Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial

Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake am...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Andressa Teoli Nunciaroni, Rúbia de Freitas Agondi, Henrique Ceretta Oliveira, Rafaela Batista dos Santos Pedrosa, Roberta Cunha Matheus Rodrigues, Maria Cecília Gallani
Formato:	article
Lenguaje:	EN FR
Publicado:	Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ) 2021
Materias:	health plan implementation heart failure sodium chloride nursing randomized controlled trial Nursing RT1-120
Acceso en línea:	https://doaj.org/article/142dd17a161b45b0909a34d23eb24e66
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:142dd17a161b45b0909a34d23eb24e66
record_format	dspace
spelling	oai:doaj.org-article:142dd17a161b45b0909a34d23eb24e662021-11-17T03:18:29ZImplementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial2561-7516https://doaj.org/article/142dd17a161b45b0909a34d23eb24e662021-10-01T00:00:00Zhttps://sips-snahp.ojs.umontreal.ca/index.php/sips-snahp/article/view/11https://doaj.org/toc/2561-7516 Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake among heart-failure patients. Methods: Randomized controlled trial. The 60 heart-failure patients recruited were first randomized into 2 groups: an experimental group (EG) and a control group (CG). The study population was further broken down into 4 groups depending on whether the individuals prepared their own meals: 2 individual groups (EG-Individual and CG-Individual); and 2 collaborative groups, involving the patient and a social referent (EG-Collaborative and CG- Collaborative). The experimental groups developed action and coping plans based on the Implementation Intention. Total salt intake was calculated through discretionary salt, sodium- food frequency questionnaires, and 24-hour recall, obtained at the baseline (T0) and at the 2- month follow-up (T3). Results: 56 patients ended the follow-up. A reduction in the total salt intake was observed in the EGs (Individual and Collaborative) compared to baseline (5.04g/day vs. 12.21g/day for the EG-Individual (p≤0.001); 4.79g/day vs. 11.43g/day for the EG-Collaborative; p≤0.001). The multivariate analysis showed that the 2 EGs had lower salt intake at T3 than the 2 CGs (95% CI 4.19-9.29 for individual groups vs. 95% CI 4.84-10.22 for collaborative groups). There were no differences between the 2 EGs (95% CI –2.77 to 2.41). The total variance explained (R2) by these comparisons was 0.70. Discussion and conclusion: This study suggests that Implementation Intention might be effective in reducing salt intake among heart-failure patients, either individually or collaboratively. Further research testing mediator and moderator effects of the psychosocial variables are recommended. Andressa Teoli NunciaroniRúbia de Freitas AgondiHenrique Ceretta OliveiraRafaela Batista dos Santos PedrosaRoberta Cunha Matheus RodriguesMaria Cecília GallaniRéseau de recherche en interventions en sciences infirmières du Québec (RRISIQ)articlehealth plan implementationheart failuresodium chloridenursingrandomized controlled trialNursingRT1-120ENFRScience of Nursing and Health Practices (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	health plan implementation heart failure sodium chloride nursing randomized controlled trial Nursing RT1-120
spellingShingle	health plan implementation heart failure sodium chloride nursing randomized controlled trial Nursing RT1-120 Andressa Teoli Nunciaroni Rúbia de Freitas Agondi Henrique Ceretta Oliveira Rafaela Batista dos Santos Pedrosa Roberta Cunha Matheus Rodrigues Maria Cecília Gallani Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
description	Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake among heart-failure patients. Methods: Randomized controlled trial. The 60 heart-failure patients recruited were first randomized into 2 groups: an experimental group (EG) and a control group (CG). The study population was further broken down into 4 groups depending on whether the individuals prepared their own meals: 2 individual groups (EG-Individual and CG-Individual); and 2 collaborative groups, involving the patient and a social referent (EG-Collaborative and CG- Collaborative). The experimental groups developed action and coping plans based on the Implementation Intention. Total salt intake was calculated through discretionary salt, sodium- food frequency questionnaires, and 24-hour recall, obtained at the baseline (T0) and at the 2- month follow-up (T3). Results: 56 patients ended the follow-up. A reduction in the total salt intake was observed in the EGs (Individual and Collaborative) compared to baseline (5.04g/day vs. 12.21g/day for the EG-Individual (p≤0.001); 4.79g/day vs. 11.43g/day for the EG-Collaborative; p≤0.001). The multivariate analysis showed that the 2 EGs had lower salt intake at T3 than the 2 CGs (95% CI 4.19-9.29 for individual groups vs. 95% CI 4.84-10.22 for collaborative groups). There were no differences between the 2 EGs (95% CI –2.77 to 2.41). The total variance explained (R2) by these comparisons was 0.70. Discussion and conclusion: This study suggests that Implementation Intention might be effective in reducing salt intake among heart-failure patients, either individually or collaboratively. Further research testing mediator and moderator effects of the psychosocial variables are recommended.
format	article
author	Andressa Teoli Nunciaroni Rúbia de Freitas Agondi Henrique Ceretta Oliveira Rafaela Batista dos Santos Pedrosa Roberta Cunha Matheus Rodrigues Maria Cecília Gallani
author_facet	Andressa Teoli Nunciaroni Rúbia de Freitas Agondi Henrique Ceretta Oliveira Rafaela Batista dos Santos Pedrosa Roberta Cunha Matheus Rodrigues Maria Cecília Gallani
author_sort	Andressa Teoli Nunciaroni
title	Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
title_short	Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
title_full	Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
title_fullStr	Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
title_full_unstemmed	Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
title_sort	implementation intention strategy to reduce salt intake among heart failure patients: a randomized controlled trial
publisher	Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ)
publishDate	2021
url	https://doaj.org/article/142dd17a161b45b0909a34d23eb24e66
work_keys_str_mv	AT andressateolinunciaroni implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial AT rubiadefreitasagondi implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial AT henriquecerettaoliveira implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial AT rafaelabatistadossantospedrosa implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial AT robertacunhamatheusrodrigues implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial AT mariaceciliagallani implementationintentionstrategytoreducesaltintakeamongheartfailurepatientsarandomizedcontrolledtrial
_version_	1718425971039666176

Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial

Ejemplares similares