Effect of education based on collaborative care model on the self-efficacy of patients with heart failure

Document Type : Original Article


1 Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran


Background: Empowering patients with heart failure plays a crucial role in managing and preventing the disease. Enhancing patients' self-efficacy through education based on the collaborative care model can significantly impact their empowerment skills, lifestyle, and disease management.
Objectives: This study aimed to evaluate the effectiveness of educational interventions based on the collaborative care model in improving the self-efficacy of heart failure patients.
Methods: This randomized clinical trial involved 60 Iranian patients with heart failure. We used convenience sampling to select the participants, who were then randomly divided into two groups: intervention and control. Data collection was conducted using the Cardiac Self-Efficacy Scale (Sullivan questionnaire). The intervention group received education based on the Collaborative Care Model, while the control group received routine education for 3 months. Both groups completed the questionnaire before and after the intervention in the intervention group.
Results: Both groups were matched in terms of demographic variables. Prior to the intervention, the intervention and control groups did not exhibit significant differences in their average self-efficacy scores (22.8±1.9 vs. 23.6±2.4) (P=0.056). However, following the intervention, the mean self-efficacy score in the intervention group was significantly higher compared to the control group (39.4±2.1 vs. 24.2±4.6) (P<0.001).
Conclusion: The findings suggest that implementing a collaborative care model in education may enhance self-efficacy in patients with heart failure. In other words, appropriate interventions can effectively improve the self-efficacy of these patients.


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