{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:20:35Z","timestamp":1787750435862,"version":"build-2784847793"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic heart failure (CHF) is a complex and often progressive condition, requiring ongoing self-management and lifestyle adjustments. Empowerment, which refers to a person's ability to oversee their health and be more involved in their care, serves as the foundation of this engagement, and health coaching has emerged as a critical strategy to help patients take an active role and manage their condition effectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the five RE-AIM elements\u2014reach, effectiveness, adoption, implementation, and maintenance\u2014of a health coaching program (H-Coaching) in empowering hospitalized patients with CHF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An exploratory study was conducted involving 55 patients admitted to the cardiology unit of a university hospital in northern Spain, who were divided into a preintervention group (n = 25) and a postintervention group (n = 30). The intervention involved the implementation by nurses of H-Coaching to empower patients with CHF during their stay and prepare them for discharge. To measure CHF patient empowerment, the Spanish adaptation and validated version of the Patient Empowerment in Long-Term Conditions questionnaire was used. This tool assesses empowerment across three dimensions (positive attitude and sense of control, shared and informed decision-making, and information seeking and peer sharing) and was administered at two time points: before (T1) and after (T2) the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The difference between pre- and postintervention empowerment scores was statistically significant for the positive attitude and sense of control dimension, with a mean improvement of 0.58. Furthermore, a statistically significant difference was observed for item 33, \u201cI need to know what is happening to me and why,\u201d within the shared and informed decision-making dimension. No statistically significant difference was observed for item 35, \u201cI have shared my knowledge about my illness with people who have similar illnesses to mine,\u201d within the information-seeking and peer-sharing dimension, although a mean improvement of 0.56 between pre- and postintervention scores was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results of this study indicate that health coaching is effective in empowering patients with CHF in hospital settings. Furthermore, several factors were identified that can help ensure the successful implementation and evaluation of health coaching, such as nurse training and professional experience, a supportive environment, and active caregiver involvement. This knowledge can be used to design future interventions to empower hospitalized patients with CHF in other settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/ajn.0000000000000336","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:00:48Z","timestamp":1782360048000},"page":"34-42","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Empowering Patients with Heart Failure Through Health Coaching: A Quasi-Experimental Study"],"prefix":"10.1097","volume":"126","author":[{"given":"Beatriz","family":"Paloma-Mora","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Mar\u00eda","family":"Quesada-Melero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maddi","family":"Olano-Lizarraga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Rumeu-Casares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"V\u00e1zquez-Calatayud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"issue":"36","key":"R1-20260625","doi-asserted-by":"crossref","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"issue":"9","key":"R2-20260625","doi-asserted-by":"crossref","first-page":"e139","DOI":"10.1161\/CIR.0000000000000757","article-title":"Heart disease and stroke statistics\u20142020 update: a report from the American Heart Association","volume":"141","author":"Virani","year":"2020","journal-title":"Circulation"},{"issue":"6","key":"R3-20260625","first-page":"e007132","article-title":"Risk profiles in heart failure","volume":"13","author":"Greene","year":"2020","journal-title":"Circulation: Heart Failure"},{"issue":"4","key":"R4-20260625","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.jacc.2022.11.023","article-title":"Worsening heart failure: nomenclature, epidemiology, and future directions","volume":"81","author":"Greene","year":"2023","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"R5-20260625","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1002\/ejhf.2874","article-title":"Worsening of chronic heart failure: