Self-care confidence may be more important than cognition to influence self-care behaviors in adults with heart failure: Testing a mediation model

International Journal of Nursing Studies

Volumn 60, Issue , 2016, Pages 191-199

  Vellone, Ercole ^a   Pancani, Luca ^b   Greco, Andrea ^b   Steca, Patrizia ^b   Riegel, Barbara ^c  

^a UNIVERSITY OF ROME TOR VERGATA   (Italy)

^b UNIVERSITY OF MILANO BICOCCA   (Italy)

^c UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING   (United States)

Author keywords

Cognition; Heart failure; Mediation analysis; Self care; Self efficacy; Treatment adherence

Indexed keywords

AGED; CHRONIC DISEASE; COGNITION; FEMALE; HEART FAILURE; HUMAN; MALE; MIDDLE AGED; NEUROPSYCHOLOGICAL TEST; PSYCHOLOGICAL MODEL; PSYCHOLOGY; SELF CARE;

AGED; CHRONIC DISEASE; COGNITION; FEMALE; HEART FAILURE; HUMANS; MALE; MIDDLE AGED; MODELS, PSYCHOLOGICAL; NEUROPSYCHOLOGICAL TESTS; SELF CARE;

EID: 84966415369     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2016.04.016     Document Type: Article

References (58)

