Effects of a person-centered care intervention on health service use in chronic heart failure: preliminary results of a randomized controlled trial [A096] Har passerat
Onsdag 6 maj 2026 09:00 - 11:15 Poster Arena
Rapportör: Jesús Martín-MartínSpår: Poster session, Evaluation of Interventions
Background: People with chronic heart failure face a complex condition that profoundly affects their health outcomes due to symptom burden and psychological factors. Implementing a person-centered care (PCC) approach involves shifting toward a care model that prioritizes patients’ preferences and encourages their active participation in care planning and decision-making. Aims: To evaluate the effectiveness of a person-centered care (PCC) intervention, delivered both face-to-face and by telephone, in addition to standard care, compared with conventional care, on the use of health services among people with chronic heart failure. Setting: Three outpatient heart failure units in Spain. Design: A multicenter randomized controlled trial was conducted following the new MRC framework for complex interventions. The study was guided by a program theory and logic model, and co-created with patients and clinicians. Statistical analyses were performed using linear mixed models (LMM) to assess changes over time and between groups, accounting for individual variability. Point plots with error bars were used to visualize score trajectories across time points (t0, t1, t2), helping to illustrate group differences. Results: The PCC group achieved better clinical outcomes. Unplanned hospitalizations decreased from 18% to nearly zero (p = 0.007), and unplanned emergency visits dropped from 40% to almost none (p = 0.023). Decompensations also declined significantly at t2 (p = 0.024), with greater reductions in the PCC group. Regarding EHFScB-9-based self-care behaviors, both groups improved, but the PCC group showed a stronger increase (p = 0.001). Conclusion: The sharper decline in emergency events among PCC participants suggests they were better able to recognize symptoms early, take timely action to manage their condition, and may have developed stronger relationships with their care team. Overall, these findings highlight the potential of person-centered care to enhance clinical stability and empower patients to manage chronic heart failure more effectively.
Konferens
GCPCC
GCPCC Kod
PCC125
Föreläsare
Jesús Martín-Martín Rapportör
Associate Professor
University of Navarra
I am an Associate Professor and Nurse Researcher at the Faculty of Nursing, University of Navarra (Spain). My clinical and academic background is in palliative care, and my work focuses on person-centred care for individuals and families living with complex and advanced chronic conditions—a line of research that has guided both my doctoral work and ongoing academic activity.
I am a member of the “Innovation for Person-Centred Care” research group (University of Navarra) and collaborate internationally with institutions such as the Gothenburg Centre for Person-Centred Care (GPCC) and the Yvonne L. Munn Center for Nursing Research at Massachusetts General Hospital (Boston, USA), where I also contribute as a Nurse Researcher. My research is centred on improving care delivery and advancing the validation of outcome measures in chronic and complex health conditions.
In addition to my research activity, I am deeply committed to teaching and mentorship. I teach at undergraduate and postgraduate levels and supervise doctoral and master’s students. My work integrates clinical expertise, research, and education to promote high-quality, person-centred nursing care, with a strong emphasis on translating evidence into clinical practice.