title: Effect of behavioral management on quality of life in mild heart failure: a randomized controlled trial.
abstract: There has been a lack of research regarding nonpharmacologic interventions in heart failure. The objective was to determine the effect of behavioral management on health related quality of life (HRQL) in patients with heart failure. Participants (N = 116) were randomly assigned to one of two groups: usual care for heart failure (n = 58) and the 15-week behavioral management program (n = 58). Outcomes included exercise performance (6-min walk), physical and mental functioning (SF-36), general health perceptions (SF-36), and disease specific HRQL (Minnesota Living with Heart Failure Questionnaire-MLHF). Outcomes were assessed at baseline, 4, 10 and 16 months. Participants were mostly male (95%) and Caucasian (75%), with a mean age of 67 years (S.D. = 10). Intervention patients showed significantly improved self-reported disease specific HRQL (MLHF physical dimension scores) over time compared to control patients. There were no group differences in exercise performance, physical functioning, mental functioning or general health perceptions.
authors.affiliation: Veterans Affairs San Diego Healthcare System, Department of Nursing (118), 3350 La Jolla Village Dr., San Diego, CA 92161-4189, USA. martha.shively@med.va.gov
authors.forename: Martha
authors.initials: M
authors.lastname: Shively
authors.forename: Mary
authors.initials: M
authors.lastname: Kodiath
authors.forename: Tom L
authors.initials: TL
authors.lastname: Smith
authors.forename: Ann
authors.initials: A
authors.lastname: Kelly
authors.forename: Patricia
authors.initials: P
authors.lastname: Bone
authors.forename: Lizz
authors.initials: L
authors.lastname: Fetterly
authors.forename: Nancy
authors.initials: N
authors.lastname: Gardetto
authors.forename: Ralph
authors.initials: R
authors.lastname: Shabetai
authors.forename: Samuel
authors.initials: S
authors.lastname: Bozzette
authors.forename: Kathleen
authors.initials: K
authors.lastname: Dracup
mesh_terms: D000368:Aged; D001521:Behavior Therapy; D005260:Female; D015438:Health Behavior; D006333:Heart Failure / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011594:Psychometrics; D011788:Quality of Life; D020377:Self Efficacy; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires