten, F. H., de Wit, N. J., & Trappenburg, J. C. A. (2015) · Current Heart Failure Reports · doi:10.1007/s11897-015-0259-3 · Cited by 49 · see citing works
Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals
Do, V., Young, L., Barnason, S., & Tran, H. V. (2015) · F1000Research · doi:10.12688/f1000research.6557.1 · Cited by 48 · see citing works
On-going palliative care enhances perceived control and patient activation and reduces symptom distress in patients with symptomatic heart failure: A pilot study
Evangelista, L. S., Liao, S. S., Motie, M., Michelis, N. D., & Lombardo, D. M. (2014) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515114520766 · Cited by 48 · see citing works
Self-management assessment in multiple chronic conditions: A narrative review of literature
Ko, D., Bratzke, L. C., & Roberts, T. J. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.04.009 · Cited by 48 · see citing works
The impact of telehealth care on health-related quality of life of patients with heart failure: Results from the Danish TeleCare North heart failure trial
Cichosz, S. L., Udsen, F. W., & Hejlesen, O. K. (2019) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x19832713 · Cited by 45 · see citing works
Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal
Yadav, U. N., Lloyd, J. E., Hosseinzadeh, H., Baral, K. P., Bhatta, N., & Harris, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-8404-7 · Cited by 46 · see citing works
Determinants of patient activation in a community sample of breast and prostate cancer survivors
O’Malley, D. M., Dewan, A. A., Ohman‐Strickland, P., Gundersen, D. A., Miller, S. M., & Hudson, S. V. (2017) · Psycho-Oncology · doi:10.1002/pon.4387 · Cited by 45 · see citing works
Patient Activation Changes as a Potential Signal for Changes in Health Care Costs: Cohort Study of US High-Cost Patients
Lindsay, A., Hibbard, J. H., Boothroyd, D. B., Glaseroff, A., & Asch, S. M. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4657-6 · Cited by 45 · see citing works
The association between patient activation and accessing online health information: results from a national survey of US adults
Smith, S. G., Pandit, A. U., Rush, S. R., Wolf, M. S., & Simon, C. (2014) · Health Expectations · doi:10.1111/hex.12316 · Cited by 44 · see citing works
American Association of Heart Failure Nurses Position Paper on Educating Patients with Heart Failure
Rasmusson, K., Flattery, M. P., & Baas, L. S. (2015) · Heart & Lung · doi:10.1016/j.hrtlng.2015.01.001 · Cited by 42 · see citing works
Symptom perception in heart failure – Interventions and outcomes: A scoping review
Santos, G. C., Liljeroos, M., Dwyer, A. A., Jaques, C., Girard, J., Strömberg, A., Hullin, R., & Schäfer‐Keller, P. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103524 · Cited by 40 · see citing works
Patient Heal Thyself: Reducing Hospital Readmissions with Technology‐Enabled Continuity of Care and Patient Activation
Queenan, C., Cameron, K., Snell, A., Smalley, J., & Joglekar, N. R. (2019) · Production and Operations Management · doi:10.1111/poms.13080 · Cited by 37 · see citing works
Exploring the Relationship Between Patient Activation, Treatment Satisfaction, and Decisional Conflict in Patients Approaching End-Stage Renal Disease
Velez-Bermudez, M. E., Christensen, A. J., Kinner, E. M., Roche, A. I., & Fraer, M. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kay091 · Cited by 38 · see citing works
Systematic review of patient-engagement interventions: potentials for enhancing person-centred care for older patients with multimorbidity
Søgaard, M. B., Andresen, K., & Kristiansen, M. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-048558 · Cited by 38 · see citing works
