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class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Barbara Riegel</h3></div><div class="js-work-strip profile--work_container" data-work-id="104469481"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/104469481/Patterns_and_predictors_of_patient_and_caregiver_engagement_in_heart_failure_care_A_multi_level_dyadic_study"><img alt="Research paper thumbnail of Patterns and predictors of patient and caregiver engagement in heart failure care: A multi-level dyadic study" class="work-thumbnail" src="https://attachments.academia-assets.com/104190640/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/104469481/Patterns_and_predictors_of_patient_and_caregiver_engagement_in_heart_failure_care_A_multi_level_dyadic_study">Patterns and predictors of patient and caregiver engagement in heart failure care: A multi-level dyadic study</a></div><div class="wp-workCard_item"><span>International Journal of Nursing Studies</span><span>, 2014</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Heart failure is a burdensome clinical syndrome, and patients and their caregivers ar...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Heart failure is a burdensome clinical syndrome, and patients and their caregivers are responsible for the vast majority of heart failure care. Objectives: This study aimed to characterize naturally occurring archetypes of patientcaregiver dyads with respect to patient and caregiver contributions to heart failure selfcare, and to identify patient-, caregiver-and dyadic-level determinants thereof. Design: Dyadic analysis of cross-sectional data on patients and their caregivers. Setting: Outpatient heart failure clinics in 28 Italian provinces. Participants: 509 Italian heart failure patients and their primary caregivers. Methods: Multilevel and mixture modeling were used to generate dyadic averages and incongruence in patient and caregiver contributions to heart failure self-care and identify common dyadic archetypes, respectively. Results: Three distinct archetypes were observed. 22.4% of dyads were labeled as novice and complementary because patients and caregivers contributed to different aspects of heart failure self-care that was generally poor; these dyads were predominantly older adults with less severe heart failure and their adult child caregivers. 56.4% of dyads were labeled as inconsistent and compensatory because caregivers reported greater contributions to the areas of self-care most insufficient on the part of the patients; patients in these dyads had the highest prevalence of hospitalizations for heart failure in the past year and the fewest limitations to performing activities of daily living independently. Finally, 21.2% of dyads were labeled as expert and collaborative because of high contributions to all aspects of heart failure self-care, the best relationship quality and lowest caregiver strain compared with the other archetypes; patients in this archetype were likely the sickest because they also had the worst heart failure-related quality of life. Conclusion: Three distinct archetypes of dyadic contributions to heart failure care were observed that represent a gradient in the level of contributions to self-care, in addition to different approaches to working together to manage heart failure. Interventions and</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="723025a20208f2097f6bd47e0eec0191" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":104190640,"asset_id":104469481,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/104190640/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="104469481"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="104469481"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 104469481; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="100689723"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/100689723/Determinants_of_Heart_Failure_Self_Care_Maintenance_and_Management_in_Patients_and_Caregivers_A_Dyadic_Analysis"><img alt="Research paper thumbnail of Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis" class="work-thumbnail" src="https://attachments.academia-assets.com/101441240/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/100689723/Determinants_of_Heart_Failure_Self_Care_Maintenance_and_Management_in_Patients_and_Caregivers_A_Dyadic_Analysis">Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis</a></div><div class="wp-workCard_item"><span>Research in Nursing &amp; Health</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Disease self-management is a critical component of maintaining clinical stability for patients wi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Disease self-management is a critical component of maintaining clinical stability for patients with chronic illness. This is particularly evident in the context of heart failure (HF), which is the leading cause of hospitalization for older adults. HF self-management, commonly known as HF self-care, is often performed with the support of informal caregivers. However, little is known about how HF dyads manage the patient's care together. The purpose of this study was to identify determinants of patient and caregiver contributions to HF self-care maintenance (i.e., daily adherence and symptom monitoring) and management (i.e., appropriate recognition & response to symptoms), utilizing an approach that controls for dyadic interdependence. This was a secondary analysis of cross-sectional data from 364 Italian HF patients and caregivers. Multilevel modeling was used to identify determinants of HF self-care within patient-caregiver dyads. Patients were 76.2 (SD=10.7) years, a slight majority (56.9%) was male, while caregivers were 57.4 (SD=14.6) years, and fewer than half (48.1%) were male. Most caregivers were adult children (48.4%) or spouses (32.7%) of patients. Both patients and caregivers reported low levels of HF maintenance and management behaviors. Several significant individual and dyadic determinants of self-care maintenance and self-care management were identified, including gender, quality of life, comorbid burden, impaired ADLs, cognition, hospitalizations, HF duration, relationship type, relationship quality, and social support. These comprehensive dyadic models assist in elucidating the complex nature of patient-caregiver relationships and their influence on HF self-care, leading to more effective ways to intervene and maximize outcomes.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0e8902e8d6baa6bdceb725c0d520d14f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":101441240,"asset_id":100689723,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/101441240/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="100689723"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="100689723"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 100689723; 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Copies of the full text and t...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The full text is published on the ACC and AHA World Wide Web sites. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185794"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185794/ACC_AHA_2007_Guidelines_for_the_Management_of_Patients_With_Unstable_Angina_Non_ST_Elevation_Myocardial_Infarction"><img alt="Research paper thumbnail of ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non鈥揝T-Elevation Myocardial Infarction" class="work-thumbnail" src="https://attachments.academia-assets.com/98877054/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185794/ACC_AHA_2007_Guidelines_for_the_Management_of_Patients_With_Unstable_Angina_Non_ST_Elevation_Myocardial_Infarction">ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non鈥揝T-Elevation Myocardial Infarction</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The guidelines will be reviewed annually by the ACC/ AHA Task Force on Practice Guidelines and wi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The guidelines will be reviewed annually by the ACC/ AHA Task Force on Practice Guidelines and will be considered current unless they are updated, revised, or sunsetted and withdrawn from distribution. The executive summary and recommendations are published in the August 7, 2007, issue of the Journal of the American College of Cardiology and August 7, 2007, issue of Circulation. The full-text guidelines are e-published in the same issue of the journals noted above, as well as posted on the ACC (<a href="http://www.acc.org" rel="nofollow">www.acc.org</a>) and AHA (<a href="http://www.americanheart.org" rel="nofollow">www.americanheart.org</a>) World Wide Web sites. Copies of the full text and the executive summary are available from both organizations.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="9f7e898055e1de225049267e2507e3c6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877054,"asset_id":97185794,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877054/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185794"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185794"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185794; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185793"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185793/Decision_Making_in_Advanced_Heart_Failure"><img alt="Research paper thumbnail of Decision Making in Advanced Heart Failure" class="work-thumbnail" src="https://attachments.academia-assets.com/98877097/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185793/Decision_Making_in_Advanced_Heart_Failure">Decision Making in Advanced Heart Failure</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2012</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">S hared decision making for advanced heart failure has become both more challenging and more cruc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">S hared decision making for advanced heart failure has become both more challenging and more crucial as duration of disease and treatment options have increased. High-quality decisions are chosen from medically reasonable options and are aligned with values, goals, and preferences of an informed patient. The top 10 things to know about decision making in advanced heart failure care are listed in Table 1. Why Shared Decision Making? Providers have an ethical and legal mandate to involve patients in medical decisions. Shared decision making recognizes that there are complex trade-offs in the choice of medical care. 1 Shared decision making also addresses the ethical need to fully inform patients about the risks and benefits of treatments. 