Table 2.
Generalized estimating equation models of the comparison of patients’ outcome between the intervention and control groups.
| Outcomes | Time | Intervention Mean (SD) | Control Mean (SD) | Group effect at T0 |
Time effect in control arm |
Group∗Time effect |
Between groups |
Cohen's d | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| β (95% CI) | p | β (95% CI) | p | Wald χ2 | p | β (95% CI) | p | |||||
| Primary outcomes | ||||||||||||
| Self-care maintenance | 1.703 (−3.789, 7.194) | 0.543 | 4.599 | 0.204 | ||||||||
| T1 | 60.18 (18.14) | 49.93 (16.53) | −1.868 (−7.693, 3.957) | 0.530 | 8.544 (0.719, 16.370) | 0.032 | 0.59 | |||||
| T2 | 58.51 (16.68) | 52.00 (18.02) | 0.246 (−5.732, 6.224) | 0.936 | 4.760 (−3.641, 13.161) | 0.267 | 0.37 | |||||
| T3 | 56.46 (17.51) | 50.63 (17.12) | −0.998 (−7.723, 5.726) | 0.771 | 4.175 (−5.058, 13.408) | 0.375 | 0.33 | |||||
| Symptom perception | −5.677 (−12.204, 0.849) | 0.088 | 6.928 | 0.074 | ||||||||
| T1 | 59.23 (20.45) | 55.18 (19.58) | −0.476 (−7.103, 6.152) | 0.888 | 9.712 (1.476, 17.947) | 0.021 | 0.20 | |||||
| T2 | 57.64 (19.61) | 54.70 (20.17) | −0.724 (−7.942, 6.493) | 0.844 | 9.626 (0.606, 18.647) | 0.036 | 0.15 | |||||
| T3 | 54.89 (18.80) | 54.15 (21.30) | −0.281 (−7.310, 6.748) | 0.937 | 6.253 (−3.126, 15.632) | 0.191 | 0.88 | |||||
| Self-care management | 3.670 (−1.398, 8.739) | 0.156 | 3.98 | 0.264 | ||||||||
| T1 | 59.61 (18.79) | 48.72 (14.46) | −0.446 (−4.824, 3.932) | 0.842 | 7.218 (0.118, 14.318) | 0.046 | 0.65 | |||||
| T2 | 57.01 (19.10) | 50.04 (14.97) | 0.881 (−4.141, 5.902) | 0.731 | 3.297 (−4.174, 10.767) | 0.387 | 0.41 | |||||
| T3 | 56.37 (18.09) | 49.73 (15.77) | 0.575 (−4.929, 6.078) | 0.838 | 2.960 (−5.319, 11.239) | 0.483 | 0.39 | |||||
| Secondary outcomes | ||||||||||||
| HFSPS score differencea | 0.563 (−3.070, 4.197) | 0.761 | 36.337 | <0.001 | ||||||||
| T1 | 6.96 (6.92) | 13.69 (12.80) | 0.603 (−0.257, 1.463) | 0.170 | −7.296 (−9.876, −4.716) | <0.001 | −0.65 | |||||
| T2 | 8.38 (7.92) | 13.05 (11.76) | −0.036 (−1.408, 1.336) | 0.959 | −5.227 (−8.673, −1.781) | 0.003 | −0.47 | |||||
| T3 | 9.03 (8.25) | 14.36 (13.11) | 1.274 (−0.259, 2.807) | 0.103 | −5.887 (−9.438, −2.337) | 0.001 | −0.49 | |||||
| Dyadic coping inventory (DCI) | −1.592 (−6.735, 3.552) | 0.544 | 29.779 | <0.001 | ||||||||
| T1 | 113.79 (15.53) | 110.06 (15.17) | −0.461 (−1.908, 0.986) | 0.533 | 5.396 (3.312, 7.480) | <0.001 | 0.31 | |||||
| T2 | 112.18 (17.10) | 108.63 (14.22) | −1.049 (−2.732, 0.635) | 0.222 | 4.643 (2.258, 7.027) | <0.001 | 0.23 | |||||
| T3 | 109.78 (16.15) | 108.64 (17.19) | −1.916 (−0.163, 4.590) | 0.032 | 3.543 (1.128, 5.957) | 0.004 | 0.07 | |||||
| Dyadic relationship (MS) | 0.324 (−1.497, 2.144) | 0.727 | 10.795 | 0.013 | ||||||||
| T1 | 39.64 (7.86) | 36.95 (6.11) | 0.235 (−1.650, 2.119) | 0.807 | 2.365 (−0.484, 5.214) | 0.104 | 0.38 | |||||
| T2 | 40.42 (5.91) | 35.98 (4.98) | −0.734 (−2.253, 0.784) | 0.343 | 4.108 (1.646, 6.569) | 0.001 | 0.81 | |||||
| T3 | 39.33 (4.97) | 36.53 (5.69) | −0.190 (−2.158, 1.778) | 0.850 | 2.475 (−0.293, 5.244) | 0.080 | 0.52 | |||||
| Anxiety (SAS) | 0.873 (−2.011, 3.757) | 0.553 | 38.528 | <0.001 | ||||||||
| T1 | 36.24 (9.07) | 37.22 (8.99) | −0.203 (−0.507.0.101) | 0.190 | −1.886 (−2.504, −1.269) | <0.001 | −0.11 | |||||
| T2 | 37.54 (8.83) | 37.32 (9.40) | 0.042 (−0.279, 0.363) | 0.797 | −0.609 (−1.040, −0.178) | 0.006 | 0.02 | |||||
| T3 | 38.40 (9.02) | 38.09 (9.87) | 0.271 (−0.045, 0.587) | 0.093 | −0.524 (−1.002, −0.046) | 0.032 | 0.03 | |||||
| Depression (SDS) | −0.197 (−3.826, 3.432) | 0.915 | 10.704 | 0.013 | ||||||||
| T1 | 42.58 (10.58) | 44.27 (11.44) | 0.296 (−0.036, 0.628) | 0.142 | −1.279 (−1.816, −0.742) | <0.001 | −0.15 | |||||
| T2 | 43.06 (11.12) | 44.50 (11.15) | 0.097 (−0.266, 0.460) | 0.601 | 0.628 (−1.184, −0.072) | 0.027 | −0.14 | |||||
| T3 | 42.40 (11.07) | 43.70 (10.48) | −0.206 (−0.595, 0.182) | 0.298 | −0.408 (−0.830, 0.013) | 0.054 | −0.12 | |||||
MS: the mutuality scale; SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale.
HFSPS score difference: Patient's HFSPS score–Caregiver's HFSPS score; T0: Baseline, T1: 4 weeks, T2: 12 weeks, T3: 24 weeks; β: regression coefficient; HFSPS: Heart Failure Somatic Perception Scale; DCI: Dyadic coping inventory.