Examination of the Effectiveness of Education Based on Collaborative Care Model in Improving Health-Promoting Behaviors of Patients with Heart Failure

Semko Mohammadzadeh,Nazila Olyaie,Reza Ghanei Gheshlagh*

Introduction: Heart failure is a life-threatening condition and one the most common cardiovascular diseases. Health promoting behaviors have an essential role in empowering patients to engage in health behaviors. The main goal of the present study was to examine the effectiveness of education based on collaborative care model in improving health-promoting behaviors of patients with heart failure.

Methods: This was a randomized clinical trial. The sample included a total of 60 patients with heart failure who were selected using a convenience sampling method, and randomly and equally divided into two groups of experimental and control. The data was gathered using the demographic questionnaire and the Health-Promoting Lifestyle Profile II. For three months, the experimental group received the education based on collaborative care model, and the control group received routine training. The data was analyzed using descriptive and inferential statistics. All analyses were performed using SPSS, version 21.

Results: There was no significant difference between the experimental and control groups in demographic variables. Before the intervention, no difference was found between the two groups in the health-promoting behaviors total score (129.78±20.21 vs 132.33±23.07] (P=0.373]. However, after the intervention, the mean scores on all health-promoting behaviors dimensions, except for self-actualization (P=0062] and stress management (P=0.069], were significantly higher for the experimental group than the control group (152.32±17.28 vs 135.43±21.56] (P=0.373].

Conclusion: Education based on collaborative care model is effective in improving health-promoting behaviors of patients with heart failure. Therefore, we suggest healthcare providers and planners should consider this model in their efforts to improve health-promoting behaviors in this group of patients.