2 In the setting of multiple reasonable options for medical care, shared decision making involves clinicians working with patients to ensure that patients' values, goals, and preferences guide informed decisions that are right for each individual patient. Grounded in the ethical principle of autonomy, 3 judicial decisions (eg, Cruzan v Missouri Department of Health 4) and legislative actions (eg, the Patient Self-Determination Act 5) have repeatedly affirmed the rights of patients or duly appointed surrogates to choose their medical therapy from among reasonable options. 6 The formal process of informed consent before procedural interventions is an embodiment of this concept in that it underscores the clinician's obligation to ensure that the patient has the opportunity to be informed. 3 An informed patient is one who is aware of the diagnosis and prognosis, the nature of the proposed intervention, the risks and benefits of that intervention, and all reasonable alternatives and their associated risks and benefits. 7 A major purpose of a high-functioning healthcare system is to provide the resources with which an activated, informed patient can engage in productive discussions with a proactive, prepared healthcare team. 8 Shared decision making moves beyond informed consent. It asks that clinicians and patients share information with each other and work toward patient-centered decisions about The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4543fccda010d47100625990bff442f7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877097,"asset_id":97185793,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877097/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185793"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185793"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185793; 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Analgesia</span><span>, 2010</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c09ae0e75f010925e4496f89278d150e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877096,"asset_id":97185790,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877096/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185790"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185790"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185790; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "c09ae0e75f010925e4496f89278d150e" } } $('.js-work-strip[data-work-id=97185790]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97185790,"title":"2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease","internal_url":"https://www.academia.edu/97185790/2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR_STS_SVM_Guidelines_for_the_Diagnosis_and_Management_of_Patients_with_Thoracic_Aortic_Disease","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":98877096,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/98877096/thumbnails/1.jpg","file_name":"6bab5275d0bb963e4f04c968fa92bb4dd73b.pdf","download_url":"https://www.academia.edu/attachments/98877096/download_file","bulk_download_file_name":"2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/98877096/6bab5275d0bb963e4f04c968fa92bb4dd73b-libre.pdf?1676858903=\u0026response-content-disposition=attachment%3B+filename%3D2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR.pdf\u0026Expires=1740695983\u0026Signature=UPXy8qzfqV64GYPY14Dci3sVmnIQtE5~o8FsMzk8sfT91XcRZFmE3sEGszqxDVCC1KAy8ycwTZOimOtbnc921ND-VMfs5ASZn12qqbhSD9GEz7upuMJt-OPraweoHYj~hMRij-YqLPJNjZGJ05jg4Ql206Xr2gF2YbQ-sGvOxXn7jgJdgCWAE5ghm88Am2nLzEt-IwE64Ne3AUVyDBrams9yONBuYfVF8lOsDiWGxT7q-w3~pHLVT1P~Np9GxcOqGjPsCTNFoAHsFqOELRwjNdA9wvUp0vOBob7n82nYEmA4D~HXieLyb5w2m-B2KUA2rLZZPwOvUn1lWbuLvhUEtQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185737"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185737/A_Dyadic_Approach_to_Managing_Heart_Failure_With_Confidence"><img alt="Research paper thumbnail of A Dyadic Approach to Managing Heart Failure With Confidence" class="work-thumbnail" src="https://attachments.academia-assets.com/98877056/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185737/A_Dyadic_Approach_to_Managing_Heart_Failure_With_Confidence">A Dyadic Approach to Managing Heart Failure With Confidence</a></div><div class="wp-workCard_item"><span>Journal of Cardiovascular Nursing</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: The majority of heart failure (HF) self-care research remains focused on patients, de...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement of family caregivers. Although self-care confidence has been found to play an important role in the effectiveness of HF self-care management on patient outcomes, no known research has examined self-care confidence within a dyadic context. Objective: The purpose of this study was to identify individual and dyadic determinants of self-care confidence in HF care dyads. Methods: Multilevel modeling, which controls for the interdependent nature of dyadic data, was used to examine 329 Italian HF dyads (caregivers were either spouses or adult children). Results: Both patients and caregivers reported lower-than-adequate levels of confidence, with caregivers reporting slightly higher confidence than patients. Patient and caregiver levels of confidence were significantly associated with greater patient-reported relationship quality and better caregiver mental health. Patient confidence in self-care was significantly associated with patient female gender, nonspousal care dyads, poor caregiver physical health, and low care strain. Caregiver confidence to contribute to self-care was significantly associated with poor emotional quality of life in patients and greater perceived social support by caregivers. Conclusions: Findings are supportive of the need for a dyadic perspective of HF self-care in practice and research as well as the importance of addressing the needs of both members of the dyad to maximize optimal outcomes for both.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c1a58552deb579091e908109b7d769c6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877056,"asset_id":97185737,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877056/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185737"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185737"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185737; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97185737]").text(description); $(".js-view-count[data-work-id=97185737]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97185737; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97185737']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="92874497"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/92874497/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review"><img alt="Research paper thumbnail of Characteristics of self-care interventions for patients with a chronic condition: A scoping review" class="work-thumbnail" src="https://attachments.academia-assets.com/95768682/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/92874497/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review">Characteristics of self-care interventions for patients with a chronic condition: A scoping review</a></div><div class="wp-workCard_item"><span>International Journal of Nursing Studies</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Self-care is a fundamental element of treatment for patients with a chronic condition...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Self-care is a fundamental element of treatment for patients with a chronic condition and a major focus of many interventions. A large body of research exists describing different types of selfcare interventions, but these studies have never been compared across conditions. Examination of heterogeneous interventions could provide insights into effective approaches that should be used in diverse patient populations. Objectives: To provide a comprehensive and standardized cross-condition overview of interventions to enhance self-care in patients with a chronic condition. Specific aims were to: 1) identify what self-care concepts and behaviors are evaluated in self-care interventions; 2) classify and quantify heterogeneity in mode and type of delivery; 3) quantify the behavior change techniques used to enhance self-care behavior; and 4) assess the dose of self-care interventions delivered. Design: Scoping review Data sources: Four electronic databases-PubMed, EMBASE, PsychINFO and CINAHL-were searched from January 2008 through January 2019. Eligibility criteria for study selection: Randomized controlled trials (RCTs) with concealed allocation to the intervention were included if they compared a behavioral or educational self-care intervention to usual care or another self-care intervention and were conducted in adults. Nine common chronic conditions were included: hypertension, coronary artery disease, arthritis, chronic kidney disease, heart failure, stroke, asthma, chronic obstructive lung disease, and type 2 diabetes mellitus. Diagnoses that are psychiatric (e.g. schizophrenia), acute rather than chronic, or benefitting little from self-care (e.g. dementia) were excluded. Studies had to be reported in English with full-text available. Results: 9309 citations were considered and 233 studies were included in the final review. Most studies addressed type 2 diabetes mellitus (n = 85; 36%), hypertension (n = 32; 14%) or heart failure (n = 27; 12%). The majority (97%) focused on healthy behaviors like physical activity (70%), dietary intake (59%), * Corresponding author.