Please use this identifier to cite or link to this item: https://doi.org/10.2196/28216
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dc.titlePatients' experiences of a nurse-led, home-based heart failure self-management program: Findings from a qualitative process evaluation
dc.contributor.authorJiang, Ying
dc.contributor.authorKoh, Karen Wei Ling
dc.contributor.authorRamachandran, Hadassah Joann
dc.contributor.authorTay, Yee Kian
dc.contributor.authorWu, Vivien Xi
dc.contributor.authorShorey, Shefaly
dc.contributor.authorWang, Wenru
dc.date.accessioned2022-10-13T07:52:30Z
dc.date.available2022-10-13T07:52:30Z
dc.date.issued2021-04-27
dc.identifier.citationJiang, Ying, Koh, Karen Wei Ling, Ramachandran, Hadassah Joann, Tay, Yee Kian, Wu, Vivien Xi, Shorey, Shefaly, Wang, Wenru (2021-04-27). Patients' experiences of a nurse-led, home-based heart failure self-management program: Findings from a qualitative process evaluation. Journal of Medical Internet Research 23 (4) : e28216. ScholarBank@NUS Repository. https://doi.org/10.2196/28216
dc.identifier.issn1438-8871
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/233213
dc.description.abstractBackground: Heart failure (HF) is a major public health problem that places a significant disease burden on society. Self-care is important in the management of HF because it averts disease progression and reduces the number of hospitalizations. Effective nursing interventions promote HF self-care. Objective: This study aims to explore participants' perspectives on a nurse-led, home-based heart failure self-management program (HOM-HEMP) in a randomized controlled trial conducted in Singapore to gain insight into the effectiveness of the study intervention. Methods: A descriptive, qualitative approach was used. English- or Chinese-speaking participants from the intervention arms were recruited through a purposive sampling method from January 2019 to July 2019. Individual, face-to-face, semistructured interviews were conducted with 11 participants. All interviews were audio recorded and transcribed verbatim, with the participant identifiers omitted to ensure confidentiality. The thematic analysis approach was used to identify, analyze, and report patterns (themes) within the data. Results: A total of six themes emerged from the process evaluation interviews and were categorized according to the Donabedian structure-process-outcome framework as intervention structure, intervention process, and intervention outcome. These six themes were manageability of the intervention, areas for improvement, benefits of visiting, personal accountability in self-care, empowered with knowledge and skills in self-care after the intervention, and increased self-efficacy in cardiac care. Conclusions: The findings of the process evaluation provided additional information on participants' perceptions and experiences with the HOM-HEMP intervention. Although a home visit may be perceived as resource intensive, it remains to be the preferred way of engagement for most patients. Nurses play an important role in promoting HF self-care. The process of interaction with the patient can be an important process for empowering self-care behavior changes. © Ying Jiang, Karen Wei Ling Koh, Hadassah Joann Ramachandran, Yee Kian Tay, Vivien Xi Wu, Shefaly Shorey, Wenru Wang. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 27.04.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
dc.publisherJMIR Publications Inc.
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceScopus OA2021
dc.subjectHeart failure
dc.subjectMHealth
dc.subjectMobile phone
dc.subjectNurse-led
dc.subjectNursing
dc.subjectProcess evaluation
dc.subjectPsychosocial educational
dc.subjectSelf-care
dc.subjectSelf-management
dc.typeArticle
dc.contributor.departmentALICE LEE CENTRE FOR NURSING STUDIES
dc.contributor.departmentDEPT OF NURSING/ALICE LEE CTR FOR NUR ST
dc.description.doi10.2196/28216
dc.description.sourcetitleJournal of Medical Internet Research
dc.description.volume23
dc.description.issue4
dc.description.pagee28216
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