TY - JOUR
T1 - Outcomes of nurse-led telecoaching intervention for patients with heart failure
T2 - A systematic review and meta-analysis of randomised controlled trials
AU - Imanuel Tonapa, Santo
AU - Inayati, Aini
AU - Sithichoksakulchai, Siriluk
AU - Daryanti Saragih, Ita
AU - Efendi, Ferry
AU - Chou, Fan Hao
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/5
Y1 - 2022/5
N2 - Background: Studies have identified that nurse-led telephone health coaching benefited the continuity of care in patients with heart failure. However, the effect of nurse-led telephone health coaching remains inconclusive among the previous studies. Aim: This review aimed to determine the effects of nurse-led telecoaching among patients with heart failure. Design: This study was a systematic review and meta-analysis of randomised controlled trials. This study was reported in accordance with the PRISMA guideline. Methods: Seven databases (PubMed, Embase, CINAHL, Web of Science, MEDLINE, Cochrane library and Ovid) were electronically searched up to 20 October 2020. The eligibility criteria were a randomised controlled trial study on heart failure patients, with the intervention led by a nurse through telephone coaching. Two authors independently evaluated the methodological quality using the modified Jadad scale. The Comprehensive Meta-Analysis software version 3.0 with a random effect model was used to conduct a meta-analysis, and Begg's and Egger's tests were performed to assess publication bias. Furthermore, sensitivity analysis was carried out. Results: A total of 12 randomised controlled trials were met eligibility criteria and representing 1938 heart failure patients. The results showed that the nurse-led telecoaching significantly enhanced patients’ self-care behaviour (SMD =.84, 95%CI [0.45–1.24], p <.001) and improved quality of life (SMD =.23, 95%CI [0.06–0.39], p =.007). Conclusion: Nurse-led telecoaching appears to enhance self-care behaviour and improve quality of life in patients with heart failure. Further research needs to build the evidence for nurse-led telecoaching intervention, including understanding its mechanisms of action (e.g. frequency, components) and identifying its moderating factors. Relevance to clinical practice: Implementation of nurse-led telecoaching is deemed helpful in promoting continuity of care because it was an accessible and sustainable intervention to improve patients’ self-care and quality of life.
AB - Background: Studies have identified that nurse-led telephone health coaching benefited the continuity of care in patients with heart failure. However, the effect of nurse-led telephone health coaching remains inconclusive among the previous studies. Aim: This review aimed to determine the effects of nurse-led telecoaching among patients with heart failure. Design: This study was a systematic review and meta-analysis of randomised controlled trials. This study was reported in accordance with the PRISMA guideline. Methods: Seven databases (PubMed, Embase, CINAHL, Web of Science, MEDLINE, Cochrane library and Ovid) were electronically searched up to 20 October 2020. The eligibility criteria were a randomised controlled trial study on heart failure patients, with the intervention led by a nurse through telephone coaching. Two authors independently evaluated the methodological quality using the modified Jadad scale. The Comprehensive Meta-Analysis software version 3.0 with a random effect model was used to conduct a meta-analysis, and Begg's and Egger's tests were performed to assess publication bias. Furthermore, sensitivity analysis was carried out. Results: A total of 12 randomised controlled trials were met eligibility criteria and representing 1938 heart failure patients. The results showed that the nurse-led telecoaching significantly enhanced patients’ self-care behaviour (SMD =.84, 95%CI [0.45–1.24], p <.001) and improved quality of life (SMD =.23, 95%CI [0.06–0.39], p =.007). Conclusion: Nurse-led telecoaching appears to enhance self-care behaviour and improve quality of life in patients with heart failure. Further research needs to build the evidence for nurse-led telecoaching intervention, including understanding its mechanisms of action (e.g. frequency, components) and identifying its moderating factors. Relevance to clinical practice: Implementation of nurse-led telecoaching is deemed helpful in promoting continuity of care because it was an accessible and sustainable intervention to improve patients’ self-care and quality of life.
KW - heart failure
KW - meta-analysis
KW - nurse
KW - quality of life
KW - self-care
KW - telenursing
UR - http://www.scopus.com/inward/record.url?scp=85114985505&partnerID=8YFLogxK
U2 - 10.1111/jocn.16025
DO - 10.1111/jocn.16025
M3 - Review article
AN - SCOPUS:85114985505
SN - 0962-1067
VL - 31
SP - 1125
EP - 1135
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 9-10
ER -