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1ffbe83151360d813b725674485f82bc" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95768682,"asset_id":92874497,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95768682/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="92874497"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="92874497"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92874497; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=92874497]").text(description); $(".js-view-count[data-work-id=92874497]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 92874497; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='92874497']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "1ffbe83151360d813b725674485f82bc" } } $('.js-work-strip[data-work-id=92874497]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":92874497,"title":"Characteristics of self-care interventions for patients with a chronic condition: A scoping review","internal_url":"https://www.academia.edu/92874497/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":95768682,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/95768682/thumbnails/1.jpg","file_name":"OA_Riegel_2021_Characteristics_of_self_care_interventions_for.pdf","download_url":"https://www.academia.edu/attachments/95768682/download_file","bulk_download_file_name":"Characteristics_of_self_care_interventio.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/95768682/OA_Riegel_2021_Characteristics_of_self_care_interventions_for-libre.pdf?1671033144=\u0026response-content-disposition=attachment%3B+filename%3DCharacteristics_of_self_care_interventio.pdf\u0026Expires=1740695983\u0026Signature=c7EXxDpxh9Hf7ccMnU94ycieFvJVZFrqQe8D-oQAV3Sywk6qXz4Joi~zDd8y9xgTnd-4Wi68vHFzskPNCO2nlLru0ZJj3voLgUwlx2TNCCJTt8BJob4aQvydiTRX~slSMdcCy3o54PPcKM~XQYdsn2JlbJB1W8TKIY3vng5CLntqtma5Las7B6vjb0jww1dCZQRUrL2bjQ3e~u8UgSUlavas7yoRuLocAi2ZVIwbMW88EPMqG2ZZuhrkwXlv2UV0Gy4dg0b0QGQpb4DyQ3REKhVfm6ESCNG4I-0eoRiy01UOOcIR7mFNR2t05hPpTH03aw8T61uhmPrwN28iwUyccQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="92874496"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/92874496/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review"><img alt="Research paper thumbnail of Characteristics of self-care interventions for patients with a chronic condition: A scoping review" class="work-thumbnail" src="https://attachments.academia-assets.com/95768679/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/92874496/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review">Characteristics of self-care interventions for patients with a chronic condition: A scoping review</a></div><div class="wp-workCard_item"><span>International Journal of Nursing Studies</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Self-care is a fundamental element of treatment for patients with a chronic condition...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Self-care is a fundamental element of treatment for patients with a chronic condition and a major focus of many interventions. A large body of research exists describing different types of selfcare interventions, but these studies have never been compared across conditions. Examination of heterogeneous interventions could provide insights into effective approaches that should be used in diverse patient populations. Objectives: To provide a comprehensive and standardized cross-condition overview of interventions to enhance self-care in patients with a chronic condition. Specific aims were to: 1) identify what self-care concepts and behaviors are evaluated in self-care interventions; 2) classify and quantify heterogeneity in mode and type of delivery; 3) quantify the behavior change techniques used to enhance self-care behavior; and 4) assess the dose of self-care interventions delivered. Design: Scoping review Data sources: Four electronic databases-PubMed, EMBASE, PsychINFO and CINAHL-were searched from January 2008 through January 2019. Eligibility criteria for study selection: Randomized controlled trials (RCTs) with concealed allocation to the intervention were included if they compared a behavioral or educational self-care intervention to usual care or another self-care intervention and were conducted in adults. Nine common chronic conditions were included: hypertension, coronary artery disease, arthritis, chronic kidney disease, heart failure, stroke, asthma, chronic obstructive lung disease, and type 2 diabetes mellitus. Diagnoses that are psychiatric (e.g. schizophrenia), acute rather than chronic, or benefitting little from self-care (e.g. dementia) were excluded. Studies had to be reported in English with full-text available. Results: 9309 citations were considered and 233 studies were included in the final review. Most studies addressed type 2 diabetes mellitus (n = 85; 36%), hypertension (n = 32; 14%) or heart failure (n = 27; 12%). The majority (97%) focused on healthy behaviors like physical activity (70%), dietary intake (59%), * Corresponding author.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8e8e6272005ed56e10cf2ef8057606b9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95768679,"asset_id":92874496,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95768679/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="92874496"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="92874496"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92874496; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="86817363"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/86817363/Effectiveness_of_motivational_interviewing_on_lifestyle_modification_and_health_outcomes_of_clients_at_risk_or_diagnosed_with_cardiovascular_diseases_A_systematic_review"><img alt="Research paper thumbnail of Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review" class="work-thumbnail" src="https://attachments.academia-assets.com/91186915/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/86817363/Effectiveness_of_motivational_interviewing_on_lifestyle_modification_and_health_outcomes_of_clients_at_risk_or_diagnosed_with_cardiovascular_diseases_A_systematic_review">Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review</a></div><div class="wp-workCard_item"><span>International journal of nursing studies</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Clinically, there is an increasing trend in using motivational interviewing as a counseling metho...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, research has been conducted to examine its effectiveness. This review attempts to identify the best available evidence related to the effectiveness of motivational interviewing on lifestyle modification, physiological and psychological outcomes for clients at risk of developing or with established cardiovascular diseases. Systematic review of studies incorporating motivational interviewing in modifying lifestyles, improving physiological and psychological outcomes for clients at risk of or diagnosed with cardiovascular diseases. Major English and Chinese electronic databases were searched to identify citations that reported the effectiveness of motivational interviewing. The searched databases ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="16229e6c2b66ffe08949b28395f65bd7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":91186915,"asset_id":86817363,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/91186915/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="86817363"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="86817363"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 86817363; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="72840715"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/72840715/Does_motivational_interviewing_reduce_health_services_use_and_mortality_in_heart_failure_patients_A_secondary_analysis_of_the_MOTIVATE_HF_trial"><img alt="Research paper thumbnail of Does motivational interviewing reduce health services use and mortality in heart failure patients? A secondary analysis of the MOTIVATE-HF trial" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/72840715/Does_motivational_interviewing_reduce_health_services_use_and_mortality_in_heart_failure_patients_A_secondary_analysis_of_the_MOTIVATE_HF_trial">Does motivational interviewing reduce health services use and mortality in heart failure patients? A secondary analysis of the MOTIVATE-HF trial</a></div><div class="wp-workCard_item wp-workCard--coauthors"><span>by </span><span><a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/IovinoPaolo">Paolo Iovino</a> and <a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/BarbaraRiegel">Barbara Riegel</a></span></div><div class="wp-workCard_item"><span>European Journal of Cardiovascular Nursing</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Center of Excellence for Nursing Scholarship, Rome, Italy Background. Health services use and mortality are high among patients with heart failure (HF). The MOTIVATE-HF was a randomized controlled trial in which we demonstrated that Motivational Interviewing (MI) can effectively improve HF patient self-care (primary outcome). However, it is still unclear if MI can reduce health services use and mortality. Purpose. To test the efficacy of MI in reducing health services use (emergency services and hospitalizations), and all-cause mortality in HF patients. Methods. The MOTIVATE-HF was a multicenter parallel trial (1:1:1) with randomization of patient and informal caregiver dyads across three arms: Arm 1, MI administered to patients; Arm 2, MI administered to patients and caregivers; Arm 3, standard of care. Participants were enrolled from three Italian HF specialty centers. Patients were in...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="72840715"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="72840715"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 72840715; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=72840715]").text(description); $(".js-view-count[data-work-id=72840715]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 72840715; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='72840715']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=72840715]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":72840715,"title":"Does motivational interviewing reduce health services use and mortality in heart failure patients? 