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IRCT20120910010806N10 IRCT 2021-05-21 Iran University of Medical Sciences Occupational Performance Coaching on Self-Care Behavior,Participation Level and Depression in Adults With Heart Failure Occupational Performance Coaching on Self-Care Behavior,Participation Level and Depression in Adults With Heart Failure 2021-05-20 anticipated 40 Complete https://irct.ir/trial/54116 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Blocked randomization, After selecting the samples in a non-probability simple method, participants will be randomly divided into two groups. Random allocation to the two groups in this study will be done using four and six blocks. The order of the blocks will be selected web-based. Randomization in this study will be done by one of the research colleagues and other researchers and the person performing the intervention will not know about the assignment of groups, Blinding description: Assessor and will be blind in this study. N/A Heart Failure. Intervention 1: intervention group: Includes the heart failure patients referred to Rajaie Cardiovascular, Medical and Research Center , which are treated according to the OPC (occupational performance =Coaching) protocol. In the pilot phase, the OPC is performed in 8 sessions individually by the researcher. Intervention 2: Control group: A standard self-care training session of Rajaie Cardiovascular, Medical and Research Center is performed as a usual care for them. Yes - There is a plan to make this available What will be shared: Article Published When: 6 months after publication To whom: The researchers and Occupational Therapists Conditions: Other research, critics, check and clinical usage Where to obtain: First author and corresponding author How to obtain: Send Request by Email Comments:
public Zahra Ahmadizadeh
Occupational Therapy department, School of rehabilitation sciences., Madadkaran Alley., Shah-Nazari Ave.,Madar Sq.,Mirdamad Blvب
Tehran Iran (Islamic Republic of) 1545913487 +98 21 2222 2059 ahmadizade.z@gmail.com Iran University of Medical Sciences scientific Dr Malahat Akbarfahimi
Occupational Therapy depatrment., School of rehabilitation., Madadkaran Ave., Shah-Nazari Ave., Madar Sq., Mirdamad Blvd
Tehran Iran (Islamic Republic of) 1545913478 +98 21 2222 2059 akbarfahimi.m@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Patients aged between 18 and 65 years clinical diagnosis of HF levels 1, 2 and 3 according to the New York Heart Association classification system (NYHA) by a cardiologist and left ventricular ejection fraction less than 40% based on echocardiography Have acute coronary artery syndrome for the past 2 weeks or coronary artery bypass graft disease or medical surgery based on a diagnosis made by a cardiologist be able to read, write and fill out questionnaires not having severe depression based on the CDS questionnaire (scoring less than 100) having good cognitive function (score above 22 in MMSE test) having a score less than 70 in self-care behavior scale 18 years 65 years Both History of claudication, clinical instability, ventricular arrhythmia, primary valve disease, congenital heart disease, hypertrophic or restrictive cardiomyopathy, myocarditis, COPD and pericardial effusion, and history of myocardial infarction in the previous month, acute coronary artery syndrome during the last 2 weeks or patients with coronary artery bypass graft or heart surgery, , , , i Being a recipient of other occupational therapy services Having vision and hearing problems that prevent communication Hospitalization at the time of implementing the intervention, Living in maintenance institutions Having unstable angina or high blood pressure Having any psychiatric disorder treated based on medical documentation Having any neurological or psychological disorders that impair the ability to walk or cognitive function Infection with COVID-19 at the time of intervention Having myocarditis, severe COPD and pericardial effusion and a history of myocardial infarction in the previous month and uncontrolled diabetes and kidney failure based on medical documentation I50 Heart failure Rehabilitation Rehabilitation intervention group: Includes the heart failure patients referred to Rajaie Cardiovascular, Medical and Research Center , which are treated according to the OPC (occupational performance =Coaching) protocol. In the pilot phase, the OPC is performed in 8 sessions individually by the researcher. Control group: A standard self-care training session of Rajaie Cardiovascular, Medical and Research Center is performed as a usual care for them. Self-care Behavior. Timepoint: Before the intervention, after the end of the intervention and in the follow-up, one month after the end of the intervention. Method of measurement: self-care of heart failure index. Participation. Timepoint: Before the intervention, after the end of the intervention and in the follow-up, one month after the end of the intervention. Method of measurement: Canadian Occupational Performance Measure. Self-efficacy. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Cardiovascular Management Self Efficacy Scale. Quality of life. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Minnesota Living with Heart Failure Questionnaire. Physical Functional Capacity. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: 6 Minute Walk Test. Activity of Daily Living. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Lawton questionnaires. Fatigue. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Fatigue Severity Scale. Depression. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Beck Depression Inventory-II. Cognition level. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Mini Mental Status Examination. Social Support. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Social Support Scale. Iran University of Medical Sciences Approved 2021-03-14 Iran university of medical sciences and health services Iran University of Medical Sciences., Shahid Hemmat highway, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)