Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program
Abstract Background Self-care practices among people with heart failure (HF) remain suboptimal. Nurse-led self-care interventions hold promise in managing this condition. The Common-Sense Model (CSM) of Self-Regulation is a widely adopted theoretical framework that promotes behavior change and impro...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-025-02722-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832585896474443776 |
|---|---|
| author | Zehao Huang Sek Ying Chair |
| author_facet | Zehao Huang Sek Ying Chair |
| author_sort | Zehao Huang |
| collection | DOAJ |
| description | Abstract Background Self-care practices among people with heart failure (HF) remain suboptimal. Nurse-led self-care interventions hold promise in managing this condition. The Common-Sense Model (CSM) of Self-Regulation is a widely adopted theoretical framework that promotes behavior change and improves disease prognosis among patients. Therefore, this study aimed to describe the development and pilot testing of a nurse-led CSM of Self-Regulation-based self-care intervention among people with HF. Methods Intervention development was informed by a comprehensive review of the relevant literature, the CSM of self-regulation, international and national guidelines, and findings from our previous systematic reviews. The pilot study utilized a single-blinded, two-arm, parallel group, randomized controlled trial (RCT) design, adhering to the CONSORT Statement. Eligible participants were randomly assigned at a 1:1 ratio to either the intervention group or the control group. Data were collected at baseline and immediately after the intervention, with a focus on evaluating feasibility, acceptability, and potential effects. Results We developed and validated a nurse-led, theory-driven, evidence-based, and need-oriented HF self-care program. A total of 26 participants were enrolled in the pilot study, achieving an eligibility of 79.4%, a recruitment rate of 96.3%, and a retention rate of 92.3%. Most participants (83.3%) recognized the benefits of the intervention. The intervention significantly improved illness perceptions, self-care self-efficacy, and self-care behaviors among people with HF. Conclusion The nurse-led CSM of Self-Regulation-based self-care intervention is feasible, acceptable, and potentially beneficial for people with HF. A full-scale mixed-method RCT is recommended to further examine the intervention’s effectiveness. Trial registration Chinese Clinical Trial Registry (No., ChiCTR2300068156; February 9, 2023). |
| format | Article |
| id | doaj-art-1bc30206cdc449ce9dd206116e22a510 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-1bc30206cdc449ce9dd206116e22a5102025-01-26T12:22:40ZengBMCBMC Nursing1472-69552025-01-0124111110.1186/s12912-025-02722-9Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care programZehao Huang0Sek Ying Chair1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongAbstract Background Self-care practices among people with heart failure (HF) remain suboptimal. Nurse-led self-care interventions hold promise in managing this condition. The Common-Sense Model (CSM) of Self-Regulation is a widely adopted theoretical framework that promotes behavior change and improves disease prognosis among patients. Therefore, this study aimed to describe the development and pilot testing of a nurse-led CSM of Self-Regulation-based self-care intervention among people with HF. Methods Intervention development was informed by a comprehensive review of the relevant literature, the CSM of self-regulation, international and national guidelines, and findings from our previous systematic reviews. The pilot study utilized a single-blinded, two-arm, parallel group, randomized controlled trial (RCT) design, adhering to the CONSORT Statement. Eligible participants were randomly assigned at a 1:1 ratio to either the intervention group or the control group. Data were collected at baseline and immediately after the intervention, with a focus on evaluating feasibility, acceptability, and potential effects. Results We developed and validated a nurse-led, theory-driven, evidence-based, and need-oriented HF self-care program. A total of 26 participants were enrolled in the pilot study, achieving an eligibility of 79.4%, a recruitment rate of 96.3%, and a retention rate of 92.3%. Most participants (83.3%) recognized the benefits of the intervention. The intervention significantly improved illness perceptions, self-care self-efficacy, and self-care behaviors among people with HF. Conclusion The nurse-led CSM of Self-Regulation-based self-care intervention is feasible, acceptable, and potentially beneficial for people with HF. A full-scale mixed-method RCT is recommended to further examine the intervention’s effectiveness. Trial registration Chinese Clinical Trial Registry (No., ChiCTR2300068156; February 9, 2023).https://doi.org/10.1186/s12912-025-02722-9Heart failureSelf-careIntervention developmentPilot study |
| spellingShingle | Zehao Huang Sek Ying Chair Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program BMC Nursing Heart failure Self-care Intervention development Pilot study |
| title | Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program |
| title_full | Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program |
| title_fullStr | Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program |
| title_full_unstemmed | Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program |
| title_short | Development and pilot testing of a nurse-led common-sense model of self-regulation-based heart failure self-care program |
| title_sort | development and pilot testing of a nurse led common sense model of self regulation based heart failure self care program |
| topic | Heart failure Self-care Intervention development Pilot study |
| url | https://doi.org/10.1186/s12912-025-02722-9 |
| work_keys_str_mv | AT zehaohuang developmentandpilottestingofanurseledcommonsensemodelofselfregulationbasedheartfailureselfcareprogram AT sekyingchair developmentandpilottestingofanurseledcommonsensemodelofselfregulationbasedheartfailureselfcareprogram |