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} }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="83355967"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/83355967/ACC_AHA_2006_Guideline_Update_on_Perioperative_Cardiovascular_Evaluation_for_Noncardiac_Surgery_Focused_Update_on_Perioperative_Beta_Blocker_Therapy_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Task_Force_on_Practice_Guidelines_Writing_Committee_to_Update_the_20_"><img alt="Research paper thumbnail of ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? 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A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20...</a></div><div class="wp-workCard_item"><span>Anesthesia &amp; Analgesia</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived conflict of interest that might arise as a result of an industry relationship or personal interest of the writing committee. 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A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20..." class="work-thumbnail" src="https://attachments.academia-assets.com/88727172/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/83355950/ACC_AHA_2006_Guideline_Update_on_Perioperative_Cardiovascular_Evaluation_for_Noncardiac_Surgery_Focused_Update_on_Perioperative_Beta_Blocker_Therapy_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Task_Force_on_Practice_Guidelines_Writing_Committee_to_Update_the_20_">ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20...</a></div><div class="wp-workCard_item"><span>Anesthesia &amp; Analgesia</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived conflict of interest that might arise as a result of an industry relationship or personal interest of the writing committee. Specifically, all members of the writing committee, as well as peer reviewers of the document, were asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing committee at each meeting, and updated and reviewed by the writing committee as changes occur. Please see Appendix 1 for author relationships with industry and Appendix 2 for peer reviewer relationships with industry. These guidelines attempt to define practices that meet the needs of most patients in most circumstances. These guideline recommendations reflect a consensus of expert opinion after a thorough review of the available, current scientific evidence and are intended to improve patient care. If these guidelines are used as the basis for regulatory/payer decisions, the ultimate goal is quality of care and serving the patient's best interests. The ultimate judgment regarding care of a particular patient must be made by the healthcare provider and patient in light of all the circumstances presented by that patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="86d40075a5e9b0693407206b889c9a0d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":88727172,"asset_id":83355950,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/88727172/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="83355950"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="83355950"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 83355950; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=83355950]").text(description); $(".js-view-count[data-work-id=83355950]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 83355950; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='83355950']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "86d40075a5e9b0693407206b889c9a0d" } } $('.js-work-strip[data-work-id=83355950]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":83355950,"title":"ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? 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Objectives: This study aimed to characterize naturally occurring archetypes of patientcaregiver dyads with respect to patient and caregiver contributions to heart failure selfcare, and to identify patient-, caregiver-and dyadic-level determinants thereof. Design: Dyadic analysis of cross-sectional data on patients and their caregivers. Setting: Outpatient heart failure clinics in 28 Italian provinces. Participants: 509 Italian heart failure patients and their primary caregivers. Methods: Multilevel and mixture modeling were used to generate dyadic averages and incongruence in patient and caregiver contributions to heart failure self-care and identify common dyadic archetypes, respectively. Results: Three distinct archetypes were observed. 22.4% of dyads were labeled as novice and complementary because patients and caregivers contributed to different aspects of heart failure self-care that was generally poor; these dyads were predominantly older adults with less severe heart failure and their adult child caregivers. 56.4% of dyads were labeled as inconsistent and compensatory because caregivers reported greater contributions to the areas of self-care most insufficient on the part of the patients; patients in these dyads had the highest prevalence of hospitalizations for heart failure in the past year and the fewest limitations to performing activities of daily living independently. Finally, 21.2% of dyads were labeled as expert and collaborative because of high contributions to all aspects of heart failure self-care, the best relationship quality and lowest caregiver strain compared with the other archetypes; patients in this archetype were likely the sickest because they also had the worst heart failure-related quality of life. Conclusion: Three distinct archetypes of dyadic contributions to heart failure care were observed that represent a gradient in the level of contributions to self-care, in addition to different approaches to working together to manage heart failure. Interventions and</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="723025a20208f2097f6bd47e0eec0191" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":104190640,"asset_id":104469481,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/104190640/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="104469481"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="104469481"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 104469481; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=104469481]").text(description); $(".js-view-count[data-work-id=104469481]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 104469481; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='104469481']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="100689723"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/100689723/Determinants_of_Heart_Failure_Self_Care_Maintenance_and_Management_in_Patients_and_Caregivers_A_Dyadic_Analysis"><img alt="Research paper thumbnail of Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis" class="work-thumbnail" src="https://attachments.academia-assets.com/101441240/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/100689723/Determinants_of_Heart_Failure_Self_Care_Maintenance_and_Management_in_Patients_and_Caregivers_A_Dyadic_Analysis">Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis</a></div><div class="wp-workCard_item"><span>Research in Nursing &amp; Health</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Disease self-management is a critical component of maintaining clinical stability for patients wi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Disease self-management is a critical component of maintaining clinical stability for patients with chronic illness. This is particularly evident in the context of heart failure (HF), which is the leading cause of hospitalization for older adults. HF self-management, commonly known as HF self-care, is often performed with the support of informal caregivers. However, little is known about how HF dyads manage the patient's care together. The purpose of this study was to identify determinants of patient and caregiver contributions to HF self-care maintenance (i.e., daily adherence and symptom monitoring) and management (i.e., appropriate recognition & response to symptoms), utilizing an approach that controls for dyadic interdependence. This was a secondary analysis of cross-sectional data from 364 Italian HF patients and caregivers. Multilevel modeling was used to identify determinants of HF self-care within patient-caregiver dyads. Patients were 76.2 (SD=10.7) years, a slight majority (56.9%) was male, while caregivers were 57.4 (SD=14.6) years, and fewer than half (48.1%) were male. Most caregivers were adult children (48.4%) or spouses (32.7%) of patients. Both patients and caregivers reported low levels of HF maintenance and management behaviors. Several significant individual and dyadic determinants of self-care maintenance and self-care management were identified, including gender, quality of life, comorbid burden, impaired ADLs, cognition, hospitalizations, HF duration, relationship type, relationship quality, and social support. These comprehensive dyadic models assist in elucidating the complex nature of patient-caregiver relationships and their influence on HF self-care, leading to more effective ways to intervene and maximize outcomes.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0e8902e8d6baa6bdceb725c0d520d14f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":101441240,"asset_id":100689723,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/101441240/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="100689723"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="100689723"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 100689723; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0e8902e8d6baa6bdceb725c0d520d14f" } } $('.js-work-strip[data-work-id=100689723]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":100689723,"title":"Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis","internal_url":"https://www.academia.edu/100689723/Determinants_of_Heart_Failure_Self_Care_Maintenance_and_Management_in_Patients_and_Caregivers_A_Dyadic_Analysis","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":101441240,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/101441240/thumbnails/1.jpg","file_name":"ptpmcrender.pdf","download_url":"https://www.academia.edu/attachments/101441240/download_file","bulk_download_file_name":"Determinants_of_Heart_Failure_Self_Care.