Josiane Boyne|Hubertus J. M. Vrijhoef|Marieke Spreeuwenberg|Gerjan De Weerd|Johannes A. Kragten|Anton P.M. Gorgels
Effects of tailored telemonitoring on heart failure patients’ knowledge, self-care, self-efficacy and adherence: A randomized controlled trial
Maastricht University Medical Centre|Maastricht University Medical Centre|Atrium Medisch Centrum Parkstad|Maastricht University Medical Centre
education patients heart failure hf essential part disease management perspectives increasing number patients shortage professionals force healthcare explore new strategies supporting patients better informed activethree hundred eightytwo patients hf age 71sd 112 years randomly assigned either telemonitoring usual care group patients received four postal questionnaires assess levels selfreported knowledge selfcare selfefficacy adherence generalized estimating equations analysis performed assess effects telemonitoring 1year followup corrections baseline performed neededbaseline differences groups found selfcare p0001 selfefficacy p0024 knowledge patients telemonitoring group significantly improved 09 point 15points scale p0001 selfcare abilities improved 15 point 10item scale whereas changes found patients receiving usual care p0001 selfefficacy patients intervention group improved significantly 6 months yet significantly different 3 months 1 year patients intervention group adherence improved daily weighing p0001 whole followup fluid intake p0019 3 months 12 months p0086 adherence activity recommendations improved p0023 3 months importance medication adherence increased 6 p0012 12 months p0037 effects found regarding appointments diet smoking use alcoholtailored telemonitoring found educate patients hf improve selfcare abilities sense selfefficacy