Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study

Peters-Klimm, Frank; Freund, Tobias; Kunz, Cornelia Ursula; Laux, Gunter; Frankenstein, Lutz; Müller‐Tasch, Thomas; Szécsényi, Joachim

doi:10.1177/1474515112439964

Cited by 54 publications

(57 citation statements)

References 47 publications

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“…Also, baseline levels of self-care were included as predictors of selfcare at 1-month follow-up in one study (74) and it can be questioned whether self-care is likely to change over such a short period. Self-efficacy was also positively associated with HF self-care behaviors in the remaining studies (16,18,(49)(50)(51)(52)(53)59,(75)(76)(77)(78). One study (52) showed that the relationship between depressive symptoms and treatment adherence was mediated by self-efficacy.…”

Section: Self-efficacy/self-care Confidencementioning

confidence: 85%

Psychological Determinants of Heart Failure Self-Care

Kessing

Denollet

Widdershoven

et al. 2016

Psychosomatic Medicine

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Psychological factors (depression, self-efficacy, and mental well-being) were associated with specific self-care facets in patients with chronic HF. These associations were predominantly observed with self-reported indices of self-care and not objective indices. Methodological heterogeneity and limitations preclude definite conclusions about the association between psychological factors and self-care and should be addressed in future research.

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Section: Self-efficacy/self-care Confidencementioning

confidence: 85%

Psychological Determinants of Heart Failure Self-Care

Kessing

Denollet

Widdershoven

et al. 2016

Psychosomatic Medicine

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“…Analysis of EHFScBS scores showed that individual resources used in the maintenance of self-care can be targets for constant improvement (12) . Thus, an educational approach to selfcare, coupled with instruments for assessment of this behavior, can be used to identify which determinants are at risk and require intensive or unique management.…”

Section: -Item Version Of the Instrument Developed In Englishmentioning

confidence: 99%

Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese

Feijó

Ávila

Souza

et al. 2012

Rev. Latino-Am. Enfermagem

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Objective: To adapt and validate a Brazilian Portuguese version of the European Heart Failure Self-Care Behavior Scale. Methods: The cross-cultural adaptation (translation, synthesis, back-translation, expert committee review, and pretesting) and validation (assessment of face validity, content validity, and internal consistency reliability) were carried out in accordance with the literature. The European Heart Failure Self-Care Behavior Scale assesses key components of self-care: recognition of the signs and symptoms of decompensated heart failure (HF) and decision-making when these signs and symptoms arise. It comprises 12 items (range 12-60, where lower scores indicate better self-care).Results: The sample comprised 124 HF patients with a mean age of 62.3 ± 12 years. The Cronbach's Alpha internal consistency was 0.70 and the intraclass correlation coefficient for reproducibility was 0.87. Conclusion: Face and content validity, internal consistency and reproducibility have lended validity and reliability for the use of the instrument in Brazil.Descriptors: Heart Failure; Self-care, Nursing Education; Validation Studies. Adaptación transcultural y validación de la European Heart Failure Self-care Behavior Scale para el Portugués de Brasil Objetivo: Adaptar y validar European Heart Failure Self-Care Behavior Scale para uso en lengua portuguesa de Brasil. Métodos: El proceso de adaptación cultural (traducción, síntesis, retro traducción, revisión por comité de expertos y pré test), validación (validez de facie, de contenido y confiabilidad) fue realizado según la literatura. La European Heart Failure Self-Care Behavior Scale evalúa los componentes-clave para el auto cuidado: IntroductionRecent studies have emphasized the importance of systematic education on the disease and selfcare for patients with heart failure (1)(2) . The objectives of this process are to teach, strengthen, improve and constantly evaluate the abilities of patients to manage their self-care (1) . Systematic disease education contributes to the prevention of factors that might precipitate decompensation, thus reducing the number of readmissions (2) . However, information and guidance dispensed to patients in settings such as hospitals, heart failure clinics, and their own homes are not always evaluated with regard to the effectiveness of implementation (3) .In the context of heart failure, self-care can be defined as adherence to medication, lifestyle recommendations (diet and physical exercise), and disease management at the earliest signs of decompensation (3) . While several questionnaires are available for assessment of self-care and disease knowledge, there are few studies suggesting brief and practical tools targeted to heart failure patients (3)(4)(5) .In the scope of heart failure, self-care has been a focus of interest for the development of tools that could assess patient behaviors. The first such instrument, originally called the Self-management of Heart Failure Instrument, was developed by United States nurse researchers and was d...

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“…Non-experimental studies showed significant correlations between self-efficacy and SM in HF patients(van der Wal. 2010, Bos-Touwen et al 2015a, Peters-Klimm et al 2013, Schnell-Hoehn et al 2009). However, experimental studies failed to demonstrate that increased knowledge and self-efficacy led to increased SM behaviors in HF patients(Riegel.…”

Section: Introductionmentioning

confidence: 99%

Mechanism of engaging self-management behavior in rural heart failure patients

Young¹,

Barnason²,

Kupzyk³

2016

Applied Nursing Research

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Aim The purpose of this study was to examine the relationships among self-efficacy, patient activation and SM in rural heart failure patients discharged from critical access hospitals. Background Heart failure is one of the most disabling and resource-consuming chronic conditions. Compared to their urban counterparts, rural heart failure patients had higher healthcare utilizations and worse health outcomes. Self-management (SM) plays a significant role in improving patients’ outcomes and reducing healthcare use. Despite persistent recommendations of SM, engagement in SM still remains low in rural heart failure patients. SM is a complex behavior, which is influenced by various factors. Evidence on the efficacy of interventions to promote SM is limited and inconsistent. One reason is that the mechanism of engagement of SM in the rural heart failure population has not been fully understood. Methods A correlational study was conducted using secondary data from a randomized control trial aimed to improve SM adherence. Path analysis was used to test the hypothesis of patient activation mediating the effect of self-efficacy on SM. Results Data were collected from a sample of 101 heart failure patients (37% males) with an average age of 70 years. The final model provided a good fit to the data, supporting the hypothesis that self-efficacy contributes to SM through activation. Conclusion The results of this study showed that effective SM interventions should be designed to include strategies to promote both self-efficacy and activation.

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Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study

Cited by 54 publications

References 47 publications

Psychological Determinants of Heart Failure Self-Care

Psychological Determinants of Heart Failure Self-Care

Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese

Mechanism of engaging self-management behavior in rural heart failure patients

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