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/101441240/ptpmcrender-libre.pdf?1682347821=\u0026response-content-disposition=attachment%3B+filename%3DDeterminants_of_Heart_Failure_Self_Care.pdf\u0026Expires=1740695983\u0026Signature=eK16C9w-fLr8NgIiwIAsspatUqKJgXUIk-EiHX44WEfidXSsHRi0WXCKC08whqaHDiFcVa3MoJS33N35zxZch0cy31nEhs7UnLNSxGW6UlVXfdjt~KHaajhI-dMSbgTM1fZioOIkoxifRgE5P5n5wDRG5ROQQLAAKtXJM0Mk1mkwF19~hj1mAlCNM-iUQ4qvyGTprPGqUFXNhDOXuEu7g6SYd0qpkHq0x~yJztuvKK~K~dYXjElUempMSwSP1mjwjT4cew2UvmlVf4azvbIY5fHmxULca29oIPCDlqgFXQRVBys3PlcNEq0Lrx6fS9xBjiRQrVpx2CKIL-hHCtEFsg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185798"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185798/ACC_AHA_2005_Guidelines_for_the_Management_of_Patients_With_Peripheral_Arterial_Disease_Lower_Extremity_Renal_Mesenteric_and_Abdominal_Aortic_A_Collaborative_Report_from_the_American_Association_for_Vascular_Surgery_Society_for_Vascular_Surgery_Society_for_Cardiovascular_Angiography_and_In_"><img alt="Research paper thumbnail of ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): A Collaborative Report from the American Association for Vascular Surgery/Society for Vascular Surgery,鈦嶴ociety for Cardiovascular Angiography and In..." class="work-thumbnail" src="https://attachments.academia-assets.com/98877100/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185798/ACC_AHA_2005_Guidelines_for_the_Management_of_Patients_With_Peripheral_Arterial_Disease_Lower_Extremity_Renal_Mesenteric_and_Abdominal_Aortic_A_Collaborative_Report_from_the_American_Association_for_Vascular_Surgery_Society_for_Vascular_Surgery_Society_for_Cardiovascular_Angiography_and_In_">ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): A Collaborative Report from the American Association for Vascular Surgery/Society for Vascular Surgery,鈦嶴ociety for Cardiovascular Angiography and In...</a></div><div class="wp-workCard_item"><span>Journal of the American College of Cardiology</span><span>, 2006</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The full text is published on the ACC and AHA World Wide Web sites. Copies of the full text and t...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The full text is published on the ACC and AHA World Wide Web sites. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185795"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185795/ACC_AHA_2008_Guidelines_for_the_Management_of_Adults_With_Congenital_Heart_Disease_Executive_Summary"><img alt="Research paper thumbnail of ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: Executive Summary" class="work-thumbnail" src="https://attachments.academia-assets.com/98877099/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185795/ACC_AHA_2008_Guidelines_for_the_Management_of_Adults_With_Congenital_Heart_Disease_Executive_Summary">ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: Executive Summary</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2008</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="74c09ecadc808f6f87e60e28d969d746" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877099,"asset_id":97185795,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877099/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185795"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185795"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185795; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185794"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185794/ACC_AHA_2007_Guidelines_for_the_Management_of_Patients_With_Unstable_Angina_Non_ST_Elevation_Myocardial_Infarction"><img alt="Research paper thumbnail of ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non鈥揝T-Elevation Myocardial Infarction" class="work-thumbnail" src="https://attachments.academia-assets.com/98877054/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185794/ACC_AHA_2007_Guidelines_for_the_Management_of_Patients_With_Unstable_Angina_Non_ST_Elevation_Myocardial_Infarction">ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non鈥揝T-Elevation Myocardial Infarction</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The guidelines will be reviewed annually by the ACC/ AHA Task Force on Practice Guidelines and wi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The guidelines will be reviewed annually by the ACC/ AHA Task Force on Practice Guidelines and will be considered current unless they are updated, revised, or sunsetted and withdrawn from distribution. The executive summary and recommendations are published in the August 7, 2007, issue of the Journal of the American College of Cardiology and August 7, 2007, issue of Circulation. The full-text guidelines are e-published in the same issue of the journals noted above, as well as posted on the ACC (<a href="http://www.acc.org" rel="nofollow">www.acc.org</a>) and AHA (<a href="http://www.americanheart.org" rel="nofollow">www.americanheart.org</a>) World Wide Web sites. Copies of the full text and the executive summary are available from both organizations.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="9f7e898055e1de225049267e2507e3c6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877054,"asset_id":97185794,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877054/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185794"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185794"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185794; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185793"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185793/Decision_Making_in_Advanced_Heart_Failure"><img alt="Research paper thumbnail of Decision Making in Advanced Heart Failure" class="work-thumbnail" src="https://attachments.academia-assets.com/98877097/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185793/Decision_Making_in_Advanced_Heart_Failure">Decision Making in Advanced Heart Failure</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2012</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">S hared decision making for advanced heart failure has become both more challenging and more cruc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">S hared decision making for advanced heart failure has become both more challenging and more crucial as duration of disease and treatment options have increased. High-quality decisions are chosen from medically reasonable options and are aligned with values, goals, and preferences of an informed patient. The top 10 things to know about decision making in advanced heart failure care are listed in Table 1. Why Shared Decision Making? Providers have an ethical and legal mandate to involve patients in medical decisions. Shared decision making recognizes that there are complex trade-offs in the choice of medical care. 1 Shared decision making also addresses the ethical need to fully inform patients about the risks and benefits of treatments. 2 In the setting of multiple reasonable options for medical care, shared decision making involves clinicians working with patients to ensure that patients' values, goals, and preferences guide informed decisions that are right for each individual patient. Grounded in the ethical principle of autonomy, 3 judicial decisions (eg, Cruzan v Missouri Department of Health 4) and legislative actions (eg, the Patient Self-Determination Act 5) have repeatedly affirmed the rights of patients or duly appointed surrogates to choose their medical therapy from among reasonable options. 6 The formal process of informed consent before procedural interventions is an embodiment of this concept in that it underscores the clinician's obligation to ensure that the patient has the opportunity to be informed. 3 An informed patient is one who is aware of the diagnosis and prognosis, the nature of the proposed intervention, the risks and benefits of that intervention, and all reasonable alternatives and their associated risks and benefits. 7 A major purpose of a high-functioning healthcare system is to provide the resources with which an activated, informed patient can engage in productive discussions with a proactive, prepared healthcare team. 8 Shared decision making moves beyond informed consent. It asks that clinicians and patients share information with each other and work toward patient-centered decisions about The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4543fccda010d47100625990bff442f7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877097,"asset_id":97185793,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877097/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185793"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185793"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185793; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185792"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185792/ACC_AHA_2005_Guideline_Update_for_the_Diagnosis_and_Management_of_Chronic_Heart_Failure_in_the_Adult"><img alt="Research paper thumbnail of ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult" class="work-thumbnail" src="https://attachments.academia-assets.com/98877098/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185792/ACC_AHA_2005_Guideline_Update_for_the_Diagnosis_and_Management_of_Chronic_Heart_Failure_in_the_Adult">ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult</a></div><div class="wp-workCard_item"><span>Circulation</span><span>, 2005</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="e08207b88bf198b48666bcb9b84ac52e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877098,"asset_id":97185792,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877098/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185792"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185792"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185792; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "e08207b88bf198b48666bcb9b84ac52e" } } $('.js-work-strip[data-work-id=97185792]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97185792,"title":"ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult","internal_url":"https://www.academia.edu/97185792/ACC_AHA_2005_Guideline_Update_for_the_Diagnosis_and_Management_of_Chronic_Heart_Failure_in_the_Adult","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":98877098,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/98877098/thumbnails/1.jpg","file_name":"AHAACC2005UpdatefortheDiagnosisandManagmentofCHFintheAdult.pdf","download_url":"https://www.academia.edu/attachments/98877098/download_file","bulk_download_file_name":"ACC_AHA_2005_Guideline_Update_for_the_Di.