Background
Patient participation
Factors associated with patient participation
Rationale for the study
Aim
Methods
Design, participants and settings
Data collection procedure
Assessment
Socio-demographic and clinical characteristics
Participation
Self-care behavior
Knowledge
Symptoms of depression
Data analysis
Ethical considerations
Results
Sample and descriptive information
Socio-demographic and clinical characteristics | |
---|---|
Age mean (SD) | 81.7 (8.8) |
Male n | 62 |
Cohabitation n | 52 |
Housing n | |
Apartment | 80 |
Own house | 17 |
Block of service flats | 3 |
Home-help service n | 46 |
Education level n | |
Elementary, primary and secondary school | 67 |
High/trade school 2 years | 5 |
High-school 3–4 years | 10 |
Higher education/university | 18 |
Smoking n | |
Never smoked | 37 |
Stopped smoking > 1 year ago | 53 |
Stopped smoking > 1 month - < 1 year ago | 2 |
Smoke regularly | 8 |
Alcohol n | |
1 ≤ glass/week | 76 |
2-7 glasses/week | 20 |
>5 glasses/occasion | 3 |
missing | 1 |
NYHA class n | |
II | 12 |
III | 80 |
IV | 8 |
CCI mean (SD) | 4.0 (2.2) |
Blood pressure mean (SD) | |
Systolic | 121.3 (22.9) |
Diastolic | 67.3 (11.1) |
Pulse mean (SD) | 75.0 (11.6) |
Pulse rhythm n | |
regular | 39 |
irregular | 51 |
missing | 10 |
Medication n | |
ACEI/ARB | 72 |
β-blockers | 87 |
MRA | 49 |
Diuretics | 95 |
Patient participation over time
Variable | Time | ||||||
---|---|---|---|---|---|---|---|
Baseline (TI) | 1 month (T2) | 6 month (T3) | 12 month (T4) | F (df) | Main effect over time | Post-hoc a
| |
Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | P-value | |||
Patient involvement (n = 47) | 19.53 (3.44) | 19.28 (3.27) | 19.43 (3.04) | 20.21 (3.26) | 1.997 (3) | 0.117 | |
Information (n = 47) | 14.77 (3.43) | 15.96 (2.94) | 16.23 (3.29) | 16.15 (2.98) | 4.861 (3) | 0.003 | B p = 0.009 C p = 0.008 |
Patient needs (n = 48) | 23.60 (3.72) | 24.54 (3.31) | 24.60 (3.30) | 24.54 (3.31) | 1.998 (2.6)b
| 0.126b
| |
Overall satisfaction involvement (n = 49) | 7.82 (1.80) | 7.96 (1.64) | 7.84 (1.88) | 7.92 (1.64) | 0.153 (3) | 0.928 |
Factors associated with participation in care
Items | Patient involvement | Information | Patient needs | Overall satisfaction involvement |
---|---|---|---|---|
Patient involvement | ||||
Information | 0.35** | |||
Patient needs | 0.38*** | 0.62*** | ||
Overall satisfaction involvement | 0.22* | 0.32** | 0.49*** | |
Symptoms of depression | −0.04 | −0.13 | −0.32** | −0.34*** |
Self-care | −0.38*** | −0.44*** | −0.41*** | −0.29** |
Knowledge | 0.19 † | 0.20* | 0.23* | 0.11 |
Co-morbidity | −0.01 | −0.01 | 0.03 | 0.12 |
NYHA | 0.19† | 0.08 | −0.06 | −0.20† |
Sex | −0.13 | −0.19† | −0.17† | −0.10 |
Age | −0.30** | −0.10 | −0.01 | −0.02 |
Cohabitation | 0.33** | −0.04 | 0.10 | 0.19† |
Housing | −0.15 | −0.04 | 0.06 | −0.08 |
Home-help | −0.23* | 0.15 | −0.01 | −0.06 |
Education | 0.06 | 0.02 | 0.07 | −0.01 |
Outcome variable | Predictor variable | B (SE) a
| 95 % CI for B | P-value |
---|---|---|---|---|
Patient involvement (n = 96) | Self-care | −0.20 (0.05) | −0.30, −0.11 | <0.001 |
Cohabiting | 2.17 (0.68) | 0.82, 3.52 | 0.002 | |
Age | −0.08 (0.04) | −0.16, −0.01 | 0.032 | |
Model statistics F(3, 92) = 13.13, p < 0.001, R2 = 0.30 | ||||
Information (n = 96) | Self-care | −0.24 (0.05) | −0.33, −0.14 | <0.001 |
Knowledge | 0.39 (0.16) | 0.08, 0.70 | 0.014 | |
Female sex | −1.52 (0.67) | −2.85, −0.18 | 0.026 | |
Having home help | 1.61 (0.65) | 0.32, 2.90 | 0.015 | |
Model statistics F(4, 91) = 9.96, p < 0.001, R2 = 0.30 | ||||
Patient needs (n = 98) | Symptoms depression | −0.15 (0.06) | −0.27, −0.03 | 0.015 |
Self-care | −0.22 (0.05) | −0.33, −0.12 | <0.001 | |
Knowledge | 0.48 (0.17) | 0.14, 0.82 | 0.007 | |
Model statistics F (3, 94) = 12.14, p < 0.001, R2 = 0.28 | ||||
Overall satisfaction | Symptoms depression | −0.09 (0.03) | −0.15, −0.02 | 0.009 |
involvement (n = 98) | Self-care | −0.08 (0.03) | −0.14, −0.03 | 0.003 |
Cohabitation | 1.06 (0.37) | 0.32, 1.79 | 0.005 | |
NYHA III-IV | −1.01(0.58) | −2.17, 0.14 | 0.085 | |
Model statistics F(4,93) = 7.13, p<0.001, R2 = 0.24 |