Open AccessEvaluating a Web-Based Self-Management Intervention in Heart Failure Patients: A Pilot Study
Author(s) -
Nazli Bashi,
Carol Windsor,
Clint Douglas
Publication year - 2016
Publication title -
jmir research protocols
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.378
H-Index - 9
ISSN - 1929-0748
DOI - 10.2196/resprot.5093
Subject(s) - psychological intervention , heart failure , medicine , intervention (counseling) , self management , web application , disease management , world wide web , disease , computer science , nursing , machine learning , parkinson's disease
Background Web-based interventions may have the potential to support self-care in patients with chronic disease, yet little is known about the feasibility of Web-based interventions in patients with heart failure (HF). Objective The objective of our study was to develop and pilot a Web-based self-care intervention for patients with HF. Methods Following development and pretesting, we pilot tested a Web-based self-care intervention using a randomized controlled design. A total of 28 participants completed validated measures of HF knowledge, self-care, and self-efficacy at baseline and 1-month follow-up. Results Change scores and effect size estimates showed that the mean differences in HF knowledge ( d =0.06), self-care ( d =0.32), and self-efficacy ( d =0.37) were small. Despite email reminders, 7 of 14 participants (50%) of the sample accessed the site daily and 4 of 14 (28%) had no record of access. Conclusions Larger randomized controlled trials are needed that attend to all sources of self-efficacy and include more comprehensive educational tools to improve patient outcomes.