title: The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation.
abstract: To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation.
  
  
  
  A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care). The primary outcome was patients' self-reported self-management competence. Secondary outcomes included self-management health behaviour, health-related quality of life, and treatment satisfaction. Patients completed self-reported outcome measures at admission, discharge, and after 6 and 12 months.
  
  
  
  There was a significant small between-group intervention effect on certain dimension of patients' self-management competence (self-monitoring and insight) in short term (p<0.05). Furthermore, significant small effects were observed for treatment satisfaction at discharge as well as symptom monitoring after 6 months (p<0.05) and by trend on symptom monitoring and physical activity after 12 months.
  
  
  
  The patient-centred self-management program might be more effective in certain self-management outcomes than a usual care education in both short-term and long-term periods.
  
  
  
  Therefore, such programs may be considered for dissemination within cardiac rehabilitation.
authors.affiliation: Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany. Electronic address: k.meng@uni-wuerzburg.de.
authors.forename: Karin
authors.initials: K
authors.lastname: Meng
authors.affiliation: Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany.
authors.forename: Gunda
authors.initials: G
authors.lastname: Musekamp
authors.affiliation: Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Schuler
authors.affiliation: Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany.
authors.forename: Bettina
authors.initials: B
authors.lastname: Seekatz
authors.affiliation: Rehabilitation Center Seehof, Teltow, Berlin, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Glatz
authors.affiliation: Rehabilitation Hospital Heidelberg-Königstuhl, Heidelberg, Germany.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Karger
authors.affiliation: Rehabilitation Center Bad Nauheim-Rehabilitation Hospital Wetterau, Bad Nauheim, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kiwus
authors.affiliation: Rehabilitation Hospital Kirchberg-Klinik, Bad Lauterberg, Germany.
authors.forename: Ernst
authors.initials: E
authors.lastname: Knoglinger
authors.affiliation: Rehabilitation Hospital Möhnesee, Möhnesee, Germany.
authors.forename: Rainer
authors.initials: R
authors.lastname: Schubmann
authors.affiliation: Segeberger Kliniken GmbH, Rehabilitation Hospital, Bad Segeberg, Germany.
authors.forename: Ronja
authors.initials: R
authors.lastname: Westphal
authors.affiliation: Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany.
authors.forename: Hermann
authors.initials: H
authors.lastname: Faller
mesh_terms: D000368:Aged; D000072038:Cardiac Rehabilitation; D016000:Cluster Analysis; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D007297:Inpatients / Q000193:education*; D055118:Medication Adherence; D008875:Middle Aged; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D016896:Treatment Outcome
keywords: Cardiac rehabilitation; Chronic heart failure; Cluster-RCT; Evaluation; Patient education; Self-management