An integrative literature review on nursing interventions aimed at increasing self-care among heart failure patients
Boisvert, S., Proulx-Belhumeur, A., Gonçalves, N., Doré, M., Francoeur, J., & Gallani, M. C. B. J. (2015) · Revista Latino-Americana de Enfermagem · doi:10.1590/0104-1169.0370.2612 · Cited by 37 · see citing works
Patient activation, knowledge, and health literacy association with self-management behaviors in persons with heart failure
Jacobson, A. F., Sumodi, V., Albert, N. M., Butler, R. S., DeJohn, L., Walker, D., Dion, K., Tai, H.-L. L., & Ross, D. M. (2018) · Heart & Lung · doi:10.1016/j.hrtlng.2018.05.021 · Cited by 37 · see citing works
The Impact of Resilience, Health Literacy, and Social Support on Medication Adherence and Self-care Among Adults With Heart Failure
Meraz, R., McGee, J. S., Caldwell, E. P., Ke, W., & Osteen, K. A. (2022) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000948 · Cited by 36 · see citing works
Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs
Hibbard, J. H., Greene, J., Sacks, R. M., Overton, V., & Parrotta, C. (2016) · Health Affairs · doi:10.1377/hlthaff.2015.1031 · Cited by 35 · see citing works
Implementing the Patient Activation Measure (PAM) in clinical settings for patients with chronic conditions: a scoping reviewImplementing the Patient Activation Measure (PAM) in clinical settings for patients with chronic conditions: a scoping review
Kearns, R., Harris‐Roxas, B., McDonald, J., Song, H. J., Dennis, S. M., & Harris, M. (2020) · Integrated Healthcare Journal · doi:10.1136/ihj-2019-000032 · Cited by 35 · see citing works
Digital Health and the Care of the Patient With Arrhythmia
Tarakji, K. G., Silva, J. N. A., Chen, L. Y., Turakhia, M. P., Perez, M. V., Attia, Z. I., PASSMAN, R. S., Boissy, A. R., Cho, D. J., Majmudar, M. D., et al. (2020) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.120.007953 · Cited by 34 · see citing works
Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study
Mirmazhari, R., Ghafourifard, M., & Sheikhalipour, Z. (2022) · Renal Replacement Therapy · doi:10.1186/s41100-022-00431-6 · Cited by 35 · see citing works
Patient activation intervention to facilitate participation in recovery after total knee replacement (MIME): a cluster randomised cross-over trial
McDonall, J., de Steiger, R. N., Reynolds, J., Redley, B., Livingston, P. M., Hutchinson, A. F., & Botti, M. A. (2019) · BMJ Quality & Safety · doi:10.1136/bmjqs-2018-008975 · Cited by 34 · see citing works
Brief Report: Patient Activation Among Urban Hospitalized Patients With Heart Failure
Creber, R. M., Chen, T., Wei, C., & Lee, C. S. (2017) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2017.08.452 · Cited by 33 · see citing works
Patients and Health Care Teams Forging Effective Partnerships
PatientsLikeMe, Okun, S., Schoenbaum, S. C., Andrews, D., Chiambaran, P., Administration, H. R. A. S., Chollette, V. Y., Grumman, J., Leal, S., Lown, B. A., et al. (2014) · NAM Perspectives · doi:10.31478/201412f · Cited by 33 · see citing works
Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement
Acquati, C., Hibbard, J. H., Miller‐Sonet, E., Zhang, A., & Ionescu, E. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01085-9 · Cited by 32 · see citing works
Illness Representation and Self-Care Ability in Older Adults with Chronic Disease
Rivera, E., Corte, C. M., Steffen, A. D., DeVon, H. A., Collins, E. G., & McCabe, P. J. (2018) · Geriatrics · doi:10.3390/geriatrics3030045 · Cited by 32 · see citing works
What are the contents of patient engagement interventions for older adults? A systematic review of randomized controlled trials
Menichetti, J., Graffigna, G., & Steinsbekk, A. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.12.009 · Cited by 32 · see citing works