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/98877098/AHAACC2005UpdatefortheDiagnosisandManagmentofCHFintheAdult-libre.pdf?1676858902=\u0026response-content-disposition=attachment%3B+filename%3DACC_AHA_2005_Guideline_Update_for_the_Di.pdf\u0026Expires=1740695983\u0026Signature=ZDJjQN0-cVZ-LCZ~b3KPQHUMXX6Tb9wLDIOr-Wswlv4xl5oiExMSO19~jyna7S5rjeakK0xJuUf7zYBgFfa-Ezew2cojTvNeMMzRxMwYbgwpacuyGnGiJ5Wnxx-81~3zlmsogwfOlS4qW3KV5Vwlb-rb9riinVvvIXc9YKKbfjteOxepLuFNiw-U0fsfQt3~9YhsTcFnqMdb0aZPjoGGgNHRuNJ6KbIOXaNGyN5MXtRxVFLDzpJS4~pV38EMpeqhIICCbjklleGU9dZBadNiJ6poL6MNc0ROqWQvyS5Ng7bqFTm5EG5~0G9hkeAIZwC3y5tIQ-D7J2cT0kUMLHJ2sg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185791"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185791/2011_ASA_ACCF_AHA_AANN_AANS_ACR_ASNR_CNS_SAIP_SCAI_SIR_SNIS_SVM_SVS_Guideline_on_the_Management_of_Patients_With_Extracranial_Carotid_and_Vertebral_Artery_Disease_Executive_summary"><img alt="Research paper thumbnail of 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive summary" class="work-thumbnail" src="https://attachments.academia-assets.com/98877114/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185791/2011_ASA_ACCF_AHA_AANN_AANS_ACR_ASNR_CNS_SAIP_SCAI_SIR_SNIS_SVM_SVS_Guideline_on_the_Management_of_Patients_With_Extracranial_Carotid_and_Vertebral_Artery_Disease_Executive_summary">2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive summary</a></div><div class="wp-workCard_item"><span>Catheterization and Cardiovascular Interventions</span><span>, 2011</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="d6284c1162c1aef9fd41fa58aacd3994" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877114,"asset_id":97185791,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877114/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185791"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185791"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185791; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97185791]").text(description); $(".js-view-count[data-work-id=97185791]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97185791; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97185791']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "d6284c1162c1aef9fd41fa58aacd3994" } } $('.js-work-strip[data-work-id=97185791]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97185791,"title":"2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive summary","internal_url":"https://www.academia.edu/97185791/2011_ASA_ACCF_AHA_AANN_AANS_ACR_ASNR_CNS_SAIP_SCAI_SIR_SNIS_SVM_SVS_Guideline_on_the_Management_of_Patients_With_Extracranial_Carotid_and_Vertebral_Artery_Disease_Executive_summary","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":98877114,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/98877114/thumbnails/1.jpg","file_name":"3ebb00e7d1917a736b4c901de35866cf0186.pdf","download_url":"https://www.academia.edu/attachments/98877114/download_file","bulk_download_file_name":"2011_ASA_ACCF_AHA_AANN_AANS_ACR_ASNR_CNS.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/98877114/3ebb00e7d1917a736b4c901de35866cf0186-libre.pdf?1676858881=\u0026response-content-disposition=attachment%3B+filename%3D2011_ASA_ACCF_AHA_AANN_AANS_ACR_ASNR_CNS.pdf\u0026Expires=1740695983\u0026Signature=Xmh~3VNbsiSPFSWtIb1QgFnBnr0kIZrHVmDtnwvWA-SsdA6Sn97PT2-KU5dbmiRXy7jexmbxNTnAR9W3o4lHwOxcJ40Nb91fjJ2j~TDyDxRDWOA6HJ4CY2PLnw~fNUv4lrMiv45fxhV9A~br2t~8Shb8~aLvqXT5hlaEMCUKCtrMPo6nL8IldJu~9qTRO4a8AO1CNGf~GlSNPuUcc7XR62IOrk5C8Cq3fSnpIXhohfIO2tuUR4c8oEjrTNOx~Kf7NLfk-zZGoDawlJ1K2fQtI~GyXjDhXuVmbIMqqTKdy~M2Iw1oqJg08gLP0dc6wfUgjKs8jkBZ~ryoSnjRmHZmhA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185790"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185790/2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR_STS_SVM_Guidelines_for_the_Diagnosis_and_Management_of_Patients_with_Thoracic_Aortic_Disease"><img alt="Research paper thumbnail of 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease" class="work-thumbnail" src="https://attachments.academia-assets.com/98877096/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185790/2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR_STS_SVM_Guidelines_for_the_Diagnosis_and_Management_of_Patients_with_Thoracic_Aortic_Disease">2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease</a></div><div class="wp-workCard_item"><span>Anesthesia &amp; Analgesia</span><span>, 2010</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c09ae0e75f010925e4496f89278d150e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877096,"asset_id":97185790,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877096/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185790"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185790"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185790; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97185790]").text(description); $(".js-view-count[data-work-id=97185790]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97185790; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97185790']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "c09ae0e75f010925e4496f89278d150e" } } $('.js-work-strip[data-work-id=97185790]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97185790,"title":"2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease","internal_url":"https://www.academia.edu/97185790/2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR_STS_SVM_Guidelines_for_the_Diagnosis_and_Management_of_Patients_with_Thoracic_Aortic_Disease","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":98877096,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/98877096/thumbnails/1.jpg","file_name":"6bab5275d0bb963e4f04c968fa92bb4dd73b.pdf","download_url":"https://www.academia.edu/attachments/98877096/download_file","bulk_download_file_name":"2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/98877096/6bab5275d0bb963e4f04c968fa92bb4dd73b-libre.pdf?1676858903=\u0026response-content-disposition=attachment%3B+filename%3D2010_ACCF_AHA_AATS_ACR_ASA_SCA_SCAI_SIR.pdf\u0026Expires=1740695983\u0026Signature=UPXy8qzfqV64GYPY14Dci3sVmnIQtE5~o8FsMzk8sfT91XcRZFmE3sEGszqxDVCC1KAy8ycwTZOimOtbnc921ND-VMfs5ASZn12qqbhSD9GEz7upuMJt-OPraweoHYj~hMRij-YqLPJNjZGJ05jg4Ql206Xr2gF2YbQ-sGvOxXn7jgJdgCWAE5ghm88Am2nLzEt-IwE64Ne3AUVyDBrams9yONBuYfVF8lOsDiWGxT7q-w3~pHLVT1P~Np9GxcOqGjPsCTNFoAHsFqOELRwjNdA9wvUp0vOBob7n82nYEmA4D~HXieLyb5w2m-B2KUA2rLZZPwOvUn1lWbuLvhUEtQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97185737"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97185737/A_Dyadic_Approach_to_Managing_Heart_Failure_With_Confidence"><img alt="Research paper thumbnail of A Dyadic Approach to Managing Heart Failure With Confidence" class="work-thumbnail" src="https://attachments.academia-assets.com/98877056/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97185737/A_Dyadic_Approach_to_Managing_Heart_Failure_With_Confidence">A Dyadic Approach to Managing Heart Failure With Confidence</a></div><div class="wp-workCard_item"><span>Journal of Cardiovascular Nursing</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: The majority of heart failure (HF) self-care research remains focused on patients, de...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement of family caregivers. Although self-care confidence has been found to play an important role in the effectiveness of HF self-care management on patient outcomes, no known research has examined self-care confidence within a dyadic context. Objective: The purpose of this study was to identify individual and dyadic determinants of self-care confidence in HF care dyads. Methods: Multilevel modeling, which controls for the interdependent nature of dyadic data, was used to examine 329 Italian HF dyads (caregivers were either spouses or adult children). Results: Both patients and caregivers reported lower-than-adequate levels of confidence, with caregivers reporting slightly higher confidence than patients. Patient and caregiver levels of confidence were significantly associated with greater patient-reported relationship quality and better caregiver mental health. Patient confidence in self-care was significantly associated with patient female gender, nonspousal care dyads, poor caregiver physical health, and low care strain. Caregiver confidence to contribute to self-care was significantly associated with poor emotional quality of life in patients and greater perceived social support by caregivers. Conclusions: Findings are supportive of the need for a dyadic perspective of HF self-care in practice and research as well as the importance of addressing the needs of both members of the dyad to maximize optimal outcomes for both.