1. Alosco M.L., Spitznagel M.B., Cohen R., Sweet L.H., Colbert L.H., Josephson R., Waechter D., Hughes J., Rosneck J., Gunstad J. Cognitive impairment is independently associated with reduced instrumental activities of daily living in persons with heart failure. J. Cardiovasc. Nurs. 2012, 27:44-50. 10.1097/JCN.0b013e318216a6cd.
2. Barbaranelli C., Lee C.S., Vellone E., Riegel B. Dimensionality and reliability of the self-care of heart failure index scales: further evidence from confirmatory factor analysis. Res. Nurs. Health 2014, 37:524-537. 10.1002/nur.21623.
3. Baron R.M., Kenny D.A. The moderator-mediatorvariable distinction in social psychological research: conceptual, strategic and statistical considerations. J. Pers. Soc. Psychol. 1986, 51:1173-1182.
4. Bollen K.A. Structural Equations with Latent Variables 1989, Wiley, New York.
5. Brandt J., Folstein M.F. Telephone Interview for Cognitive Status 2003, Psychological Assessment Resources, Lutz, FL.
6. Brown T.A. Confirmatory Factor Analysis for Applied Research 2006, Guilford Press, New York.
7. Cameron J., Kure C.E., Pressler S.J., Ski C.F., Clark A.M., Thompson D.R. Diagnostic accuracy of cognitive screening instruments in heart failure: a systematic review. J. Cardiovasc. Nurs. 2015, 10.1097/JCN.0000000000000285.
8. Cameron J., Worrall-Carter L., Riegel B., Lo S.K., Stewart S. Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart Lung 2009, 38:410-418. 10.1016/j.hrtlng.2008.11.004.
9. Cené C.W., Haymore L.B., Dolan-Soto D., Lin F.-C., Pignone M., Dewalt D.A., Wu J.-R., Jones C.D., Corbie-Smith G. Self-care confidence mediates the relationship between perceived social support and self-care maintenance in adults with heart failure. J. Card. Fail. 2013, 19:202-210. 10.1016/j.cardfail.2013.01.009.
10. Charlson M., Pompei P., Ales K., MacKenzie C. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chronic Dis. 1987, 40:373-383.
11. Clark A.M., Wiens K., Banner D., Kryworuchko J., Thirsk L., McLean L., Currie K. A systematic review of the main mechanisms of heart failure disease management interventions. Heart 2016, 10.1136/heartjnl-2015-308551.
12. Cocchieri A., Riegel B., D'Agostino F., Rocco G., Fida R., Alvaro R., Vellone E. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur. J. Cardiovasc. Nurs. 2015, 14:126-136. 10.1177/1474515113518443.
13. Cox K.L., Flicker L., Almeida O.P., Xiao J., Greenop K.R., Hendriks J., Phillips M., Lautenschlager N.T. The FABS trial: a randomised control trial of the effects of a 6-month physical activity intervention on adherence and long-term physical activity and self-efficacy in older adults with memory complaints. Prev. Med. (Baltim.) 2013, 57:824-830. 10.1016/j.ypmed.2013.09.010.
14. Davis K.K., Mintzer M., Dennison Himmelfarb C.R., Hayat M.J., Rotman S., Allen J. Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. Eur. J. Heart Fail. 2012, 14:1041-1049. 10.1093/eurjhf/hfs096.
15. Dickson V.V., Lee C.S., Riegel B. How do cognitive function and knowledge affect heart failure self-care?. J. Mix. Methods Res. 2011, 5:167-189. 10.1177/1558689811402355.
16. Dickson V.V., Tkacs N., Riegel B.A. Cognitive influences on self-care decision making in persons with heart failure. Am. Heart J. 2007, 154:424-431. 10.1016/j.ohi.2007.04.058.
17. Dinges D., Kribbs N., Bates B., Carlin M. A very brief probed recall memory task: sensitivity to sleep loss. Sleep Res. 1993, 22:330.
18. Ditewig J.B., Blok H., Havers J., van Veenendaal H. Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ. Couns. 2010, 78:297-315. 10.1016/j.pec.2010.01.016.
19. Dodson J.A., Truong T.T., Towle V.R., Kerins G., Chaudhry S.I. Cognitive impairment in older adults with heart failure: prevalence, documentation, and impact on outcomes. Am. J. Med. 2013, 126:120-126. 10.1016/j.amjmed.2012.05.029.
20. Falk H., Ekman I., Anderson R., Fu M., Granger B. Older patients' experiences of heart failure - an integrative literature review. J. Nurs. Scholarsh. 2013, 10.1111/jnu.12025.
21. Flynn K.J., Powell L.H., Mendes de Leon C.F., Munoz R., Eaton C.B., Downs D.L., Silver M.A., Calvin J.E. Increasing self-management skills in heart failure patients: a pilot study. Congest. Heart Fail. 2005, 11:297-302.
22. Gaviria M., Pliskin N., Kney A. Cognitive impairment in patients with advanced heart failure and its implications on decision-making capacity. Congest. Heart Fail. 2011, 17:175-179. 10.1111/j.1751-7133.2011.00242.x.
23. Gure T.R., Blaum C.S., Giordani B., Koelling T.M., Galecki A., Pressler S.J., Hummel S.L., Langa K.M. Prevalence of cognitive impairment in older adults with heart failure. J. Am. Geriatr. Soc. 2012, 60:1724-1729. 10.1111/j.1532-5415.2012.04097.x.
24. Hanon O., Vidal J.S., de Groote P., Galinier M., Isnard R., Logeart D., Komajda M. Prevalence of memory disorders in ambulatory patients aged ≥70 years with chronic heart failure (from the EFICARE study). Am. J. Cardiol. 2014, 113:1205-1210. pii: S0002-9149(14)00058-7. 10.1016/j.amjcard.2013.12.032.
25. Harkness K., Heckman G.A., Akhtar-Danesh N., Demers C., Gunn E., McKelvie R.S. Cognitive function and self-care management in older patients with heart failure. Eur. J. Cardiovasc. Nurs. 2013, 10.1177/1474515113492603.
26. Heidenreich P.A., Albert N.M., Allen L.A., Bluemke D.A., Butler J., Fonarow G.C., Ikonomidis J.S., Khavjou O., Konstam M.A., Maddox T.M., Nichol G., Pham M., Pina I.L., Trogdon J.G. Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ. Heart Fail. 2013, 6:606-619. 10.1161/HHF.0b013e318291329a.
27. Jaarsma T., Strömberg A., Ben Gal T., Cameron J., Driscoll A., Duengen H.D., Huang T., Huyen N.N., Inkrot S., Kato N., Köberich S., Lupón J., Moser D.K., Pulignano G., Rabelo E.R., Suwanno J., Thompson D.R., Vellone E., Alvaro R., Yu D., Riegel B. Comparison of self-care behaviours of heart failure patients in 15 countries worldwide. Patient Educ. Couns. 2013, 92:114-120. 10.1016/j.pec.2013.02.017.
