The Effectiveness of the Push-Pull-Hold Program on Improving Self-Care in Patients With Heart Failure

Chinese University of Hong Kong144 enrolled

Overview

This study is a randomized controlled trial that tests the effectiveness of a novel intervention called the Push-Pull-Hold program on improving self-care in patients with heart failure. This intervention was developed based on our previous quantitative and qualitative findings and existing psychological concepts. Results would inform current understanding of the intention-behavior link in self-care and inform future policy and intervention development to improve patient and caregiver outcomes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

144

Conditions

Heart Failure

Interventions

Push-Pull-Hold ProgramBEHAVIORAL

Developed based on concepts of motivational interviewing, temporal framing, empowerment. It is tailored to Singaporean patients and includes contextual self-care information and tips.

Eligibility

Sex: ALLMin age: 21 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinically diagnosed with chronic heart failure for at least 1 month * More than 21 years old * Able to read and understand English or Chinese Exclusion Criteria: * Dependent on caregivers * Awaiting implantable devices or surgery * Pregnant

Locations (1)

National Heart Centre Singapore

Singapore, Singapore

Outcomes

Primary Outcomes

Changes in Self-Care of Heart Failure Index (SCHFI) maintenance subscale

SCHFI maintenance subscale is a 10-item, self-administered instrument that measures self-care maintenance behaviours such as medication adherence. Each item of the instrument is rated on a 4-point Likert scale and each subscale score is rescaled to range from 0 to 100 where a score of more than or equal to 70 represents adequate self-care.

Time frame: weeks 1, 12 and 24

Secondary Outcomes

Changes in the Consideration of Future Consequences Scale (CFCS)

CFCS is a 14-items self-administered instrument that measures the degree to which one considers about and is influenced by the potential consequences of their present behaviours. Each item is measured using a 7-point Likert scale where 1 represents extremely uncharacteristic and 7 represents extremely characteristic of the participant. The average scores of the items will be calculated, where a higher score indicates a higher consideration of future consequences.

Time frame: weeks 1, 12 and 24

Changes in intention to change behaviours

Intention will be measured using a self-developed 3-item, self-administered instrument. Responses will be measured on a 7-point Likert scale where a higher score indicates a higher intention to change behaviours.

Time frame: weeks 1, 12 and 24

Changes in the Self-Report Habit Index (SRHI)

SRHI is a 12-items, self-administered instrument that measures automaticity; behaviour frequency; and self-identity on a 7-point Likert scale. Scores will be averaged and a higher score indicates higher habit strength.

Time frame: weeks 1, 12 and 24

Changes in Mindfulness Attention Awareness Scale (MAAS)

MAAS is a 15-items, self-administered instrument measured on a 6-point Likert scale. A mean score will be computed and a higher score indicates higher level of mindfulness.

Data from ClinicalTrials.gov

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