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Patient preferences for the delivery of disease management in chronic heart failure: a qualitative study
Citation
Whitty, JA and Carrington, MJ and Stewart, S and Holliday, J and Marwick, TH and Scuffham, PA, Patient preferences for the delivery of disease management in chronic heart failure: a qualitative study, Journal of Cardiovascular Nursing, 27, (3) pp. 201-207. ISSN 0889-4655 (2012) [Refereed Article]
Copyright Statement
Copyright 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
DOI: doi:10.1097/JCN.0b013e31821abf22
Abstract
Background and Research Objective: Chronic heart failure (CHF) management programs (CHF-MPs) are applied in different ways including via face-to-face settings. However, we know little about consumer preferences when applying CHF-MPs via a patient’s home or specialist hospital clinic. The aim of this pilot study was to explore CHF-MP characteristics that are considered desirable by patients with CHF.
Subject and Methods: Semistructured interviews with a purposive sample of 12 CHF patients.
Results: Participants had a mean age of 61 (SD, 17) years, 3 were female, and the majority was of white background. Most were assessed as either functional New York Heart Association class III (n = 3) or IV (n = 6). Home- and clinic-based CHF-MPs were preferred by 5 and 7 participants, respectively. Key themes around patient preferences related to practical aspects of program delivery and social and peer support, as well as health-related benefits that translate to traditional outcomes in program evaluations. Participants identified transport, cost, and ill health as barriers to attending a clinic-based program. However, they also highlighted benefits (eg, the ability to share experiences with other patients) that may be difficult to provide with a home-based service unless specifically organized.
Conclusions: These preliminary data suggest that patients value aspects of a program beyond those directly related to health outcomes. They also recognize a need for flexibility in program delivery, with potential preferences for home- or clinic-based programs depending largely on individual patient circumstances. More definitive studies are required to explore how best to cater for individual preferences while optimizing health outcomes.
Subject and Methods: Semistructured interviews with a purposive sample of 12 CHF patients.
Results: Participants had a mean age of 61 (SD, 17) years, 3 were female, and the majority was of white background. Most were assessed as either functional New York Heart Association class III (n = 3) or IV (n = 6). Home- and clinic-based CHF-MPs were preferred by 5 and 7 participants, respectively. Key themes around patient preferences related to practical aspects of program delivery and social and peer support, as well as health-related benefits that translate to traditional outcomes in program evaluations. Participants identified transport, cost, and ill health as barriers to attending a clinic-based program. However, they also highlighted benefits (eg, the ability to share experiences with other patients) that may be difficult to provide with a home-based service unless specifically organized.
Conclusions: These preliminary data suggest that patients value aspects of a program beyond those directly related to health outcomes. They also recognize a need for flexibility in program delivery, with potential preferences for home- or clinic-based programs depending largely on individual patient circumstances. More definitive studies are required to explore how best to cater for individual preferences while optimizing health outcomes.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | heart failure, management program, patient preferences, service delivery |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Cardiovascular medicine and haematology |
| Research Field: | Cardiology (incl. cardiovascular diseases) |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Clinical health not elsewhere classified |
| UTAS Author: | Marwick, TH (Professor Tom Marwick) |
| ID Code: | 91222 |
| Year Published: | 2012 |
| Web of Science® Times Cited: | 14 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2014-05-12 |
| Last Modified: | 2014-12-17 |
| Downloads: | 0 |
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