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Title: Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents.
Austin Authors: Toukhsati, S R;Jaarsma, T;Babu, A S;Driscoll, A ;Hare, David L 
Affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal, India
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
Faculty of Health Sciences, University of Link??ping, Link??ping, Sweden
School of Health and Life Sciences, Psychology, Federation University Australia, Berwick, Victoria, Australia
School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Victoria, Australia
Issue Date: 12-Jun-2019
Date: 2019-06-12
Publication information: 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.
DOI: 10.1177/1179546819856855
ORCID: 0000-0002-2937-0895
Journal: Clinical Medicine Insights. Cardiology
PubMed URL: 31217696
ISSN: 1179-5468
Type: Journal Article
Subjects: adherence
change agent
heart failure
Appears in Collections:Journal articles

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