Feasibility of a group-based self-management program among congestive heart failure patients

Smeulders, Esther S.T.F.; van Haastregt, Jolanda C.M.; Janssen-Boyne, Josiane J.J.; Stoffers, Henri E.J.H.; van Eijk, Jacques Th.M.; Kempen, Gertrudis I.J.M.

doi:10.1016/j.hrtlng.2009.01.007

« Previous Next »Heart & Lung: The Journal of Acute and Critical Care
Volume 38, Issue 6 , Pages 499-512, November 2009

Feasibility of a group-based self-management program among congestive heart failure patients

Esther S.T.F. Smeulders, MSc
- Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands
- Reprint requests: Esther S. T. F. Smeulders, MSc, Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
Jolanda C.M. van Haastregt, PhD
- Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands
Josiane J.J. Janssen-Boyne, RN, MA
- Department of Integrated Care, Department of Cardiology, University Hospital Maastricht, Maastricht, The Netherlands
Henri E.J.H. Stoffers, MD, PhD
- Department of General Practice, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands
Jacques Th.M. van Eijk, PhD
- Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands
Gertrudis I.J.M. Kempen, PhD
- Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands

published online 03 April 2009.

Objective

This study assessed the feasibility of the Chronic Disease Self-Management Program (CDSMP) among patients with congestive heart failure (CHF). The program emphasizes patients' central role and responsibility in managing their illness.

Methods

Patients were randomly assigned to the program, which was led by a cardiac nurse specialist and a CHF patient. Data on performance according to protocol, adherence, and opinion about the program were collected among 186 patients and 18 leaders.

Results

Eighty percent of the group sessions were carried out largely according to protocol. Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and lower New York Heart Association classification predicted good attendance.

Conclusion

Directly after the program and at 12-month follow-up, approximately three fourths of the patients stated that they had benefited from the program. Recommendations mainly concerned spending more time on several program topics and specifying patient-selection criteria in more detail. The program was considered feasible.