High Patient Activation Is Associated With Remission in Patients With Inflammatory Bowel Disease
Barnes, E. L., Long, M. D., Kappelman, M. D., Martin, C. F., & Sandler, R. S. (2018) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izy378 · Cited by 32 · see citing works
Influence of chronic illness resources on self‐management and the mediating effect of patient activation among patients with coronary heart disease
Zhang, X., Chen, H., Liu, Y., & Yang, B. X. (2021) · Nursing Open · doi:10.1002/nop2.1031 · Cited by 30 · see citing works
Increasing Patient Activation Could Improve Outcomes for Patients with Inflammatory Bowel Disease
Shah, S. L., & Siegel, C. A. (2015) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000575 · Cited by 30 · see citing works
“PHE in Action”: Development and Modeling of an Intervention to Improve Patient Engagement among Older Adults
Menichetti, J., & Graffigna, G. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01405 · Cited by 27 · see citing works
A randomized controlled trial of an educational programme with telephone reinforcement to improve perceived health status of Brazilian burn victims at 6‐month post discharge
Gonçalves, N., Ciol, M. A., Dantas, R. A. S., Farina, J. A., & Rossi, L. A. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13003 · Cited by 27 · see citing works
Implementation of personalized self-management support using the self-management screening questionnaire SeMaS; a study protocol for a cluster randomized trial
Eikelenboom, N., van Lieshout, J., Wensing, M., Smeele, I., & Jacobs, A. E. (2013) · Trials · doi:10.1186/1745-6215-14-336 · Cited by 26 · see citing works
The Role of Patient Activation in Improving Blood Pressure Outcomes in Black Patients Receiving Home Care
Ryvicker, M. B., Feldman, P. H., Chiu, Y., & Gerber, L. M. (2013) · Medical Care Research and Review · doi:10.1177/1077558713495452 · Cited by 26 · see citing works
Comorbidity: From a Confounder in Longitudinal Clinical Research to the Main Issue in Population Management
Charlson, M. E., & Wells, M. T. (2022) · Psychotherapy and Psychosomatics · doi:10.1159/000521952 · Cited by 25 · see citing works
Implementing Guideline Based Heart Failure Care in the Northern Territory: Challenges and Solutions
Iyngkaran, P., Harris, M., Ilton, M. K., Kangaharan, N., Battersby, M., Stewart, S., & Brown, A. D. H. (2013) · Heart Lung and Circulation · doi:10.1016/j.hlc.2013.12.005 · Cited by 25 · see citing works
Effects of empowerment education on the self-management and self-efficacy of liver transplant patients: a randomized controlled trial
Guo, L., Li, L., Lu, Y., Li, T., Chen, L., Jiang, L., Zhang, S., & Yuan, M. (2023) · BMC Nursing · doi:10.1186/s12912-023-01298-6 · Cited by 25 · see citing works
Patient–Physician Role Relationships and Patient Activation: The Moderating Effects of Race and Ethnicity
Alexander, J., Hearld, L., & Mittler, J. N. (2014) · Medical Care Research and Review · doi:10.1177/1077558714541967 · Cited by 24 · see citing works
The effect of patient-centered education in adherence to the treatment regimen in patients with coronary artery disease
Saki, M., Najmi, S., Gholami, M., Ebrahimzadeh, F., & Pour, F. J. (2021) · Journal of Vascular Nursing · doi:10.1016/j.jvn.2021.10.003 · Cited by 24 · see citing works
Developing and Implementing an mHealth Heart Failure Self-care Program to Reduce Readmissions: Randomized Controlled Trial
Johnson, A. E., Routh, S., TAYLOR, C. N., Leopold, M., Beatty, K., McNamara, D. M., & Davis, E. M. (2022) · JMIR Cardio · doi:10.2196/33286 · Cited by 24 · see citing works
Heart failure self-care interventions to reduce clinical events and symptom burden
Jurgens, C. Y., McGreal, M., Hogan, M., Irwin, C. W., & Maggio, N. J. (2014) · Research Reports in Clinical Cardiology · doi:10.2147/rrcc.s48424 · Cited by 24 · see citing works
Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients
Schmaderer, M. S., Zimmerman, L. M., Hertzog, M. A., Pozehl, B., & Paulman, A. (2016) · Western Journal of Nursing Research · doi:10.1177/0193945916651264 · Cited by 22 · see citing works
Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients
Aboumatar, H. J., Naqibuddin, M., Chung, S., Adebowale, H., Bone, L., Brown, T., Cooper, L. A., Gürses, A. P., Knowlton, A. R., Kurtz, D., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.08.018 · Cited by 22 · see citing works
Chronic Patients’ Activation and Its Association with Stress, Anxiety, Depression, and Quality of Life: A Survey in Southeast Iran
Zakeri, M. A., Dehghan, M., Ghaedi‐Heidari, F., Zakeri, M., & Bazmandegan, G. (2021) · BioMed Research International · doi:10.1155/2021/6614566 · Cited by 22 · see citing works
Ten clinician-driven strategies for maximising value of Australian health care
Scott, I. A. (2014) · Australian Health Review · doi:10.1071/ah13248 · Cited by 21 · see citing works
Self-Management in Liver Transplant Recipients
Ko, D., Muehrer, R. J., & Bratzke, L. C. (2018) · Progress in Transplantation · doi:10.1177/1526924818765814 · Cited by 21 · see citing works
Why patients decline participation in an intervention to reduce re-hospitalization through patient activation: whom are we missing?
Flink, M., Brandberg, C., & Ekstedt, M. (2019) · Trials · doi:10.1186/s13063-019-3187-9 · Cited by 21 · see citing works
Black American older adults’ motivation to engage in osteoarthritis treatment recommendations for pain self-management: A mixed methods study
Booker, S. Q., Herr, K., & Tripp‐Reimer, T. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103510 · Cited by 21 · see citing works
Evaluating a Web-Based Self-Management Intervention in Heart Failure Patients: A Pilot Study
Bashi, N. G. G., Windsor, C. A., & Douglas, C. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5093 · Cited by 21 · see citing works
A nurse-guided patient-centered heart failure education program
Baptiste, D., Mark, H., Paris, L. G., & Taylor, L. A. (2013) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v4n3p49 · Cited by 20 · see citing works
Increased Patient Activation Is Associated with Fewer Emergency Room Visits and Hospitalizations for Pain in Adults with Sickle Cell Disease
Cronin, R. M., Dorner, T. L., Utrankar, A., Allen, W., Rodeghier, M., Kassim, A. A., Jackson, G. P., & DeBaun, M. R. (2018) · Pain Medicine · doi:10.1093/pm/pny194 · Cited by 20 · see citing works
Evaluating a digital tool for supporting breast cancer patients: a randomized controlled trial protocol (ADAPT)
Lidington, E. K., McGrath, S., Noble, J. L., Stanway, S. J., Lucas, A. N., Mohammed, K., van der Graaf, W., & Husson, O. (2020) · Trials · doi:10.1186/s13063-019-3971-6 · Cited by 19 · see citing works
The Role of Patient Activation in Achieving Better Outcomes and Cost-Effectiveness in Patient Care
Tzeng, A., Tzeng, T. H., Vasdev, S., Grindy, A. K., Saleh, J. K., & Saleh, K. J. (2015) · JBJS Reviews · doi:10.2106/jbjs.rvw.n.00048 · Cited by 19 · see citing works
Feasibility of an ED-to-Home Intervention to Engage Patients: A Mixed-Methods Investigation
Schumacher, J. R. M., Lutz, B. J., Hall, A. G., Pines, J. M., Jones, A. L., Hendry, P. L., Kalynych, C. J., & Carden, D. L. (2017) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2017.2.32570 · Cited by 19 · see citing works
The Supporting Patient Activation in Transition to Home (sPATH) intervention: a study protocol of a randomised controlled trial using motivational interviewing to decrease re-hospitalisation for patients with COPD or heart failure
