TY - JOUR
T1 - Context matters in heart failure self-care
T2 - A qualitative systematic review
AU - Strachan, Patricia H.
AU - Currie, Kay
AU - Harkness, Karen
AU - Spaling, Melisa
AU - Clark, Alexander M.
N1 - Funding Information:
Funding: This work was supported by a CIHR Knowledge Synthesis Grant ( 0014331 ). Karen Harkness is supported by a Research Early Career Award by the Hamilton Health Sciences .
PY - 2014/6
Y1 - 2014/6
N2 - Background The aim of this work was to identify the main contextual factors and processes that influence patients' self-care of heart failure (HF). Methods and Results A systematic review was conducted with the use of qualitative meta-synthesis. Ten databases were searched up to March 19, 2012. Of the 1,421 papers identified by the systematic search, 45 studies were included in this meta-synthesis. To be included, studies had to contain a qualitative research component, data pertaining to self-care of HF from adults (≥ 18 y) and be published as full papers or theses since 1995. These studies involved: 1,398 patients (mean age 65.9 y), 180 caregivers, and 63 health professionals. Six main types of contextual factors were found to influence HF self-care in the studies: caregivers; social networks and social support; place; finances and financial capacity; work and occupation; and HF support groups and programs. Conclusion HF self-care is influenced by contextual elements that fall outside of traditional elements of a HF self-care program. Inclusion of these elements may help to address the current concerns about poor adherence to self-management programs.
AB - Background The aim of this work was to identify the main contextual factors and processes that influence patients' self-care of heart failure (HF). Methods and Results A systematic review was conducted with the use of qualitative meta-synthesis. Ten databases were searched up to March 19, 2012. Of the 1,421 papers identified by the systematic search, 45 studies were included in this meta-synthesis. To be included, studies had to contain a qualitative research component, data pertaining to self-care of HF from adults (≥ 18 y) and be published as full papers or theses since 1995. These studies involved: 1,398 patients (mean age 65.9 y), 180 caregivers, and 63 health professionals. Six main types of contextual factors were found to influence HF self-care in the studies: caregivers; social networks and social support; place; finances and financial capacity; work and occupation; and HF support groups and programs. Conclusion HF self-care is influenced by contextual elements that fall outside of traditional elements of a HF self-care program. Inclusion of these elements may help to address the current concerns about poor adherence to self-management programs.
KW - Heart failure
KW - context
KW - meta-synthesis
KW - self-care
UR - http://www.scopus.com/inward/record.url?scp=84901721294&partnerID=8YFLogxK
U2 - 10.1016/j.cardfail.2014.03.010
DO - 10.1016/j.cardfail.2014.03.010
M3 - Review article
C2 - 24735549
AN - SCOPUS:84901721294
SN - 1071-9164
VL - 20
SP - 448
EP - 455
JO - Journal of Cardiac Failure
JF - Journal of Cardiac Failure
IS - 6
ER -