Efficient health care systems for the management of chronic diseases in the community may improve clinical outcomes and simultaneously encourage patients to remain healthy. Supportive care, may contribute to empower heart failure (HF) patients for self- management and providing them with the follow-up and care based on their needs and values through the HF trajectory. To develop the current program an assessment of the support needs of HF patients' will be undertaken and the investigators will take into consideration of their personal preferences, for instance means of communication and way of exercise as part of the intervention. The present study aspires to evaluate the effectiveness of an individualized supportive care management program in terms of the four different components that comprise supportive care in HF. The objectives of this study are to: 1. Determine supportive care needs of HF patients as reported in the literature. 2. Explore Cypriot patients' identified supportive care needs. 3. To develop and test a self-management supportive care programme for HF patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
200
nurse-led management programme
Cyprus University of Technology; Nursing Department
Limassol, Cyprus
RECRUITINGMinnessota Living with Heart Failure Questionnaire (Greek Version) MLHFQ (Gr version)
Quantitative data. MLHFQ consists of 21 items using a six-point Likert scale (scored 0-5), resulting in a total score in the range of 0-105, with higher scores reflecting poorer quality of life.
Time frame: Baseline
Minnessota Living with Heart Failure Questionnaire (Greek Version) MLHFQ (Gr version)
quantitative data The items of the questionnaire examines 3 dimentions. The dimension scores were calculated as the sum of the items that represent each dimension. Higher scores indicate worse quality of life.
Time frame: 1st month
Minnessota Living with Heart Failure Questionnaire (Greek Version) MLHFQ (Gr version)
Quantitative data. MLHFQ consists of 21 items using a six-point Likert scale (scored 0-5), resulting in a total score in the range of 0-105, with higher scores reflecting poorer quality of life.
Time frame: 3rd month
Minnessota Living with Heart Failure Questionnaire (Greek Version) MLHFQ (Gr version)
Quantitative data. MLHFQ consists of 21 items using a six-point Likert scale (scored 0-5), resulting in a total score in the range of 0-105, with higher scores reflecting poorer quality of life.
Time frame: 6th month
Minnessota Living with Heart Failure Questionnaire (Greek Version) MLHFQ (Gr version)
Quantitative data. MLHFQ consists of 21 items using a six-point Likert scale (scored 0-5), resulting in a total score in the range of 0-105, with higher scores reflecting poorer quality of life.
Time frame: one year
Audit of Diabetes Dependent Quality of Life - 19 Items ADDQoL-19 (Gr version)
quantitative data Individual domains of the questionnaire and Average Weighted Impact Score of the indivudual domains scores show maximum negative impact of diabetes (-9) and maximum positive impact of diabetes (+3)
Time frame: Baseline
Audit of Diabetes Dependent Quality of Life - 19 Items ADDQoL-19 (Gr version)
quantitative data Individual domains of the questionnaire and Average Weighted Impact Score of the indivudual domains scores show maximum negative impact of diabetes (-9) and maximum positive impact of diabetes (+3)
Time frame: 1st month
Audit of Diabetes Dependent Quality of Life - 19 Items ADDQoL-19 (Gr version)
quantitative data Individual domains of the questionnaire and Average Weighted Impact Score of the indivudual domains scores show maximum negative impact of diabetes (-9) and maximum positive impact of diabetes (+3)
Time frame: 3rd month
Audit of Diabetes Dependent Quality of Life - 19 Items ADDQoL-19 (Gr version)
quantitative data Individual domains of the questionnaire and Average Weighted Impact Score of the indivudual domains scores show maximum negative impact of diabetes (-9) and maximum positive impact of diabetes (+3)
Time frame: 6th month
Audit of Diabetes Dependent Quality of Life - 19 Items ADDQoL-19 (Gr version)
quantitative data Individual domains of the questionnaire and Average Weighted Impact Score of the indivudual domains scores show maximum negative impact of diabetes (-9) and maximum positive impact of diabetes (+3)
Time frame: one year
Multidimensional Scale of Perceived Social Support (Greek Version) MSPSS (Gr version)
Quantitative data MSPSS consists of 12 items using a six-point Likert scale (scored 1-7), resulting in a total score in the range of 12-84.The dimension scores were calculated as the summation of the items that repreresent each dimenson \[ 1. Family/Significant others , 2. Friends\] . Higher scores indicate higher perceived social support by Friends and Family/Signifciant Others.
