dc.contributor
Institut Català de la Salut
dc.contributor
[Santero M, Song Y, Beltran J, Medina-Aedo M, Canelo-Aybar C] Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. [Valli C] Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. Avedis Donabedian Research Institute (FAD), Barcelona, Spain. [Salas-Gama K] Direcció de Qualitat, Processos i Innovació, Vall d’Hebron Hospital Universitari, Barcelona, Spain
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Santero, Marilina
dc.contributor.author
Song, Yang
dc.contributor.author
Beltran, Jessica
dc.contributor.author
Medina-Aedo, Melixa
dc.contributor.author
Canelo, Carlos
dc.contributor.author
Valli, Claudia
dc.contributor.author
Salas-Gama, Karla
dc.date.accessioned
2025-10-24T10:32:34Z
dc.date.available
2025-10-24T10:32:34Z
dc.date.issued
2024-02-20T12:47:34Z
dc.date.issued
2024-02-20T12:47:34Z
dc.date.issued
2024-01-24
dc.identifier
Santero M, Song Y, Beltran J, Medina-Aedo M, Canelo-Aybar C, Valli C, et al. Effectiveness and Cost-Effectiveness of Self-Management Interventions for Adults Living with Heart Failure to Improve Patient-Important Outcomes: An Evidence Map of Randomized Controlled Trials. Healthcare. 2024 Jan 24;12(3):302.
dc.identifier
https://hdl.handle.net/11351/11087
dc.identifier
10.3390/healthcare12030302
dc.identifier
001160041700001
dc.identifier.uri
https://hdl.handle.net/11351/11087
dc.description.abstract
Heart failure; Self-management interventions
dc.description.abstract
Insuficiencia cardíaca; Intervenciones de autogestión
dc.description.abstract
Insuficiència cardíaca; Intervencions d'autogestió
dc.description.abstract
Self-management interventions (SMIs) may enhance heart failure (HF) outcomes and address challenges associated with disease management. This study aims to review randomized evidence and identify knowledge gaps in SMIs for adult HF patients. Within the COMPAR-EU project, from 2010 to 2018, we conducted searches in the databases MEDLINE, CINAHL, Embase, Cochrane, and PsycINFO. We performed a descriptive analysis using predefined categories and developed an evidence map of randomized controlled trials (RCTs). We found 282 RCTs examining SMIs for HF patients, comparing two to four interventions, primarily targeting individual patients (97%) globally (34 countries, only 31% from an European country). These interventions involved support techniques such as information sharing (95%) and self-monitoring (62%), often through a mix of in-person and remote sessions (43%). Commonly assessed outcomes included quality of life, hospital admissions, mortality, exercise capacity, and self-efficacy. Few studies have focused on lower socio-economic or minority groups. Nurses (68%) and physicians (30%) were the primary providers, and most studies were at low risk of bias in generating a random sequence for participant allocation; however, the reporting was noticeably unclear of methods used to conceal the allocation process. Our analysis has revealed prevalent support techniques and delivery methods while highlighting methodological challenges. These findings provide valuable insights for researchers, clinicians, and policymakers striving to optimize SMIs for individuals living with HF.
dc.description.abstract
This research was supported by the European Union’s Horizon 2020 research and innovation program under grant agreement No 754936.
dc.format
application/pdf
dc.relation
Healthcare;12(3)
dc.relation
https://doi.org/10.3390/healthcare12030302
dc.relation
info:eu-repo/grantAgreement/EC/H2020/754936
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Insuficiència cardíaca
dc.subject
DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Failure
dc.subject
PUBLIC HEALTH::Epidemiology and Biostatistics::Epidemiology::Uses of Epidemiology::Cost-Effectiveness Evaluation
dc.subject
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Services::Rehabilitation::Self-Management
dc.subject
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::insuficiencia cardíaca
dc.subject
SALUD PÚBLICA::epidemiología y bioestadística::epidemiología::usos de la epidemiología::evaluación de coste-efectividad
dc.subject
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::rehabilitación::automanejo
dc.title
Effectiveness and Cost-Effectiveness of Self-Management Interventions for Adults Living with Heart Failure to Improve Patient-Important Outcomes: An Evidence Map of Randomized Controlled Trials
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
