title: Long Term Follow-Up after a Randomized Integrated Educational and Psychosocial Intervention in Patient-Partner Dyads Affected by Heart Failure.
abstract: BACKGROUND
  To date, contemporary heart failure care remains patient-focused, but awareness of the partners' and families' situation is increasing. Randomized studies have mainly evaluated the short-term effects of dyadic interventions. Therefore, the aim of this study was to determine the 24-month effects of an intervention with psych-educational support in dyads of heart failure patients and their partners.
  
  
  METHODS
  This study used a randomized study design and 155 patient-partner dyads were enrolled. The intervention included a nurse-led program of three sessions addressing psychoeducational support.
  
  
  RESULTS
  The intervention did not have any effect on health, depressive symptoms or perceived control among the patient-partner dyads after 24 months. Furthermore, time to first event did not differ significantly between the intervention group and the control patients.
  
  
  CONCLUSIONS
  This study may be regarded as a first step in trying to understand dyads' need for supportive care. Individualized and more targeted interventions seem necessary to achieve a higher impact on dyad outcomes.
  
  
  BACKGROUND
  ClinicalTrials.gov NCT02398799.
authors.affiliation: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Liljeroos
authors.affiliation: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Department of Cardiothoracic Surgery, County Council of Östergötland, Linköping, Sweden.
authors.forename: Susanna
authors.initials: S
authors.lastname: Ågren
authors.affiliation: Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
authors.forename: Tiny
authors.initials: T
authors.lastname: Jaarsma
authors.affiliation: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; School of Health and Caring Sciences, Faculty of Health, Social Work and Behavioral Sciences, Linnaeus University, Kalmar, Sweden; Palliative Research Centre, Ersta Sköndal University Collage and Ersta Hospital, Stockholm, Sweden.
authors.forename: Kristofer
authors.initials: K
authors.lastname: Årestedt
authors.affiliation: Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Department of Cardiology, County Council of Östergötland, Linköping, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Strömberg
mesh_terms: D000328:Adult; D000368:Aged; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D000067250:Psychiatric Rehabilitation