Time frame: Baseline
Multidimensional Scale of Perceived Social Support (Greek Version) MSPSS (Gr version)
Quantitative data MSPSS consists of 12 items using a six-point Likert scale (scored 1-7), resulting in a total score in the range of 12-84.The dimension scores were calculated as the summation of the items that repreresent each dimenson \[ 1. Family/Significant others , 2. Friends\] . Higher scores indicate higher perceived social support by Friends and Family/Signifciant Others.
Time frame: 1st month
Multidimensional Scale of Perceived Social Support (Greek Version) MSPSS (Gr version)
Quantitative data MSPSS consists of 12 items using a six-point Likert scale (scored 1-7), resulting in a total score in the range of 12-84.The dimension scores were calculated as the summation of the items that repreresent each dimenson \[ 1. Family/Significant others , 2. Friends\] . Higher scores indicate higher perceived social support by Friends and Family/Signifciant Others.
Time frame: 3rd month
Multidimensional Scale of Perceived Social Support (Greek Version) MSPSS (Gr version)
Quantitative data MSPSS consists of 12 items using a six-point Likert scale (scored 1-7), resulting in a total score in the range of 12-84.The dimension scores were calculated as the summation of the items that repreresent each dimenson \[ 1. Family/Significant others , 2. Friends\] . Higher scores indicate higher perceived social support by Friends and Family/Signifciant Others.
Time frame: 6th month
Multidimensional Scale of Perceived Social Support (Greek Version) MSPSS (Gr version)
Quantitative data MSPSS consists of 12 items using a six-point Likert scale (scored 1-7), resulting in a total score in the range of 12-84.The dimension scores were calculated as the summation of the items that repreresent each dimenson \[ 1. Family/Significant others , 2. Friends\] . Higher scores indicate higher perceived social support by Friends and Family/Signifciant Others.
Time frame: one year
Hospital and Anxiety- Depression Scale (Greek Version) HADS (Gr version)
Quantitative data The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). Higher scores indicate worse quality of life.
Time frame: Baseline
Hospital and Anxiety- Depression Scale (Greek Version) HADS (Gr version)
Quantitative data The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). Higher scores indicate worse quality of life.
Time frame: 1st month
Hospital and Anxiety- Depression Scale (Greek Version) HADS (Gr version)
Quantitative data The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). Higher scores indicate worse quality of life.
Time frame: 3rd month
Hospital and Anxiety- Depression Scale (Greek Version) HADS (Gr version)
Quantitative data The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). Higher scores indicate worse quality of life.
Time frame: 6th month
Hospital and Anxiety- Depression Scale (Greek Version) HADS (Gr version)
Quantitative data The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). Higher scores indicate worse quality of life.
Time frame: one year
International Physical Activity Questionnaire (Greek Version) IPAQ (Gr version)
quantitative data In the classification of perceived physical activity via the IPAQ there were three categories ˙ low activity level, moderate activity and high activity level
Time frame: Baseline
International Physical Activity Questionnaire (Greek Version) IPAQ (Gr version)
quantitative data In the classification of perceived physical activity via the IPAQ there were three categories ˙ low activity level, moderate activity and high activity level
Time frame: 1st month
International Physical Activity Questionnaire (Greek Version) IPAQ (Gr version)
quantitative data In the classification of perceived physical activity via the IPAQ there were three categories ˙ low activity level, moderate activity and high activity level
Time frame: 3rd month
International Physical Activity Questionnaire (Greek Version) IPAQ (Gr version)
quantitative data In the classification of perceived physical activity via the IPAQ there were three categories ˙ low activity level, moderate activity and high activity level
Time frame: 6th month
International Physical Activity Questionnaire (Greek Version) IPAQ (Gr version)
quantitative data In the classification of perceived physical activity via the IPAQ there were three categories ˙ low activity level, moderate activity and high activity level
Time frame: one year
Self -Care of Heart Failure Index (Greek Version) SCHFI -Gr
Quantitative data The SCHFI -Gr consists of 22 items representing 3 dimensions. The dimension scores were calculated as the sum of the items that represent each dimension. The negative item 8 was reversed coded before the calculation. Increased scores indicates higher self care management.
Time frame: Baseline
Self -Care of Heart Failure Index (Greek Version) Gr-SCHFI
Quantitative data The SCHFI -Gr consists of 22 items representing 3 dimensions. The dimension scores were calculated as the sum of the items that represent each dimension. The negative item 8 was reversed coded before the calculation. Increased scores indicates higher self care management.
