A telephone-delivered empowerment intervention with patients diagnosed with heart failure

Nelma B C Shearer, Nancy Cisar, Edward A. Greenberg

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Background: Heart failure (HF) is a major public health problem. Case management by nurses using telephone follow-up has been suggested as a convenient and effective mechanism to promote the self-management of HF. Similarly, a patient empowerment approach to the management of chronic disease has been suggested as one that may nurture self-management in individuals with chronic illness. Objective: The purpose of this study was to examine the effects of a telephone-delivered empowerment intervention (EI) on clinically and theoretically relevant outcomes in patients with HF, including purposeful participation in goal attainment, self-management of HF, and perception of functional health. The EI was guided by Rogers' Science of Unitary Human Beings person-environment process. Methods: A convenience sample of men and women aged 21 years and older with a clinical diagnosis of HF was obtained from a metropolitan hospital located in the southwestern United States. The participants were randomly assigned to the control group (n = 45) or EI group (n = 45). All participants received standardized HF patient education; the intervention group also received an EI delivered through telephone follow-up calls from a registered nurse. Repeated-measures analysis of variance was used to evaluate intervention effects. Results: The telephone-delivered EI facilitated self-management of HF through self-care activities in EI group members. Conclusion: The knowledge gained from this study provides a beginning understanding of strategies to enhance health care providers' ability to facilitate self-management of HF among patients diagnosed with HF.

Original languageEnglish (US)
Pages (from-to)159-169
Number of pages11
JournalHeart and Lung: Journal of Acute and Critical Care
Volume36
Issue number3
DOIs
StatePublished - May 2007

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Telephone
Heart Failure
Self Care
Chronic Disease
Nurses
Southwestern United States
Patient Participation
Power (Psychology)
Aptitude
Urban Hospitals
Case Management
Patient Education
Health Personnel
Analysis of Variance
Public Health
Control Groups
Health

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Critical Care and Intensive Care Medicine
  • Pulmonary and Respiratory Medicine

Cite this

A telephone-delivered empowerment intervention with patients diagnosed with heart failure. / Shearer, Nelma B C; Cisar, Nancy; Greenberg, Edward A.

In: Heart and Lung: Journal of Acute and Critical Care, Vol. 36, No. 3, 05.2007, p. 159-169.

Research output: Contribution to journalArticle

Shearer, Nelma B C ; Cisar, Nancy ; Greenberg, Edward A. / A telephone-delivered empowerment intervention with patients diagnosed with heart failure. In: Heart and Lung: Journal of Acute and Critical Care. 2007 ; Vol. 36, No. 3. pp. 159-169.
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