King's Theory-Based Multicomponent Interventions in Heart Failure Patient Rehabilitation

Brief summary (registry, in English)

Heart failure is a chronic health condition associated with high morbidity and hospital readmission rates, negatively affecting patients' self-care behaviors, physical activity levels, and quality of life. Although cardiac rehabilitation programs offer significant benefits, the sustainability of self-care behaviors in the home environment remains a major challenge. There is a limited number of theory-based intervention studies that integrate components such as spousal support, structured education, and telemonitoring. This study aims to examine the impact of an intervention-structured according to Imogene King's Theory of Goal Attainment and incorporating spousal support, education, and telemonitoring-on the self-care behaviors and physical activity levels of patients with heart failure during their rehabilitation process. The study will be conducted as a randomized controlled trial with a pre-test/post-test control group design. The sample will consist of patients with NYHA Class II-III heart failure who are enrolled in a cardiac rehabilitation program. Ethical approval and institutional authorization will be obtained prior to the study. At the outset, all participants will undergo a pre-test, and their sociodemographic and clinical data will be assessed. The intervention group will receive face-to-face education during the first two weeks to initiate a goal-setting process, followed by weekly video-based educational modules over the next six weeks. Throughout this period, patients' symptoms, weight, medication adherence, and physical activity levels will be monitored via WhatsApp-based telemonitoring and weekly telephone calls. An interim assessment will be conducted at the sixth week; the intervention will span a total of 12 weeks, concluding with a post-test at the 12th week. The control group will receive only routine care. The video educational modules will be prepared in alignment with the current ESC and AHA/ACC/HFSA guidelines and developed using AI-powered digital tools, such as Google Flow and NotebookLM. Data will be collected using the European Heart Failure Self-Care Behaviour Scale, the International Physical Activity Questionnaire, the Perceived Partner Responsiveness Scale, and a Weekly Goal and Data Tracking Form. The study is expected to contribute to the development of a feasible and sustainable nursing care approach within the cardiac rehabilitation process.

What you commit to

• Study type: Interventional
• Planned participants: 40
• From Dec 2026 to the primary completion date, Dec 2027
• 1 site in 1 country
• Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study design.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Who the study is looking for

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

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