Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study
IntroductionCongestive heart failure (CHF) causes significant morbidity and mortality. It is an epidemic, and costs are escalating. CHF is a chronic disease whose trajectory includes stable phases, periods of decompensation, and finally palliation. Health services and medical therapies must match th...
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2023-05-01
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author | Pupalan Iyngkaran Pupalan Iyngkaran Fahad Hanna Sharon Andrew John David Horowitz Malcolm Battersby Maximilian Pangratius De Courten |
author_facet | Pupalan Iyngkaran Pupalan Iyngkaran Fahad Hanna Sharon Andrew John David Horowitz Malcolm Battersby Maximilian Pangratius De Courten |
author_sort | Pupalan Iyngkaran |
collection | DOAJ |
description | IntroductionCongestive heart failure (CHF) causes significant morbidity and mortality. It is an epidemic, and costs are escalating. CHF is a chronic disease whose trajectory includes stable phases, periods of decompensation, and finally palliation. Health services and medical therapies must match the various patient needs. Chronic disease self-management (CDSM) programmes that are patient-focused, identify problems and set actionable goals that appear as a logical, cost-friendly method to navigate patient journeys. There have been challenges in standardising and implementing CHF programmes.Methods and analysisSELFMAN-HF is a prospective, observational study to evaluate the feasibility and validity of the SCRinHF tool, a one-page self-management and readmission risk prediction tool for CHF, with an established, comprehensive CDSM tool. Eligible patients will have CHF with left ventricular ejection fraction <40% and commenced sodium glucose co-transporter-2 inhibitors (SGLT2-i) within 6 months of recruitment. The primary endpoint is the 80% concordance in readmission risk predicted by the SCRinHF tool. The study will recruit >40 patients and is expected to last 18 months.Ethics and disseminationThis study has been approved by the St Vincent’s ethics committee (approval no. LRR 177/21). All participants will complete a written informed consent prior to enrolment in the study. The study results will be disseminated widely via local and international health conferences and peer-reviewed publications. |
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institution | Directory Open Access Journal |
issn | 2296-858X |
language | English |
last_indexed | 2024-03-13T07:52:06Z |
publishDate | 2023-05-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Medicine |
spelling | doaj.art-7371b48b8ba44214a12578fd8890e6592023-06-02T13:22:05ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.10597351059735Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational studyPupalan Iyngkaran0Pupalan Iyngkaran1Fahad Hanna2Sharon Andrew3John David Horowitz4Malcolm Battersby5Maximilian Pangratius De Courten6Heart Failure & Cardiac Imaging, Torrens University, Melbourne, VIC, AustraliaWerribee Mercy Sub School, School of Medicine, University of Notre Dame, Werribee, VIC, AustraliaPublic Health, Torrens University Australia, Melbourne, VIC, AustraliaInstitute of Health and Sport, Victoria University, Melbourne, VIC, AustraliaBasil Hetzel Institute for Translational Health Research, University of Adelaide, Adelaide, SA, AustraliaFlinders Health and Medical Research Institute, Southern Adelaide Local Health Network Mental Health Service, College of Medicine and Public Health, Flinders University, Bedford Park, SA, AustraliaMitchell Institute, Victoria University, Melbourne, VIC, AustraliaIntroductionCongestive heart failure (CHF) causes significant morbidity and mortality. It is an epidemic, and costs are escalating. CHF is a chronic disease whose trajectory includes stable phases, periods of decompensation, and finally palliation. Health services and medical therapies must match the various patient needs. Chronic disease self-management (CDSM) programmes that are patient-focused, identify problems and set actionable goals that appear as a logical, cost-friendly method to navigate patient journeys. There have been challenges in standardising and implementing CHF programmes.Methods and analysisSELFMAN-HF is a prospective, observational study to evaluate the feasibility and validity of the SCRinHF tool, a one-page self-management and readmission risk prediction tool for CHF, with an established, comprehensive CDSM tool. Eligible patients will have CHF with left ventricular ejection fraction <40% and commenced sodium glucose co-transporter-2 inhibitors (SGLT2-i) within 6 months of recruitment. The primary endpoint is the 80% concordance in readmission risk predicted by the SCRinHF tool. The study will recruit >40 patients and is expected to last 18 months.Ethics and disseminationThis study has been approved by the St Vincent’s ethics committee (approval no. LRR 177/21). All participants will complete a written informed consent prior to enrolment in the study. The study results will be disseminated widely via local and international health conferences and peer-reviewed publications.https://www.frontiersin.org/articles/10.3389/fmed.2023.1059735/fullcongestive heart failureFlinders programmixed methods research methodologyprotocolrisk assessmentself-management |
spellingShingle | Pupalan Iyngkaran Pupalan Iyngkaran Fahad Hanna Sharon Andrew John David Horowitz Malcolm Battersby Maximilian Pangratius De Courten Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study Frontiers in Medicine congestive heart failure Flinders program mixed methods research methodology protocol risk assessment self-management |
title | Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study |
title_full | Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study |
title_fullStr | Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study |
title_full_unstemmed | Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study |
title_short | Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study |
title_sort | comparison of short and long forms of the flinders program of chronic disease self management for participants starting sglt 2 inhibitors for congestive heart failure selfman hf protocol for a prospective observational study |
topic | congestive heart failure Flinders program mixed methods research methodology protocol risk assessment self-management |
url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1059735/full |
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