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

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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

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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…

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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

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

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