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Table 3 Mean generic quality of life (SF-36), disease-specific quality of life (KCCQ), European heart failure self-care behaviour scale (EHFScBs), patient satisfaction (EUROPEP) and depression status (PHQ-9-D) scores for groups at baseline and seven-month follow-up

From: Primary care-based multifaceted, interdisciplinary medical educational intervention for patients with systolic heart failure: lessons learned from a cluster randomised controlled trial

  

Intervention group

Control group

No

ICC

 
  

Score (SD)

No

Score (SD)

No

  

Adjusted mean difference** (95% CI); p***-value

SF-36 scales*

        

Physical functioning

Baseline

52.2 (27.7)

77

45.5 (27.8)

64

   
 

Seven months

44.9 (28.9)

77

43.6 (26.3)

64

141

0

-3.3 (-9.7 to 3.1); 0.30

Role functioning, physical

Baseline

42.5 (44.4)

67

34.3 (41.3)

54

   
 

Seven months

31.3 (41.5)

75

37.9 (43.5)

60

119

0.12

-5.9 (-19.7 to 7.8); 0.30

Bodily pain

Baseline

63.2 (27.9)

76

60.5 (29.5)

64

   
 

Seven months

58.5 (29.9)

76

53.8 (29.2)

64

139

0.000

3.6 (-5.6 to 12.7); 0.43

General health perceptions

Baseline

48.3 (17.8)

77

44.2 (19.2)

63

   
 

Seven months

44.9 (18.6)

74

44.3 (18.2)

64

137

0.000

-2.0 (-7.5 to 3.6); 0.47

Vitality

Baseline

43.9 (21.3)

75

43.9 (22.5)

63

   
 

Seven months

39.0 (21.3)

77

43.1 (20.4)

63

137

0.070

-4.1 (-11.1 to 2.7); 0.22

Social functioning

Baseline

75.3 (23.2)

77

67.3 (27.4)

63

   
 

Seven months

64.0 (31.4)

77

64.8 (28.9)

64

140

0.10

-5.6 (-16.8 to 5.6); 0.31

Role functioning, emotional

Baseline

65.9 (45.2)

68

66.0 (46.0)

54

   
 

Seven months

56.3 (47.0)

71

60.3 (46.5)

58

117

0.000

-2.6 (-18.1 to 12.9); 0.73

Mental health

Baseline

62.3 (20.2)

75

66.0 (20.3)

62

   
 

Seven months

58.9 (21.7)

77

63.8 (20.0)

63

136

0.002

-1.8 (-8.0 to 4.4); 0.56

KCCQ* overall summary

 

Baseline

66.7 (20.9)

78

63.6 (20.2)

60

  

-2.4 (-9.3 to 4.4); 0.47

 

Seven months

64.0 (23.7)

78

65.3 (20.9)

64

   

EHFScBs****

        
 

Baseline

24.4 (7.8)

90

23.8 (7.5)

70

  

1.3 (-0.9 to 3.5); 0.24

 

Seven months

24.1 (7.9)

76

23.6 (6.8)

64

   

EUROPEP*****

        
 

Baseline

105.8 (9.3)

90

106.2 (8.7)

69

  

-0.5 (-4.1 to 3.2); 0.80

 

Seven months

104.8 (10.4)

77

104.5 (10.8)

63

   

PHQ-9******

        

sum score

Baseline

7.4 (5.6)

91

7.4 (5.8)

76

   
 

Seven months

8.6 (5.9)

77

7.4 (5.4)

63

  

0.8 (-0.7 to 2.3); 0.30

        

adjusted odds ratio******* (95% CI); p***-value

No. (%) of Major Depressive Syndromes

Baseline

12 (15.6)

77

7 (11.1)

63

   
 

Seven months

14 (18.2)

77

8 (12.7)

63

  

1.5 (0.5 to 4.6); 0.48

  1. *High scores imply better health.
  2. **Based on analysis of covariance comparing results at seven-month follow-up.
  3. ***Adjusted for baseline score, ICC, New York Heart Association class, gender and age.
  4. ****Scores range from 12–60; low scores imply better self-care behaviour.
  5. *****Scores range from 23–115; higher scores imply higher patient satisfaction regarding provided care.
  6. ******For details see methods section
  7. *******According to generalised linear mixed effect models with a logit link using SAS proc glimmix to compare the number of outcomes between groups