A randomized controlled trial to evaluate an educational strategy involving community health volunteers in improving self-care in patients with chronic heart failure: Rationale, design and methodology

Soraya Siabani, Tim Driscoll, Patricia M. Davidson, Stephen R. Leeder

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Chronic heart failure (CHF) is an increasingly important health problem worldwide. Effective self-care can improve the outcomes and quality of life in patients with CHF. Acknowledging the important role of educational interventions for improving self-care, we sought to assess a new educational strategy involving community health volunteers (CHVs) that could reduce the cost and, hypothetically, increase the effectiveness of self-care education in patients with CHF.

Methods/Design: In this ongoing three-arm controlled trial, approved by two human research ethics committees in Australia and Iran, 231 patients with CHF registered at a referral cardiovascular hospital in Iran were randomly allocated into three groups -trained by community health volunteers at patients’ homes, rained by formal health professionals at hospital; and a control group with no formal educational exposure. Data obtained through interviewing participants and using the Persian self-care of CHF index (pSCHFI) before and two months after interventions will be analysed using SAS and SPSS.

Discussion: The results of this study may help health service systems, especially in countries with limited resources, make use of community volunteers to teach patients with CHF to develop self-care behaviors and skills, reducing the cost of care and improving CHF outcomes. Also, this home-based educational strategy using face-to-face training, if successful, may provide psychosocial supports for patients suffering from chronic illnesses.

Trial registration number: ACTRN12614000788673(Australian New Zealand Clinical Trials Registry).

Original languageEnglish (US)
Article number689
JournalSpringerPlus
Volume3
Issue number1
DOIs
StatePublished - 2014

Keywords

  • Adherence to treatment
  • Chronic illnesses
  • Community health workers
  • Congestive heart failure
  • Health education
  • Home-based education
  • Medical adherence
  • Self-management

ASJC Scopus subject areas

  • General

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