Evidence map›Paper›PMID 42116856›Full record

ReviewSAGE open nursing

Effectiveness of Telehealth Care on Self-care Behaviours in Heart Failure Patients: Systematic Review and Meta-Analysis.

Lujain Adel Sallam, Nora Ghalib AlOtaibi, Omar Ghazi Baker

Abstract readReview
In one paragraph

Review in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lujain Adel SallamMedical Surgical Department, College of Nursing, King AbdulAziz University, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0002-3766-9520
Nora Ghalib AlOtaibiDepartment of Community Nursing, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID https://orcid.org/0000-0003-3383-2631
Omar Ghazi BakerCollege of Nursing, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-0370-2273

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heart failure (HF) is a chronic condition requiring ongoing management. Telehealth may improve HF outcomes. This review examines effects on complications, rehospitalizations, costs, and mortality. It aims to inform guidelines and policies. The objective is to evaluate and synthesize evidence about the effectiveness of telehealth interventions in improving self-care behaviours among HF patients. Method: A systematic review and meta-analysis of randomized controlled trials (RCTs) from PubMed, CINHAL, Web of Science, and manual search through Google Scholar from 2016 until March 2025. Continuous data were pooled using the standardized mean difference. ROB 2 criteria assessed bias risk, while JBI evaluated the evidence level. This review protocol has been registered in PROSPERO. Results: Ten studies were included, totaling 2,128 patients. A meta-analysis showed improved self-care behaviours across six studies using the European Self-care Scale. The Standardized Mean Difference was significant between intervention and usual care groups (SMD = 1.075, t = 3.637, p < 0.001; 95% CI [0.495, 1.655]). This indicated that interventions were associated with a very large effect size and almost certainly a clinically meaningful improvement in self-care behaviours compared to the control group. However, there was no difference in self-care behaviours across the Management, Maintenance, and Confidence subscales of the Self-care Heart Failure Index between groups. Discussion: This meta-analysis found that Telehealth care significantly improved self-care in HF patients across 6 studies, as measured by the European Self-care Measure. However, no differences were noted in four studies utilizing the heart failure index. Future studies should have larger sample sizes and longer follow-ups to evaluate telehealth care's effectiveness on self-care behaviours in HF patients. The findings of this review regarding telehealth interventions would empower nurses' ongoing health coaching and enhance the quality and accessibility of patient care.

Indexed as

effectivenessheart failureself-caresystematic reviewtelehealth intervention

Identifiers

PMID42116856
PMCPMC13157533

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.