Flink, M., Lindblad, M., Frykholm, O., Kneck, Å., Nilsén, P., Årestedt, K., & Ekstedt, M. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014178 · Cited by 19 · see citing works
The Momentum trial: the efficacy of using a smartphone application to promote patient activation and support shared decision making in people with a diagnosis of schizophrenia in outpatient treatment settings: a randomized controlled single-blind trial
Vitger, T., Austin, S. F., Petersen, L., Tønder, E. S., Nordentoft, M., & Korsbek, L. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2143-2 · Cited by 18 · see citing works
Educational intervention for improving self-care behaviors in patients with heart failure: A narrative review
Shafipour, V., Salahodinkolah, M. K., Ganji, J., Moghadam, S. H., Jafari, H., & Salari, S. (2019) · Journal of Nursing and Midwifery Sciences · doi:10.4103/jnms.jnms_19_19 · Cited by 18 · see citing works
The effect of self-management support program on patient activation and inner strength in patients with cardiovascular disease
Gholami, M., Talaei, A. A., Tarrahi, M. J., Taqi, F. M., Galehdar, N., & Pirinezhad, P. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.04.018 · Cited by 18 · see citing works

Abstract P76: Effect of Patient Activation on Self-Management Behaviors in Heart Failure
Shively, M., Gardetto, N. J., Kodiath, M. F., Kelly, A. E., & Smith, T. L. (2011) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.4.suppl_1.ap76
Self-citation
Brief Report: Patient Activation Among Urban Hospitalized Patients With Heart Failure
Creber, R. M., Chen, T., Wei, C., & Lee, C. S. (2017) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2017.08.452 · Cited by 33 · see citing works
Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals
Do, V., Young, L., Barnason, S., & Tran, H. V. (2015) · F1000Research · doi:10.12688/f1000research.6557.1 · Cited by 48 · see citing works
Mechanism of engaging self-management behavior in rural heart failure patients
Young, L., Barnason, S. A., & Kupzyk, K. A. (2015) · Applied Nursing Research · doi:10.1016/j.apnr.2015.09.008 · Cited by 15 · see citing works
Correlation between self-management behavior and activation among elderly patients with chronic heart failure
Li, Q. (2018) · Zhonghua xiandai huli zazhi · doi:10.3760/cma.j.issn.1674-2907.2018.32.019 · Cited by 2 · see citing works

Authors: Shively, M. J., Gardetto, N. J., Kodiath, M. F., Kelly, A., Smith, T. L., Stepnowsky, C., Maynard, C., & Larson, C. B.
Affiliations: VA San Diego Healthcare System (US)
University of California San Diego (US)
University of Washington (US)
Corresponding author: Shively, Martha J.
ORCID: Stepnowsky, Carl
Maynard, Charles
Venue: Journal of Cardiovascular Nursing
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-01
Volume: 28
Issue: 1
Pages: 20-34
ISSN: 0889-4655 (ISSN-L)
DOI: 10.1097/jcn.0b013e318239f9f9
OpenAlex: W1979263469
Cited by: 203
References: 14
Citations by year: 2026: 5 · 2025: 10 · 2024: 8 · 2023: 13 · 2022: 9 · 2021: 18 · 2020: 17 · 2019: 17 · 2018: 17 · 2017: 26 · 2016: 27 · 2015: 14 · 2014: 12 · 2013: 10
FWCI: 14.28
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Cardiovascular Nursing (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords: patient activation, chronic heart failure, self-management, patient engagement, medication adherence, hospitalization, emergency department visits, Patient Activation Measure, Self-Care of Heart Failure Index, intervention efficacy
MeSH terms: Adult, Aged, Aged, 80 and over, Female, Heart Failure, Humans, Male, Middle Aged, Patient Participation, Self Care

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Effect of Patient Activation on Self-Management in Patients With Heart Failure

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks