The Relationship Between Self-concept and Adherence to Therapeutic Regimens in Patients With Heart Failure

Heydari, Abbas; Ahrari, Sajjad; Vaghee, Saeed

doi:10.1097/jcn.0b013e318215bb78

Cited by 31 publications

(32 citation statements)

References 22 publications

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“…The inclusion of several other psychosocial factors (self-efficacy, social support, and hostility) may have accounted for the null finding in the latter study. Health satisfaction (20) and self-concept (79,80) were associated with higher self-care in other studies, but only univariable associations were reported. Locus of control was no significant determinant of medication adherence in a study in which the impact of medication burden and beliefs were included as well (62).…”

Section: Other Cognitive Determinantsmentioning

confidence: 86%

“…A number of cross-sectional studies examined other cognitive determinants of self-care, such as perceived control (16,42), locus of control (62), self-concept (79,80), and health satisfaction (20) (Table S1, Supplemental Digital Content 1, http://links.lww.com/PSYMED/A255). One study of high quality reported a significant association between perceived control and self-care beyond disease severity, comorbidities, and HF knowledge (42), whereas it was not associated with being novice, expert, and inconsistent in self-care in another study (16).…”

Section: Other Cognitive Determinantsmentioning

confidence: 99%

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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: Other Cognitive Determinantsmentioning

confidence: 86%

Section: Other Cognitive Determinantsmentioning

confidence: 99%

Psychological Determinants of Heart Failure Self-Care

Kessing

Denollet

Widdershoven

et al. 2016

Psychosomatic Medicine

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“…In other studies, general non-adherence in HF patients was reported at 16%, 26 and mean adherence of 50.3 on a 0−100 scale in another. 27 General adherence instruments can be useful in screening patients for perceived issues with adherence, but may not clearly identify all adherence issues. The high levels of adherence reported by participants in this study raises question about whether the participants were over reporting or if perhaps this group is an example of higher adherence.…”

Section: Discussionmentioning

confidence: 99%

Emotion Regulation and Perceptions of Illness Coherence and Controllability on Regimen Adherence and Negative Cardiac Health Events in African American Women With Heart Failure

Wierenga¹

2017

J Cardiovasc Nurs

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Background: African American women with heart failure (HF) have stressors that negatively impact HF self-management adherence and heighten the occurrence of negative cardiac health events. Perceptions of illness coherence and controllability and emotion regulation are known to facilitate self-management in the face of stressors. Objective: The aim of this study was to determine whether difficulties with emotion regulation and negative perceptions of illness coherence and controllability are detrimental to adherence and increase negative cardiac health events in this patient population. Methods: African American women (n = 54) with HF, aged 49 to 84 years, participated in this longitudinal descriptive correlational study. Using convenience sampling, we recruited patients from hospitals and HF clinics. They completed interviews at intake and 30 days, and their medical records were reviewed at 90 days. Linear and logistic regression models were used to assess predictors of general adherence and negative cardiac health events. Results: Of 54 patients who participated in the study, 28 experienced a negative health event during 90 days, and 57% of these events were cardiac related. The only clear predictor of these events was greater New York Heart Association functional classification (β = 1.47, P = .027). No associations were found between predictors (emotion regulation, controllability, coherence, age, education) and general adherence. Conclusions: Emotion regulation showed a possible greater impact on negative cardiac health events than on general adherence. Perceived illness coherence showed less impact on negative cardiac health events than on general adherence.

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“…The limitations of existing interventions to promote self-management adherence in rural heart failure patients include: lack of theoretical guidance for the development of a rural-based intervention 18, 19 , unclear mechanism of intervention 8, 17, 20 , and reliance on self-report measures of self-management adherence 21– 23 .…”

Section: Study Rationalementioning

confidence: 99%

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

Young

Barnason

2014

F1000Res

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Background Heart failure is one of the most prevalent chronic conditions in adults, leading to prolonged morbidity, repeated hospitalizations, and placing tremendous economic burden on the healthcare system. Heart failure patients discharged from rural hospitals, or primarily critical access hospitals, have higher 30-day readmission and mortality rates compared to patients discharged from urban hospitals. Self-management improves heart failure patients’ health outcomes and reduces re-hospitalizations, but adherence to self-management guidelines is low. We propose a home based post-acute care service managed by advanced practice nurses to enhance patient activation and lead to the improvement of self-management adherence in heart failure patients discharged from rural hospitals. Objective This article describes the study design and research methods used to implement and evaluate the intervention. Method Our intervention is a 12-week patient activation (Patient AcTivated Care at Home [PATCH]) to improve self-management adherence. Patients were randomized into two parallel groups (12-week PATCH intervention + usual care vs. usual care only) to evaluate the effectiveness of this intervention. Outcomes were measured at baseline, 3 and 6 months. Discussion This study aimed to examine the effectiveness of a rural theory based, advance practice nurse led, activation enhancing intervention on the self-management adherence in heart failure patients residing in rural areas. Our expectation is to facilitate adherence to self-management behaviors in heart failure patients following discharge from rural hospitals and decrease complications and hospital readmissions, leading to the reduction of economic burden. Clinical Trial Registration Information: ClinicalTrials.gov; https://register.clinicaltrials.gov/ NCT01964053

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The Relationship Between Self-concept and Adherence to Therapeutic Regimens in Patients With Heart Failure

Cited by 31 publications

References 22 publications

Psychological Determinants of Heart Failure Self-Care

Psychological Determinants of Heart Failure Self-Care

Emotion Regulation and Perceptions of Illness Coherence and Controllability on Regimen Adherence and Negative Cardiac Health Events in African American Women With Heart Failure

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

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