UNASSIGNED: Over 50  % of @entity712 ( @entity712 ) @entity1 delay seeking help for worsening symptoms until these reach acute levels and require emergency hospitalisation. This metasynthesis aimed to identify and explore factors influencing timely care-seeking in @entity1 with @entity712 . Electronic databases searched were MEDLINE, Embase, and CINAHL. Studies were included if they were peer-reviewed journal articles, written in English, and reported perspectives of @entity712 @entity1 following qualitative data collection and analysis. Forty articles underwent analysis following the approach of Thomas and Harden. Leventhal's self-regulatory model (SRM) was used to organise the literature. Much of the literature fits within the SRM; however, this model did not account for all factors that influence @entity1 ' care-seeking for worsening symptoms. Factors not accounted for included @entity1 ' appraisals of previous care-seeking experiences, perceived system and provider barriers to accessing care, and the influence of external appraisals. When added to factors already represented in the model, such as misattribution of symptoms, not identifying with @entity712 diagnosis, @entity73 , lack of understanding information provided, adaptation to symptoms, and emotional responses, a more comprehensive account of @entity1 ' decision-making was revealed. This metasynthesis identified factors, as yet unaccounted for, in a prominent model, and has suggested a more comprehensive framework for addressing care-seeking in @entity712 @entity1 . This information can be used to tailor education, communication, and service initiatives to improve @entity712 @entity1 ' responses to worsening symptoms and target those most at risk of delay.

Care-seeking decisions for worsening symptoms in XXXX : a qualitative metasynthesis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive status'] @entity712 :: ('MESH:D006333', 'Disease') :: ['HF', 'heart failure']
@entity712 :: (MESH:D006333,Disease) :: ['heart failure']
