Assessing Barriers to Healthy Eating in Hospitalized Older Adults With Heart Failure: Psychometric Properties of Two Questionnaires

Marolt, Cara; Miller, Alexandria; Carlozzi, Noelle E.; Karmally, Wahida; Helmke, Stephen; Teruya, Sergio; Wells, Joanna; Trumble, Erika; Maurer, Mathew S.; Hummel, Scott L.

doi:10.1016/j.cardfail.2019.09.011

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…The BDPS assesses whether individuals perceive the benefits they derive from a healthy diet, if they are trying to maintain or change to a healthy diet, if they are receiving social support for it, if healthy food ingredients are physically and economically accessible, and if they are enjoying following a healthy diet. The reliability of this scale has previously been evaluated in patients with HF [16].…”

Section: Introductionmentioning

confidence: 99%

A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study (Preprint)

Kashiwakura,

Hiyama,

Muramatsu

et al. 2024

Preprint

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BACKGROUND The prevalence of heart failure (HF) is increasing worldwide, with the associated mortality rates rising consistently. Preventing HF progression requires adherence to restricted sodium intake alongside sufficient and balanced nutritional consumption. For patients at home, the preparation of nutritionally balanced meals is essential, either self-assisted or with the aid of close individuals. Patients with HF frequently experience decreased exercise tolerance, depression, anxiety, and social isolation. These concurrent conditions interfere with eating behaviors, leading to inadequate dietary habits. Despite these reasonable hypotheses, measures focusing on the determinants of eating behavior among patients with HF are currently lacking. OBJECTIVE This study aims to develop a self-administered scale to assess the eating behaviors of patients with HF living at home (SEBS-HF). METHODS The first phase of this study commenced in September 2023, and by May 2024, seven patients with HF and six expert professionals were enrolled as study participants. This study encompasses three phases: Phase 1 involves semi-structured interviews to be conducted with medical experts and patients with HF to identify factors influencing eating behaviors in patients with HF. A preliminary scale will be created based on the information gathered in Phase 1. In Phase 2, cognitive interviews will be conducted with patients with HF and experts; the preliminary scale will be employed to evaluate its content validity. After validation, the scale will be employed in Phase 3 to conduct a cross-sectional study involving patients with HF. The reliability and validity of the scale will be assessed using statistical methods. RESULTS The first phase of this study commenced in September 2023, and by May 2024, seven patients with HF and six expert professionals were enrolled as study participants. This study is scheduled to complete the evaluation of reliability and validity (Phase 3) by late 2025, after which the SEBS-HF will be published. CONCLUSIONS Developing and utilizing this scale will enable a more comprehensive evaluation of the factors affecting eating behaviors in patients with HF. Therefore, medical and welfare professionals should provide appropriate support tailored to their patient needs.

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Section: Introductionmentioning

confidence: 99%

A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study (Preprint)

Kashiwakura,

Hiyama,

Muramatsu

et al. 2024

Preprint

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Association between Serum Milk Fat Globule-EGF Factor 8 and Prognosis in Patients with Heart Failure

Lu,

Hou,

Huang

et al. 2024

Preprint

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Objective: Investigating the relationship between serum milk fat globule-EGF factor 8 (MFGE8) and prognosis in patients with heart failure (HF). Methods:This research conducted a prospective observational analysis on patients with HF at Huai’an TCM Hospital, which is affiliated with Nanjing University of Chinese Medicine between September 2021 and September 2022. The main focus was determined as combined result of being readmitted to the hospital for HF or all-cause death within a year. Various methods were utilized to evaluate the relationship between MFGE8 and prognosis, such as least absolute shrinkage and selection operator regression (LASSO), logistic regression, generalized additive model (GAM), multivariate adaptive regression splines (MARS), and random forest. Results:A total of 153 patients were enrolled, and 44 patients had outcome events (28.76%). The MFGE8 at hospital release were significantly lower in patients with primary the main outcome (398 [258, 762] vs. 600 [36, 892], P = 0.002), as was the fold change of MFGE8 at discharge and admission (ΔMFGE8) (4.37 [-73.34, 69.1] vs. 58.6 [30.2, 88.2], P < 0.001). Four variables were chosen using by LASSO regression: hypertension, body mass index, MFGE8 at discharge, and ΔMFGE8. Multivariate logistic regression was implemented using the chosen variables. The results showed that MFGE8 at discharge (beta = -0.001, OR = 1.000, P = 0.039) and ΔMFGE8 (beta = -3.786, OR = 0.022, P = 0.003) were independently associated with primary outcome. The random forest model determined that the ΔMFGE8 is the variable with the highest level of significance (GINI coefficient: 10.64). Conclusion: The presence of Serum MFGE8 is inversely associated with the likelihood of clinical outcome in HF patients, suggesting that it might be a valuable indicator of the prognosis for HF patients.

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A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study

Kashiwakura,

Hiyama,

Muramatsu

et al. 2024

JMIR Res Protoc

View full text Add to dashboard Cite

Background:The prevalence of heart failure (HF) is increasing worldwide, with the associated mortality rates rising consistently. Preventing HF progression requires adherence to restricted sodium intake alongside sufficient and balanced nutritional consumption. For patients at home, the preparation of nutritionally balanced meals is essential, either self-assisted or with the aid of close individuals. Patients with HF frequently experience decreased exercise tolerance, depression, anxiety, and social isolation. These concurrent conditions interfere with eating behaviors, leading to inadequate dietary habits. Despite these reasonable hypotheses, measures focusing on the determinants of eating behavior among patients with HF are currently lacking.Objective: This study aims to develop a self-administered scale to assess the eating behaviors of patients with HF living at home (SEBS-HF). Methods:The first phase of this study commenced in September 2023, and by May 2024, seven patients with HF and six expert professionals were enrolled as study participants. This study encompasses three phases: Phase 1 involves semi-structured interviews to be conducted with medical experts and patients with HF to identify factors influencing eating behaviors in patients with HF. A preliminary scale will be created based on the information gathered in Phase 1. In Phase 2, cognitive interviews will be conducted with patients with HF and experts; the preliminary scale will be employed to evaluate its content validity. After validation, the scale will be employed in Phase 3 to conduct a cross-sectional study involving patients with HF. The reliability and validity of the scale will be assessed using statistical methods. Results:The first phase of this study commenced in September 2023, and by May 2024, seven patients with HF and six expert professionals were enrolled as study participants. This study is scheduled to complete the evaluation of reliability and validity (Phase 3) by late 2025, after which the SEBS-HF will be published.Conclusions: Developing and utilizing this scale will enable a more comprehensive evaluation of the factors affecting eating behaviors in patients with HF. Therefore, medical and welfare professionals should provide appropriate support tailored to their patient needs.

show abstract

Assessing Barriers to Healthy Eating in Hospitalized Older Adults With Heart Failure: Psychometric Properties of Two Questionnaires

Cited by 3 publications

References 17 publications

A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study (Preprint)

A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study (Preprint)

Association between Serum Milk Fat Globule-EGF Factor 8 and Prognosis in Patients with Heart Failure

A Self-Administered Eating Behavior Scale for Patients With Heart Failure Living at Home: Protocol for a Mixed Methods Scale Development Study

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