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Quality of Life Research

Gepubliceerd in:

07-07-2023

Effects of an autonomy-supportive intervention programme (ASIP) on self-care, quality of life, and mental health in heart failure patients: a randomized controlled trial

Auteurs: Yanting Li, Weiling Yang, Yuanyuan Qu, Xiaonan Zhang, Mei Lin, Li Fu, Cuicui Wang, Pingping Qiu, Xiaoying Zang

Gepubliceerd in: Quality of Life Research | Uitgave 11/2023

Abstract

Purpose

Patients with heart failure (HF) possess low self-care activation and motivation, leading to a deprived quality of life and adverse mental health conditions. To this end, self-determination theory emphasizes that autonomy-supportive interventions (ASI) can stimulate intrinsic motivation and improve behaviors and quality of life. Nevertheless, studies that focused on ASI for HF are inadequate. This study aims to evaluate the effects of an HF-ASIP on self-care, quality of life and mental health in HF patients.

Methods

In a two-arm randomized controlled trial, the participants are randomly allocated to the intervention (n = 41) or control (n = 41) groups. The intervention group received routine care and participated in an 8-week HF-ASIP, including individual education and consultation sessions. In contrast, the control group received only routine care. The primary outcome includes self-care management, while the secondary outcomes include self-care maintenance, quality of life, mental health, and motivation. After measuring the outcomes at baseline (T₀), 4-week (T₁), 8-week (T₂), and 12-week (T₃) follow-up, the intervention effects are assessed using the generalized equation models.

Results

The outcomes indicated that self-care management (T₂: P = 0.001; T₃: P = 0.016), self-care maintenance (T₂: P = 0.003; T₃: P = 0.001), depression (T₂: P = 0.007; T₃: P = 0.012), anxiety (T₂: P = 0.001; T₃: P = 0.012), MLHFQ total score (T₁: P = 0.004; T₂: P < 0.001; T₃: P = 0.001), autonomous motivation (T₂: P = .0.006; T₃: P = 0.002) showed statistically difference between the groups.

Conclusion

In summary, the 8-week HF-ASIP significantly improved the attributes of self-care, quality of life, mental health, and motivation in HF patients, suggesting the potential for practical intervention effect.

Trial registration

ChiCTR2100053970.

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Titel: Effects of an autonomy-supportive intervention programme (ASIP) on self-care, quality of life, and mental health in heart failure patients: a randomized controlled trial
Auteurs: Yanting Li
Weiling Yang
Yuanyuan Qu
Xiaonan Zhang
Mei Lin
Li Fu
Cuicui Wang
Pingping Qiu
Xiaoying Zang
Publicatiedatum: 07-07-2023
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 11/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-023-03467-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

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Results

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