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dc.contributor.authorWhitty, Jennifer A
dc.contributor.authorCarrington, Melinda J
dc.contributor.authorStewart, Simon
dc.contributor.authorHolliday, Julie
dc.contributor.authorMarwick, Thomas H
dc.contributor.authorScuffham, Paul A
dc.date.accessioned2017-05-03T14:20:13Z
dc.date.available2017-05-03T14:20:13Z
dc.date.issued2012
dc.date.modified2012-09-21T04:19:02Z
dc.identifier.issn0889-4655
dc.identifier.urihttp://hdl.handle.net/10072/46988
dc.description.abstractBackground 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. KEY WORDS: heart failure, management program,
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.publisher.placeUnites States
dc.publisher.urihttp://journals.lww.com/jcnjournal/Abstract/2012/05000/Patient_Preferences_for_the_Delivery_of_Disease.3.aspx
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom201
dc.relation.ispartofpageto207
dc.relation.ispartofissue3
dc.relation.ispartofjournalJournal of Cardiovascular Nursing
dc.relation.ispartofvolume27
dc.rights.retentionY
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode4205
dc.titlePatient Preferences for the Delivery of Disease Management in Chronic Heart Failure: A Qualitative Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.date.issued2012
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.


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