Time frame: 1st month
Self -Care of Heart Failure Index (Greek Version) Gr-SCHFI
Quantitative data The SCHFI -Gr consists of 22 items representing 3 dimensions. The dimension scores were calculated as the sum of the items that represent each dimension. The negative item 8 was reversed coded before the calculation. Increased scores indicates higher self care management.
Time frame: 3rd month
Self -Care of Heart Failure Index (Greek Version) Gr-SCHFI
Quantitative data The SCHFI -Gr consists of 22 items representing 3 dimensions. The dimension scores were calculated as the sum of the items that represent each dimension. The negative item 8 was reversed coded before the calculation. Increased scores indicates higher self care management.
Time frame: 6th month
Self -Care of Heart Failure Index (Greek Version) Gr-SCHFI
Quantitative data The SCHFI -Gr consists of 22 items representing 3 dimensions. The dimension scores were calculated as the sum of the items that represent each dimension. The negative item 8 was reversed coded before the calculation. Increased scores indicates higher self care management.
Time frame: one year
Number of acute events and deterioration Despite advances in treatment, the prognosis of HF remains poor, accounting for 10% mortality rate after an acute event and 20-25% of patients will be readmitted within the first month after discharge.
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quantitative data in numerical scale
Time frame: Baseline
Number of acute events and deterioration Despite advances in treatment, the prognosis of HF remains poor, accounting for 10% mortality rate after an acute event and 20-25% of patients will be readmitted within the first month after discharge.
quantitative data in numerical scale
Time frame: 1st month
Number of acute events and deterioration Despite advances in treatment, the prognosis of HF remains poor, accounting for 10% mortality rate after an acute event and 20-25% of patients will be readmitted within the first month after discharge.
quantitative data in numerical scale
Time frame: 3rd month
Number of acute events and deterioration Despite advances in treatment, the prognosis of HF remains poor, accounting for 10% mortality rate after an acute event and 20-25% of patients will be readmitted within the first month after discharge.
quantitative data in numerical scale
Time frame: 6th month
Number of acute events and deterioration Despite advances in treatment, the prognosis of HF remains poor, accounting for 10% mortality rate after an acute event and 20-25% of patients will be readmitted within the first month after discharge.
quantitative data in numerical scale
Time frame: one year
European Heart Failure Self-Care Behavior Scale - Gr9(Greek version) Grg-EHFScB
Quantitative data. EHFScBS-Gr9 is a 5-point Likert scale, from 1 to 5.The total score is calculated by summing the ratings for each item. The total score ranges from 0 to 45 with higher scores indicating poorer self-care behaviors. For the purposes of this program all items will be reversed coded so as higher score is associated with a higher level of self care management
Time frame: Baseline
European Heart Failure Self-Care Behavior Scale- Gr9 (Greek version) Grg-EHFScB
Quantitative data. EHFScBS-Gr9 is a 5-point Likert scale, from 1 to 5.The total score is calculated by summing the ratings for each item. The total score ranges from 0 to 45 with higher scores indicating poorer self-care behaviors. For the purposes of this program all items will be reversed coded so as higher score is associated with a higher level of self care management
Time frame: 1st month
European Heart Failure Self-Care Behavior Scale - Gr9 (Greek version) Grg-EHFScB
Quantitative data. EHFScBS-Gr9 is a 5-point Likert scale, from 1 to 5.The total score is calculated by summing the ratings for each item. The total score ranges from 0 to 45 with higher scores indicating poorer self-care behaviors. For the purposes of this program all items will be reversed coded so as higher score is associated with a higher level of self care management
Time frame: 3rd month
European Heart Failure Self-Care Behavior Scale- Gr9 (Greek version) Grg-EHFScB
Quantitative data. EHFScBS-Gr9 is a 5-point Likert scale, from 1 to 5.The total score is calculated by summing the ratings for each item. The total score ranges from 0 to 45 with higher scores indicating poorer self-care behaviors. For the purposes of this program all items will be reversed coded so as higher score is associated with a higher level of self care management
Time frame: 6th month
European Heart Failure Self-Care Behavior Scale - Gr9(Greek version) Grg-EHFScB
Quantitative data. EHFScBS-Gr9 is a 5-point Likert scale, from 1 to 5.The total score is calculated by summing the ratings for each item. The total score ranges from 0 to 45 with higher scores indicating poorer self-care behaviors. For the purposes of this program all items will be reversed coded so as higher score is associated with a higher level of self care management
Time frame: one year