Can J Occup Ther. 2023 Mar;90(1):15-24. doi: 10.1177/00084174221130167. Epub 2022 Oct 20.
Patients with heart failure (HF) usually experience functional disabilities and face participation challenges. Self-care behavior is an essential component of long-term management of HF. This study aims to investigate the effect of occupational performance coaching (OPC) on self-care behaviors and participation in people with HF. This study is a parallel group, single-blind, randomized controlled trial of 44 adults with HF, to evaluate the efficacy of OPC. Patients will be randomly allocated (1:1) into two groups. Both groups will receive usual self-care education and the intervention group will receive eight weekly sessions of OPC as well. We will measure the primary and secondary outcomes at baseline, 8, and 12 weeks after the intervention initiation. If OPC is superior to usual self-care education on improving self-care behavior and participation, the finding will support the integration of OPC into practice to improve participation and self-care behaviors of HF patients.
心力衰竭(HF)患者通常会出现功能障碍,并面临参与挑战。自我护理行为是 HF 长期管理的重要组成部分。本研究旨在探讨职业表现辅导(OPC)对 HF 患者自我护理行为和参与度的影响。这是一项平行组、单盲、随机对照试验,共纳入 44 名 HF 成年人,评估 OPC 的疗效。患者将被随机分配(1:1)到两组。两组均接受常规自我护理教育,干预组还将接受 8 周的 OPC 每周 1 次。我们将在干预开始后 8 周和 12 周测量主要和次要结局。如果 OPC 在改善自我护理行为和参与度方面优于常规自我护理教育,那么这一发现将支持将 OPC 纳入实践,以提高 HF 患者的参与度和自我护理行为。