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Effect of telemonitoring on self-care behaviors among community-dwelling adults with heart failure: a quantitative systematic review protocol.

OBJECTIVE: This systematic review seeks to synthesize evidence to determine the effect of telemonitoring on self-care behaviors of adults with heart failure.

INTRODUCTION: There is a high-level body of evidence demonstrating that telemonitoring is an appropriate and effective therapy for many chronic conditions and, specifically, for patients with heart failure. However, the effect of telemonitoring on self-care behaviors in the adult population with heart failure is unknown.

INCLUSION CRITERIA: This review will include studies on adult participants (18 years and over) diagnosed with heart failurewho use telemonitoring in the ambulatory setting. Studies among pediatric heart failurepatients, and adult heart failurepatients in acute care settings or in a care facility will be excluded.

METHODS: The search for studies will include English language studies published from 1997. Search terms will include heart failure, telemonitoring, self-care and outpatient/ambulatory care, and will be used in three key sources: CINAHL, Embase and PubMed. For the full review, Epistomonikos, ProQuest, PsycINFO and Web of Science will also be searched. Using inclusion/exclusion criteria, two reviewers select studies based on a three-step process. Methodological quality will be determined using critical appraisal checklists appropriate to the study design. Data extraction will include populations, study designs and methods, interventions and outcomes related to self-care behaviors. Pooled studies will allow calculation of meta-analysis while calculated effect sizes and confidence intervals will inform impact and precision of effect.

SYSTEMATIC REVIEW REGISTRATION NUMBER: CRD42019131852.

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