definition, epidemiology, management and prevention. A clinical consensus statement by the Heart Failure Association of the European Society of Cardiology","volume":"25","author":"Metra","year":"2023","journal-title":"Eur J Heart Fail"},{"issue":"6","key":"R6-20260625","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1161\/CIRCHEARTFAILURE.115.002327","article-title":"Psychosocial factors, exercise adherence, and outcomes in heart failure patients: insights from heart failure: a controlled trial investigating outcomes of exercise training (HF-ACTION)","volume":"8","author":"Cooper","year":"2015","journal-title":"Circ Heart Fail"},{"issue":"8","key":"R7-20260625","doi-asserted-by":"crossref","first-page":"e12483","DOI":"10.2196\/12483","article-title":"Patient commitment to health (PACT-Health) in the heart failure population: a focus group study of an active communication framework for patient-centered health behavior change","volume":"21","author":"Meeker","year":"2019","journal-title":"J Med Internet Res"},{"key":"R8-20260625","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1186\/s12913-015-0907-z","article-title":"Conceptualising patient empowerment: a mixed methods study","volume":"15","author":"Bravo","year":"2015","journal-title":"BMC Health Serv Res"},{"issue":"6","key":"R9-20260625","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/10376178.2023.2262612","article-title":"Nursing capacity building in health coaching with hospitalised chronic heart failure patients: a quasi-experimental study","volume":"59","author":"V\u00e1zquez-Calatayud","year":"2023","journal-title":"Contemporary Nurse"},{"issue":"1","key":"R10-20260625","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/s12913-017-2088-4","article-title":"Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care","volume":"17","author":"Oksman","year":"2017","journal-title":"BMC Health Serv Res"},{"issue":"3","key":"R11-20260625","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1111\/j.1745-7599.2007.00297.x","article-title":"Alliance not compliance: coaching strategies to improve type 2 diabetes outcomes","volume":"20","author":"Hayes","year":"2008","journal-title":"J Am Acad Nurse Pract"},{"issue":"1","key":"R12-20260625","doi-asserted-by":"crossref","first-page":"e2066","DOI":"10.1002\/nop2.2066","article-title":"Self-management theories, models and frameworks in patients with chronic heart failure: a scoping review","volume":"11","author":"Chen","year":"2024","journal-title":"Nurs Open"},{"issue":"3","key":"R13-20260625","doi-asserted-by":"crossref","first-page":"40","DOI":"10.7453\/gahmj.2013.039","article-title":"The impact of telephonic health coaching on health outcomes in a high-risk population","volume":"2","author":"Lawson","year":"2013","journal-title":"Glob Adv Health Med"},{"issue":"2","key":"R14-20260625","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.pec.2014.07.026","article-title":"The effects of health coaching on adult patients with chronic diseases: a systematic review","volume":"97","author":"Kivel\u00e4","year":"2014","journal-title":"Patient Educ Couns"},{"issue":"4","key":"R15-20260625","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.pec.2019.10.019","article-title":"Measuring patient empowerment\u2014a systematic review","volume":"103","author":"Pekonen","year":"2020","journal-title":"Patient Educ Couns"},{"issue":"1","key":"R16-20260625","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1186\/s12913-020-05473-2","article-title":"Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country","volume":"20","author":"Mateo-Abad","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"R17-20260625","doi-asserted-by":"crossref","first-page":"n2061","DOI":"10.1136\/bmj.n2061","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"374","author":"Skivington","year":"2021","journal-title":"BMJ"},{"issue":"2","key":"R18-20260625","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/1054773819898825","article-title":"Unexplored aspects of the meaning of living with chronic heart failure: a phenomenological study within the framework of the model of interpersonal relationship between the nurse and the person\/family cared for","volume":"30","author":"Olano-Lizarraga","year":"2021","journal-title":"Clin Nurs Res"},{"issue":"3","key":"R19-20260625","doi-asserted-by":"crossref","first-page":"351","DOI":"10.23938\/ASSN.0960","article-title":"Level of empowerment of hospitalized chronic heart failure patient","volume":"44","author":"Paloma","year":"2021","journal-title":"An Sist Sanit Navar"},{"issue":"3","key":"R20-20260625","doi-asserted-by":"crossref","first-page":"393","DOI":"10.23938\/ASSN.0925","article-title":"A systematic review of interventions to empower patient with chronic