Outcomes of nurse-led telecoaching intervention for patients with heart failure: A systematic review and meta-analysis of randomised controlled trials
Issued Date
2022-05-01
Resource Type
ISSN
09621067
eISSN
13652702
Scopus ID
2-s2.0-85114985505
Pubmed ID
34535943
Journal Title
Journal of Clinical Nursing
Volume
31
Issue
9-10
Start Page
1125
End Page
1135
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Clinical Nursing Vol.31 No.9-10 (2022) , 1125-1135
Suggested Citation
Imanuel Tonapa S., Inayati A., Sithichoksakulchai S., Daryanti Saragih I., Efendi F., Chou F.H. Outcomes of nurse-led telecoaching intervention for patients with heart failure: A systematic review and meta-analysis of randomised controlled trials. Journal of Clinical Nursing Vol.31 No.9-10 (2022) , 1125-1135. 1135. doi:10.1111/jocn.16025 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86800
Title
Outcomes of nurse-led telecoaching intervention for patients with heart failure: A systematic review and meta-analysis of randomised controlled trials
Other Contributor(s)
Abstract
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.