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Whitty, Jennifer A. 
ORCID: https://orcid.org/0000-0002-5886-1933, Carrington, Melinda J., Stewart, Simon, Holliday, Julie, Marwick, Thomas H. and Scuffham, Paul A.
(2012)
Patient preferences for the delivery of disease management in chronic heart failure: A qualitative study.
Journal of Cardiovascular Nursing, 27 (3).
pp. 201-207.
ISSN 0889-4655
Abstract
Background and Research Objective: Chronic heart failure (CHF) management programs (CHF-MPs) are applied in different ways including via face-to-face settings. However, we know little about consumer preferences when applying CHF-MPs via a patient’s home or specialist hospital clinic. The aim of this pilot study was to explore CHF-MP characteristics that are considered desirable by patients with CHF. Subject and Methods: Semistructured interviews with a purposive sample of 12 CHF patients. Results: Participants had a mean age of 61 (SD, 17) years, 3 were female, and the majority was of white background. Most were assessed as either functional New York Heart Association class III (n = 3) or IV (n = 6). Home- and clinic-based CHF-MPs were preferred by 5 and 7 participants, respectively. Key themes around patient preferences related to practical aspects of program delivery and social and peer support, as well as health-related benefits that translate to traditional outcomes in program evaluations. Participants identified transport, cost, and ill health as barriers to attending a clinic-based program. However, they also highlighted benefits (eg, the ability to share experiences with other patients) that may be difficult to provide with a home-based service unless specifically organized. Conclusions: These preliminary data suggest that patients value aspects of a program beyond those directly related to health outcomes. They also recognize a need for flexibility in program delivery, with potential preferences for home- or clinic-based programs depending largely on individual patient circumstances. More definitive studies are required to explore how best to cater for individual preferences while optimizing health outcomes.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Respiratory and Airways Group Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) |
| Depositing User: | Pure Connector |
| Date Deposited: | 27 Apr 2016 15:02 |
| Last Modified: | 10 Nov 2022 14:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/58443 |
| DOI: | 10.1097/JCN.0b013e31821abf22 |
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