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c1a58552deb579091e908109b7d769c6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":98877056,"asset_id":97185737,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/98877056/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97185737"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97185737"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97185737; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97185737]").text(description); $(".js-view-count[data-work-id=97185737]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97185737; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97185737']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="92874497"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/92874497/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review"><img alt="Research paper thumbnail of Characteristics of self-care interventions for patients with a chronic condition: A scoping review" class="work-thumbnail" src="https://attachments.academia-assets.com/95768682/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/92874497/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review">Characteristics of self-care interventions for patients with a chronic condition: A scoping review</a></div><div class="wp-workCard_item"><span>International Journal of Nursing Studies</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Self-care is a fundamental element of treatment for patients with a chronic condition...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Self-care is a fundamental element of treatment for patients with a chronic condition and a major focus of many interventions. A large body of research exists describing different types of selfcare interventions, but these studies have never been compared across conditions. Examination of heterogeneous interventions could provide insights into effective approaches that should be used in diverse patient populations. Objectives: To provide a comprehensive and standardized cross-condition overview of interventions to enhance self-care in patients with a chronic condition. Specific aims were to: 1) identify what self-care concepts and behaviors are evaluated in self-care interventions; 2) classify and quantify heterogeneity in mode and type of delivery; 3) quantify the behavior change techniques used to enhance self-care behavior; and 4) assess the dose of self-care interventions delivered. Design: Scoping review Data sources: Four electronic databases-PubMed, EMBASE, PsychINFO and CINAHL-were searched from January 2008 through January 2019. Eligibility criteria for study selection: Randomized controlled trials (RCTs) with concealed allocation to the intervention were included if they compared a behavioral or educational self-care intervention to usual care or another self-care intervention and were conducted in adults. Nine common chronic conditions were included: hypertension, coronary artery disease, arthritis, chronic kidney disease, heart failure, stroke, asthma, chronic obstructive lung disease, and type 2 diabetes mellitus. Diagnoses that are psychiatric (e.g. schizophrenia), acute rather than chronic, or benefitting little from self-care (e.g. dementia) were excluded. Studies had to be reported in English with full-text available. Results: 9309 citations were considered and 233 studies were included in the final review. Most studies addressed type 2 diabetes mellitus (n = 85; 36%), hypertension (n = 32; 14%) or heart failure (n = 27; 12%). The majority (97%) focused on healthy behaviors like physical activity (70%), dietary intake (59%), * Corresponding author.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1ffbe83151360d813b725674485f82bc" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95768682,"asset_id":92874497,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95768682/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="92874497"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="92874497"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92874497; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=92874497]").text(description); $(".js-view-count[data-work-id=92874497]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 92874497; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='92874497']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="92874496"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/92874496/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review"><img alt="Research paper thumbnail of Characteristics of self-care interventions for patients with a chronic condition: A scoping review" class="work-thumbnail" src="https://attachments.academia-assets.com/95768679/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/92874496/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review">Characteristics of self-care interventions for patients with a chronic condition: A scoping review</a></div><div class="wp-workCard_item"><span>International Journal of Nursing Studies</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Self-care is a fundamental element of treatment for patients with a chronic condition...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Self-care is a fundamental element of treatment for patients with a chronic condition and a major focus of many interventions. A large body of research exists describing different types of selfcare interventions, but these studies have never been compared across conditions. Examination of heterogeneous interventions could provide insights into effective approaches that should be used in diverse patient populations. Objectives: To provide a comprehensive and standardized cross-condition overview of interventions to enhance self-care in patients with a chronic condition. Specific aims were to: 1) identify what self-care concepts and behaviors are evaluated in self-care interventions; 2) classify and quantify heterogeneity in mode and type of delivery; 3) quantify the behavior change techniques used to enhance self-care behavior; and 4) assess the dose of self-care interventions delivered. Design: Scoping review Data sources: Four electronic databases-PubMed, EMBASE, PsychINFO and CINAHL-were searched from January 2008 through January 2019. Eligibility criteria for study selection: Randomized controlled trials (RCTs) with concealed allocation to the intervention were included if they compared a behavioral or educational self-care intervention to usual care or another self-care intervention and were conducted in adults. Nine common chronic conditions were included: hypertension, coronary artery disease, arthritis, chronic kidney disease, heart failure, stroke, asthma, chronic obstructive lung disease, and type 2 diabetes mellitus. Diagnoses that are psychiatric (e.g. schizophrenia), acute rather than chronic, or benefitting little from self-care (e.g. dementia) were excluded. Studies had to be reported in English with full-text available. Results: 9309 citations were considered and 233 studies were included in the final review. Most studies addressed type 2 diabetes mellitus (n = 85; 36%), hypertension (n = 32; 14%) or heart failure (n = 27; 12%). The majority (97%) focused on healthy behaviors like physical activity (70%), dietary intake (59%), * Corresponding author.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8e8e6272005ed56e10cf2ef8057606b9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95768679,"asset_id":92874496,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95768679/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="92874496"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="92874496"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92874496; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=92874496]").text(description); $(".js-view-count[data-work-id=92874496]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 92874496; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='92874496']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "8e8e6272005ed56e10cf2ef8057606b9" } } $('.js-work-strip[data-work-id=92874496]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":92874496,"title":"Characteristics of self-care interventions for patients with a chronic condition: A scoping review","internal_url":"https://www.academia.edu/92874496/Characteristics_of_self_care_interventions_for_patients_with_a_chronic_condition_A_scoping_review","owner_id":32460753,"coauthors_can_edit":true,"owner":{"id":32460753,"first_name":"Barbara","middle_initials":null,"last_name":"Riegel","page_name":"BarbaraRiegel","domain_name":"independent","created_at":"2015-06-23T05:11:12.252-07:00","display_name":"Barbara Riegel","url":"https://independent.academia.edu/BarbaraRiegel"},"attachments":[{"id":95768679,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/95768679/thumbnails/1.jpg","file_name":"OA_Riegel_2021_Characteristics_of_self_care_interventions_for.pdf","download_url":"https://www.academia.edu/attachments/95768679/download_file","bulk_download_file_name":"Characteristics_of_self_care_interventio.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/95768679/OA_Riegel_2021_Characteristics_of_self_care_interventions_for-libre.pdf?1671033148=\u0026response-content-disposition=attachment%3B+filename%3DCharacteristics_of_self_care_interventio.pdf\u0026Expires=1740695983\u0026Signature=Q4qBW2qzgkilGe-tZvJgsSehIL7BTbbIoe8govBbIwGXcqKOP~YJwMOo-kQb67tBdxilUb-zlRXgviJ~msLe2hndxOubaY4cj51v3TiGdaOSVpI92MZZ2oE7vvvGwtAmBENNqlw5ZsmK7iodHmN1-4KgQ1x4PCwxRipwyr6UANeXcuFgcm5LqgskmzfN7yPR~TcpRgMSlOjsz6rHKyTSw7d6--dwt0quzduyVOOE5JX51IztGEuUv3rd4ZkuqXzDdyYvE5ctur0TI7Zimo0wZ20enDe3rhV5EF4I-huexcUSevCwoc~FsJjpCeqZMnFmXrysqAKCHAdp3M-0K5Mj0Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="86817363"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/86817363/Effectiveness_of_motivational_interviewing_on_lifestyle_modification_and_health_outcomes_of_clients_at_risk_or_diagnosed_with_cardiovascular_diseases_A_systematic_review"><img alt="Research paper thumbnail of Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review" class="work-thumbnail" src="https://attachments.academia-assets.com/91186915/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/86817363/Effectiveness_of_motivational_interviewing_on_lifestyle_modification_and_health_outcomes_of_clients_at_risk_or_diagnosed_with_cardiovascular_diseases_A_systematic_review">Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review</a></div><div class="wp-workCard_item"><span>International journal of nursing studies</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Clinically, there is an increasing trend in using motivational interviewing as a counseling metho...