Supporting self-management in heart failure patients with diabetes
Research type
Research Study
Full title
Supporting self-management in heart failure patients with diabetes
IRAS ID
136268
Contact name
Lihua Wu
Contact email
Sponsor organisation
University of Manchester
Research summary
Rationale
Heart failure is associated with unacceptably high morbidity and mortality rates and poor quality of life, 30 – 47% of patients with heart failure also suffer from diabetes which is one of the frequent co-morbid conditions. The co-existence of two long term conditions poses great challenges for self-management with patients needing to monitor multiple symptoms and physiological parameters, as well as compliance with complex treatment regimens as part of self-care. However little is known whether they receive adequate support from healthcare providers for their self-management of heart failure and diabetes, what are the difficulties of living with these two conditions, and what patients need to integrate self-management.Aims of the study
The aims of this project are to understand current self-management in heart failure patients with diabetes, to identify support received from healthcare providers and support needed to promote self-management, to identify any potential gaps in current nursing practice including both primary and secondary care services.Target population
Adult heart failure patients with documented diagnosis of diabetes.Health setting:
Heart Centres, diabetes treatment centres at Central Manchester NHS Foundation Trust and other trusts in North Ireland and Cambridge.Study design
Two stage descriptive study with mixed methods
Stage 1: consented patients with heart failure and diabetes will be asked to complete a questionnaire on their self care behaviors, self efficacy, mood and medication adherence related to heart failure and diabetes.
Stage 2: purposively selected participants (approximately 20-30) who have completed the questionnaires with willingness to attend an interview will be invited to an in depth Interview. The interview will last 30-60 minutes to explore patients’ perspectives of self management of heart failure and diabetes, difficulties in managing the two conditions, and their need for support from healthcare providers.REC name
London - Queen Square Research Ethics Committee
REC reference
13/LO/1562
Date of REC Opinion
4 Oct 2013
REC opinion
Further Information Favourable Opinion