Self-management and congestive heart failure: a randomized controlled trial to improve health-behavior and health-related quality of life by increasing self-efficacy expectancies in congestive heart failure patients

ISRCTN ISRCTN88363287
DOI https://doi.org/10.1186/ISRCTN88363287
Secondary identifying numbers NHS, number 2002B005; NTR467
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
14/09/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Esther STF Smeulders
Scientific

University Maastricht
Faculty of Health Sciences
Department of Health Care Studies Section of Medical Sociology
PO Box 616
Maastricht
6200 MD
Netherlands

Phone +31 (0)43 3884183
Email E.Smeulders@ZW.unimaas.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Scientific titleSelf-management and congestive heart failure: a randomized controlled trial to improve health-behavior and health-related quality of life by increasing self-efficacy expectancies in congestive heart failure patients
Study objectives1. Self-efficacy expectancies may increase by the 'Chronic Disease Self-Management Program' in congestive heart failure intervention patients as compared to controls
2. These higher levels of self-efficacy expectancies contribute to health behavior, and will decrease demoralization (depressive symptoms, feelings of anxiety) and functional disability and increase levels of quality of life
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCongestive heart failure
Intervention1. Patients in the intervention group attend a protocolled self-management group course (6 weekly sessions of 2.5 hours per session)
2. Patients assigned to the control group received usual care
Intervention typeOther
Primary outcome measure1. Self-efficacy expectancies:
a. General expectancies: General Self-Efficacy Scale (GSES)
b. Cardiac expectancies by scale Sullivan et al. (1998)
2. Perceived control/mastery by Mastery scale (Pearlin & Schooler 1978)
Secondary outcome measures1. Quality of life:
a. General: RAND/SF-36
b. CHF-specific: Kansas City Cardiomyopathy Questionnaire (KCCQ)
c. Symptoms of anxiety/depression: Hospital Anxiety & Depression Scale (HADS)
2. Health behavior:
a. Lifestyle
b. Physical activity level
c. Self-care behavior (European Heart Failure Self-Care Behavior Scale)
3. Health care utilization (number of consultations of cardiologist/nurse specialist, hospitalization days, etc.)

In addition, the following variables are assessed with respect to the process evaluation: performance according to protocol, attendance, overall adherence per course session/adherence with regard to home work assignments, opinions about the intervention (participants + course leaders), etc.
Overall study start date15/12/2003
Completion date15/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants318
Key inclusion criteria1. Extent of congestive heart failure (CHF): systolic CHF; LVEF <40% (NYHA 2-3) or diastolic CHF (NYHA 2-3 + additional hospital admission ‘Decompensatio Cordis’ after being diagnosed with CHF)
2. Diagnosis of CHF at least 3 months ago to include only stable patients (an additional 3 months before the start of the intervention sums up to 6 months)
3. Ability to understand/write/speak Dutch
Key exclusion criteriaParticipation in other scientific research
Date of first enrolment15/12/2003
Date of final enrolment15/12/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Maastricht
Maastricht
6200 MD
Netherlands

Sponsor information

CAPHRI, The Research Institute of the University Maastricht (The Netherlands)
Not defined

PO Box 616
Maastricht
6200 MD
Netherlands

Phone +31 (0)43 3882446
Email e.habets@caphri.unimaas.nl
ROR logo "ROR" https://ror.org/02jz4aj89

Funders

Funder type

Research organisation

Netherlands Heart Foundation (Nederlandse Hartstichting), University Hospital Maastricht

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 20/07/2006 Yes No
Results article results 01/11/2010 Yes No

Editorial Notes

14/09/2017: Publication reference added.