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|Title:||Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents.|
|Authors:||Toukhsati, S R;Jaarsma, T;Babu, A S;Driscoll, A;Hare, David L|
|Affiliation:||Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia|
Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal, India..
Faculty of Health Sciences, University of Linköping, Linköping, Sweden
School of Health and Life Sciences, Psychology, Federation University Australia, Berwick, VIC, Australia
School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia
Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, VIC, Australia
|Citation:||Clinical Medicine Insights. Cardiology 2019; 13: 1179546819856855|
|Abstract:||Unplanned hospital readmissions are the most important, preventable cost in heart failure (HF) health economics. Current professional guidelines recommend that patient self-care is an important means by which to reduce this burden. Patients with HF should be engaged in their care such as by detecting, monitoring, and managing their symptoms. A variety of educational and behavioural interventions have been designed and implemented by health care providers to encourage and support patient self-care. Meta-analyses support the use of self-care interventions to improve patient self-care and reduce hospital readmissions; however, efficacy is variable. The aim of this review was to explore methods to achieve greater clarity and consistency in the development and reporting of self-care interventions to enable 'change agents' to be identified. We conclude that advancement in this field requires more explicit integration and reporting on the behaviour change theories that inform the design of self-care interventions and the selection of behaviour change techniques. The systematic application of validated checklists, such as the Theory Coding Scheme and the CALO-RE taxonomy, will improve the systematic testing and refinement of interventions to enable 'change agent/s' to be identified and optimised.|
|Appears in Collections:||Journal articles|
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