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, research has been conducted to examine its effectiveness. This review attempts to identify the best available evidence related to the effectiveness of motivational interviewing on lifestyle modification, physiological and psychological outcomes for clients at risk of developing or with established cardiovascular diseases. Systematic review of studies incorporating motivational interviewing in modifying lifestyles, improving physiological and psychological outcomes for clients at risk of or diagnosed with cardiovascular diseases. Major English and Chinese electronic databases were searched to identify citations that reported the effectiveness of motivational interviewing. The searched databases ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="16229e6c2b66ffe08949b28395f65bd7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":91186915,"asset_id":86817363,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/91186915/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="86817363"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="86817363"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 86817363; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="72840715"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/72840715/Does_motivational_interviewing_reduce_health_services_use_and_mortality_in_heart_failure_patients_A_secondary_analysis_of_the_MOTIVATE_HF_trial"><img alt="Research paper thumbnail of Does motivational interviewing reduce health services use and mortality in heart failure patients? A secondary analysis of the MOTIVATE-HF trial" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/72840715/Does_motivational_interviewing_reduce_health_services_use_and_mortality_in_heart_failure_patients_A_secondary_analysis_of_the_MOTIVATE_HF_trial">Does motivational interviewing reduce health services use and mortality in heart failure patients? A secondary analysis of the MOTIVATE-HF trial</a></div><div class="wp-workCard_item wp-workCard--coauthors"><span>by </span><span><a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/IovinoPaolo">Paolo Iovino</a> and <a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/BarbaraRiegel">Barbara Riegel</a></span></div><div class="wp-workCard_item"><span>European Journal of Cardiovascular Nursing</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Center of Excellence for Nursing Scholarship, Rome, Italy Background. Health services use and mortality are high among patients with heart failure (HF). The MOTIVATE-HF was a randomized controlled trial in which we demonstrated that Motivational Interviewing (MI) can effectively improve HF patient self-care (primary outcome). However, it is still unclear if MI can reduce health services use and mortality. Purpose. To test the efficacy of MI in reducing health services use (emergency services and hospitalizations), and all-cause mortality in HF patients. Methods. The MOTIVATE-HF was a multicenter parallel trial (1:1:1) with randomization of patient and informal caregiver dyads across three arms: Arm 1, MI administered to patients; Arm 2, MI administered to patients and caregivers; Arm 3, standard of care. Participants were enrolled from three Italian HF specialty centers. Patients were in...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="72840715"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="72840715"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 72840715; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=72840715]").text(description); $(".js-view-count[data-work-id=72840715]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 72840715; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='72840715']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=72840715]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":72840715,"title":"Does motivational interviewing reduce health services use and mortality in heart failure patients? A secondary analysis of the MOTIVATE-HF trial","internal_url":"https://www.academia.edu/72840715/Does_motivational_interviewing_reduce_health_services_use_and_mortality_in_heart_failure_patients_A_secondary_analysis_of_the_MOTIVATE_HF_trial","owner_id":142414978,"coauthors_can_edit":true,"owner":{"id":142414978,"first_name":"Paolo","middle_initials":null,"last_name":"Iovino","page_name":"IovinoPaolo","domain_name":"independent","created_at":"2020-01-17T14:21:09.990-08:00","display_name":"Paolo Iovino","url":"https://independent.academia.edu/IovinoPaolo"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="78948302"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/78948302/Suggestions_to_Improve_Research_on_Motivational_Interviewing_for_Heart_Failure_Self_care"><img alt="Research paper thumbnail of Suggestions to Improve Research on Motivational Interviewing for Heart Failure Self-care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/78948302/Suggestions_to_Improve_Research_on_Motivational_Interviewing_for_Heart_Failure_Self_care">Suggestions to Improve Research on Motivational Interviewing for Heart Failure Self-care</a></div><div class="wp-workCard_item wp-workCard--coauthors"><span>by </span><span><a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/IovinoPaolo">Paolo Iovino</a> and <a class="" data-click-track="profile-work-strip-authors" href="https://independent.academia.edu/BarbaraRiegel">Barbara Riegel</a></span></div><div class="wp-workCard_item"><span>Journal of Cardiovascular Nursing</span><span>, 2022</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="78948302"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="78948302"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 78948302; 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} }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="83355967"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/83355967/ACC_AHA_2006_Guideline_Update_on_Perioperative_Cardiovascular_Evaluation_for_Noncardiac_Surgery_Focused_Update_on_Perioperative_Beta_Blocker_Therapy_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Task_Force_on_Practice_Guidelines_Writing_Committee_to_Update_the_20_"><img alt="Research paper thumbnail of ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20..." class="work-thumbnail" src="https://attachments.academia-assets.com/88727180/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/83355967/ACC_AHA_2006_Guideline_Update_on_Perioperative_Cardiovascular_Evaluation_for_Noncardiac_Surgery_Focused_Update_on_Perioperative_Beta_Blocker_Therapy_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Task_Force_on_Practice_Guidelines_Writing_Committee_to_Update_the_20_">ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20...</a></div><div class="wp-workCard_item"><span>Anesthesia &amp; Analgesia</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived conflict of interest that might arise as a result of an industry relationship or personal interest of the writing committee. Specifically, all members of the writing committee, as well as peer reviewers of the document, were asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing committee at each meeting, and updated and reviewed by the writing committee as changes occur. Please see Appendix 1 for author relationships with industry and Appendix 2 for peer reviewer relationships with industry. These guidelines attempt to define practices that meet the needs of most patients in most circumstances. These guideline recommendations reflect a consensus of expert opinion after a thorough review of the available, current scientific evidence and are intended to improve patient care. If these guidelines are used as the basis for regulatory/payer decisions, the ultimate goal is quality of care and serving the patient's best interests. The ultimate judgment regarding care of a particular patient must be made by the healthcare provider and patient in light of all the circumstances presented by that patient.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0fe0a2da94df70a2e8f264650de83a89" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":88727180,"asset_id":83355967,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/88727180/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="83355967"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="83355967"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 83355967; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=83355967]").text(description); $(".js-view-count[data-work-id=83355967]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 83355967; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='83355967']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0fe0a2da94df70a2e8f264650de83a89" } } $('.js-work-strip[data-work-id=83355967]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":83355967,"title":"ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? 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A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20..." class="work-thumbnail" src="https://attachments.academia-assets.com/88727172/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/83355950/ACC_AHA_2006_Guideline_Update_on_Perioperative_Cardiovascular_Evaluation_for_Noncardiac_Surgery_Focused_Update_on_Perioperative_Beta_Blocker_Therapy_A_Report_of_the_American_College_of_Cardiology_American_Heart_Association_Task_Force_on_Practice_Guidelines_Writing_Committee_to_Update_the_20_">ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy ??? A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 20...</a></div><div class="wp-workCard_item"><span>Anesthesia &amp; Analgesia</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Task Force on Practice Guidelines makes every effort to avoid any actual, potential, or perceived conflict of interest that might arise as a result of an industry relationship or personal interest of the writing committee. 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