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Patient participation in patients with heart failure receiving structured home care - a prospective longitudinal study

Overview of attention for article published in BMC Health Services Research, December 2014
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Title
Patient participation in patients with heart failure receiving structured home care - a prospective longitudinal study
Published in
BMC Health Services Research, December 2014
DOI 10.1186/s12913-014-0633-y
Pubmed ID
Authors

Lena Näsström, Tiny Jaarsma, Ewa Idvall, Kristofer Årestedt, Anna Strömberg

Abstract

BackgroundPatient participation is important for improving outcomes, respect for self-determination and legal aspects in care. However, how patients with heart failure view participation and which factors may be associated with participation is not known. The aim of this study was therefore to describe the influence of structured home care on patient participation over time in patients diagnosed with heart failure, and to explore factors associated with participation in care.MethodsThe study had a prospective pre-post longitudinal design evaluating the influence of structured home care on participation in patients at four different home care units. Patient participation was measured using 3 scales and 1 single item. Self-care behavior, knowledge, symptoms of depression, socio- demographic and clinical characteristics were measured to explore factors associated with patient participation. Repeated measure ANOVA was used to describe change over time, and stepwise regression analyses were used to explore factors associated with patient participation.ResultsOne hundred patients receiving structured heart failure home care were included. Mean age was 82 years, 38 were women and 80 were in New York Heart Association functional class III. One aspect of participation, received information, showed a significant change over time and had increased at both six and twelve months. Better self-care behavior was associated with all four scales measuring different aspects of participation. Experiencing lower degree of symptoms of depression, having better knowledge, being of male sex, being of lower age, cohabiting and having home help services were associated with one or two of the four scales measuring different aspects of participation.ConclusionPatients experienced a fairly high level of satisfaction with participation in care at baseline, and there was a significant improvement over time for participation with regard to received information after being admitted to structured home care. Higher level of patient participation was consistently associated with better self-care behavior. This study shows that patient participation may need to be further focused upon, and that the association with self-care may be interesting to target in future interventions.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 88 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Unknown 87 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 24%
Student > Ph. D. Student 9 10%
Student > Bachelor 9 10%
Student > Doctoral Student 8 9%
Researcher 7 8%
Other 14 16%
Unknown 20 23%
Readers by discipline Count As %
Nursing and Health Professions 21 24%
Medicine and Dentistry 19 22%
Psychology 8 9%
Social Sciences 6 7%
Agricultural and Biological Sciences 2 2%
Other 9 10%
Unknown 23 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 December 2014.
All research outputs
#18,387,239
of 22,775,504 outputs
Outputs from BMC Health Services Research
#6,461
of 7,622 outputs
Outputs of similar age
#255,986
of 353,309 outputs
Outputs of similar age from BMC Health Services Research
#107
of 124 outputs
Altmetric has tracked 22,775,504 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,622 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 7th percentile – i.e., 7% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 353,309 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 124 others from the same source and published within six weeks on either side of this one. This one is in the 7th percentile – i.e., 7% of its contemporaries scored the same or lower than it.