heart failure in hospital environment","volume":"43","author":"P\u00e9rez Paloma","year":"2020","journal-title":"An Sist Sanit Navar"},{"issue":"1","key":"R21-20260625","first-page":"26","article-title":"Size of sample in clinical investigation","volume":"133","author":"Araya Alpizar","year":"2009","journal-title":"Med Clin (Barc)"},{"key":"R22-20260625","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3389\/fpubh.2019.00064","article-title":"RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review","volume":"7","author":"Glasgow","year":"2019","journal-title":"Front Public Health"},{"issue":"2","key":"R23-20260625","doi-asserted-by":"crossref","first-page":"e1001","DOI":"10.23938\/ASSN.1001","article-title":"Dyadic self-care interventions in chronic heart failure in hospital settings: a systematic review","volume":"45","author":"Villero-Jimenez","year":"2022","journal-title":"An Sist Sanit Navar"},{"issue":"1","key":"R24-20260625","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.aprim.2017.09.009","article-title":"Transcultural adaptation into Spanish of the patient empowerment in long-term conditions questionnaire","volume":"51","author":"Garcimartin","year":"2019","journal-title":"Aten Primaria"},{"key":"R25-20260625","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1186\/1472-6963-13-263","article-title":"Patient empowerment in long-term conditions: development and preliminary testing of a new measure","volume":"13","author":"Small","year":"2013","journal-title":"BMC Health Serv Res"},{"key":"R26-20260625","doi-asserted-by":"crossref","first-page":"705202","DOI":"10.3389\/fmed.2021.705202","article-title":"Association between the health locus of control and medication adherence: an observational, cross-sectional study in primary care","volume":"8","author":"Gerland","year":"2021","journal-title":"Front Med (Lausanne)"},{"issue":"3","key":"R27-20260625","doi-asserted-by":"crossref","first-page":"330","DOI":"10.24869\/psyd.2017.330","article-title":"The relationship between health locus of control, depression, and sociodemographic factors and amount of time breast cancer patients wait before seeking diagnosis and treatment","volume":"29","author":"Marijanovi\u0107","year":"2017","journal-title":"Psychiatr Danub"},{"issue":"11","key":"R28-20260625","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.3390\/medicina58111542","article-title":"Patterns of locus of control in people suffering from heart failure: an approach by clustering method","volume":"58","author":"Siennicka","year":"2022","journal-title":"Medicina"},{"issue":"6","key":"R29-20260625","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s10741-015-9511-x","article-title":"Care-seeking decisions for worsening symptoms in heart failure: a qualitative metasynthesis","volume":"20","author":"Ivynian","year":"2015","journal-title":"Heart Fail Rev"},{"issue":"10","key":"R30-20260625","first-page":"e46751","article-title":"Peer support for patients with heart failure: a systematic review and meta-analysis","volume":"15","author":"Nakao","year":"2023","journal-title":"Cureus"},{"issue":"3","key":"R31-20260625","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.recesp.2017.05.029","article-title":"Health literacy and health outcomes in very old patients with heart failure","volume":"71","author":"Le\u00f3n-Gonz\u00e1lez","year":"2018","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"issue":"2","key":"R32-20260625","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/JCN.0000000000000229","article-title":"Health literacy and heart failure: a systematic review","volume":"31","author":"Cajita","year":"2016","journal-title":"J Cardiovasc Nurs"},{"issue":"11","key":"R33-20260625","doi-asserted-by":"crossref","first-page":"e009473","DOI":"10.1161\/CIRCHEARTFAILURE.122.009473","article-title":"Improving fairness in the prediction of heart failure length-of-stay and mortality by integrating social determinants of health","volume":"15","author":"Li","year":"2022","journal-title":"Circ Heart Fail"},{"key":"R34-20260625","author":"Polit","year":"2016","journal-title":"Measurement and the Measurement of Change: A Primer for the Health Professions"}],"container-title":["AJN, American Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/AJN.0000000000000336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:33:49Z","timestamp":1787747629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/AJN.0000000000000336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":34,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/ajn.0000000000000336","relation":{},"ISSN":["0002-936X","1538-7488"],"issn-type":[{"value":"0002-936X","type":"print"},{"value":"1538-7488","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]}}}