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Patient preferences for the delivery of disease management in chronic heart failure: a qualitative study


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


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 patientís 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.

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

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