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Title: Development and evaluation of a theory-based intervention to promote heart failure self-management
Author: Shergill, Narinder Kaur
ISNI:       0000 0004 2671 5370
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2007
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A qualitative study (N = 21) was conducted to examine health professionals' views regarding the implementation of the NICE guidelines for heart failure management and the communication of the management plan. Health professionals felt that they had insufficient time to deliver adequate information to patients and were uncertain about what information patients wanted or could cope with. The findings from this study indicated that a written patient intervention might be a suitable way of implementing these guidelines within the context of current service provision. A theory-based booklet intervention, entitled 'Improving Heart Function' (IHF) was developed. This booklet provided patients with information about their illness and its management. A qualitative study (N = 14) was conducted to elicit patients' salient beliefs about key self-management behaviours, and to pilot the booklet on intended users. Patients' feedback was then used to improve the booklet and patients' beliefs were targeted to promote a more positive attitude and to increase perceived behavioural control (PBC). Strategies selected from other leading theories of behaviour and behaviour change were also incorporated into the booklet. A pilot randomised controlled trial (N = 94) assessed the effectiveness of the IHF booklet in increasing heart failure patients' knowledge and self-management. This theory-based booklet was found to be more effective in improving knowledge, and initiating change in the mediators of behaviour compared to an atheoretical booklet and no-booklet control. Results showed that the IHF booklet promoted more favourable attitudes and increased PBC for regular physical activity, and produced greater improvements in attitude and intention for regular weighing. Future research should continue to explore and evaluate the utility of social cognitive theories in the development of patient education materials. Written health information that is rigorously developed and evaluated has the potential to be a valuable resource in helping heart failure patients to understand and cope with their illness, and its self-management.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available