28. Johns M.W. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992, 15:376-381.
29. Jones C.D., Holmes G.M., Dewalt D.A., Erman B., Broucksou K., Hawk V., Cene C.W., Wu J.R., Pignone M. Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?. J. Card. Fail. 2012, 18:576-584. 10.1016/j.cardfail.2012.05.004.
30. Kim J.S., Hwang S.Y., Shim J.L., Jeong M.H. Cognitive function and self-care in patients with chronic heart failure. Korean Circ. J. 2015, 45:310-316. 10.4070/kcj.2015.45.4.310.
31. Kline R.B. Principles and Practice of Structural Equation Modeling 2011, The Guilford Press, New York. 3rd ed.
32. Kubo S., Schulman S., Starling R., Jessup M., Wentworth D., Burkhoff D. Development and validation of a patient questionnaire to determine New York Heart Association Classification. J. Card. Fail. 2004, 10:228-235.
33. Lam C., Smeltzer S.C. Patterns of symptom recognition, interpretation, and response in heart failure patients: an integrative review. J. Cardiovasc. Nurs. 2012, 28:348-359. 10.1097/JCN.0b013e3182531cf7.
34. Lee C.S., Moser D.K., Lennie T.A., Tkacs N.C., Margulies K.B., Riegel B. Biomarkers of myocardial stress and systemic inflammation in patients who engage in heart failure self-care management. J. Cardiovasc. Nurs. 2011, 26:321-328. 10.1097/JCN.0b013e31820344be.
35. Leto L., Feola M. Cognitive impairment in heart failure patients. J. Geriatr. Cardiol. 2014, 11:316-328.
36. Lezak M.D., Howieson D.B., Bigler E.D., Tranel D. Neuropsychological Assessment 2012, Oxford University Press, New York. 5th ed.
37. MacKinnon D.P. Introduction to Statistical Mediation Analysis 2008, Erlbaum, Mahwah, NJ.
38. MacKinnon D.P., Lockwood C.M., Williams J. Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivariate Behav. Res. 2004, 39.
39. McMurray J.J., Adamopoulos S., Anker S.D., Auricchio A., Bohm M., Dickstein K., Falk V., Filippatos G., Fonseca C., Gomez-Sanchez M.A., Jaarsma T., Kober L., Lip G.Y., Maggioni A.P., Parkhomenko A., Pieske B.M., Popescu B.A., Ronnevik P.K., Rutten F.H., Schwitter J., Seferovic P., Stepinska J., Trindade P.T., Voors A.A., Zannad F., Zeiher A., Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology, Bax J.J., Baumgartner H., Ceconi C., Dean V., Deaton C., Fagard R., Funck-Brentano C., Hasdai D., Hoes A., Kirchhof P., Knuuti J., Kolh P., McDonagh T., Moulin C., Popescu B.A., Reiner Z., Sechtem U., Sirnes P.A., Tendera M., Torbicki A., Vahanian A., Windecker S., McDonagh T., Sechtem U., Bonet L.A., Avraamides P., Ben Lamin H.A., Brignole M., Coca A., Cowburn P., Dargie H., Elliott P., Flachskampf F.A., Guida G.F., Hardman S., Iung B., Merkely B., Mueller C., Nanas J.N., Nielsen O.W., Orn S., Parissis J.T., Ponikowski P., ESC Committee for Practice Guidelines ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur. J. Heart Fail. 2012, 14:803-869. 10.1093/eurjhf/hfs105.
40. Mozaffarian D., Benjamin E.J., Go A.S., Arnett D.K., Blaha M.J., Cushman M., de Ferranti S., Despres J.P., Fullerton H.J., Howard V.J., Huffman M.D., Judd S.E., Kissela B.M., Lackland D.T., Lichtman J.H., Lisabeth L.D., Liu S., Mackey R.H., Matchar D.B., McGuire D.K., Mohler E.R., Moy C.S., Muntner P., Mussolino M.E., Nasir K., Neumar R.W., Nichol G., Palaniappan L., Pandey D.K., Reeves M.J., Rodriguez C.J., Sorlie P.D., Stein J., Towfighi A., Turan T.N., Virani S.S., Willey J.Z., Woo D., Yeh R.W., Turner M.B. Heart disease and stroke statistics - 2015 update: a report from the American Heart Association. Circulation 2015, 131:e29-e322. 10.1161/CIR.0000000000000152.
41. Murthy S., Lipman H.I. Management of end-stage heart failure. Prim. Care 2011, 38:265-276. 10.1016/j.pop.2011.03.007.
42. Muthén L.K., Muthén B.O. Mplus User's Guide 2015, Muthén & Muthén, Los Angeles, CA. 5th ed.
43. Pozehl B., Duncan K., Hertzog M., Norman J.F. Heart Failure Exercise And Training Camp: effects of a multicomponent exercise training intervention in patients with heart failure. Heart Lung 2010, 39:S1-S13. 10.1016/j.hrtlng.2010.04.008.
44. Pressler S.J. Cognitive functioning and chronic heart failure: a review of the literature (2002-July 2007). J. Cardiovasc. Nurs. 2008, 23:239-249. 10.1097/01.JCN.0000305096.09710.ec.
45. Pressler S.J., Therrien B., Riley P.L., Chou C.C., Ronis D.L., Koelling T.M., Smith D.G., Sullivan B.J., Frankini A.M., Giordani B. Nurse-enhanced memory intervention in heart failure: the MEMOIR study. J. Card. Fail. 2011, 17:832-843. 10.1016/j.cardfail.2011.06.650.
46. Reitan R. Trail Making Test 1992, Reitan Neuropsychological Laboratory, Tucson, AZ.
47. Riegel B., Dickson V.V. A situation-specific theory of heart failure self-care. J. Cardiovasc. Nurs. 2008, 23:190-196. 10.1097/01.JCN.0000305091.35259.85.
48. Riegel B., Dickson V.V., Faulkner K.M. The situation-specific theory of heart failure self-care: revised and updated. J. Cardiovasc. Nurs. 2015, 10.1097/JCN.0000000000000244.
49. Riegel B., Jaarsma T., Stromberg A. A middle-range theory of self-care of chronic illness. ANS Adv. Nurs. Sci. 2012, 35:194-204. 10.1097/ANS.0b013e318261b1ba.
50. Riegel B., Lee C.S., Dickson V.V., Carlson B. An update on the self-care of heart failure index. J. Cardiovasc. Nurs. 2009, 24:485-497. 10.1097/JCN.0b013e3181b4baa0.
51. Riegel B., Moelter S.T., Ratcliffe S.J., Pressler S.J., De Geest S., Potashnik S., Fleck D., Sha D., Sayers S.L., Weintraub W.S., Weaver T.E., Goldberg L.R. Excessive daytime sleepiness is associated with poor medication adherence in adults with heart failure. J. Card. Fail. 2011, 17:340-348. 10.1016/j.cardfail.2010.11.002.
52. Sayler J., Schubert C.M., Chiaranai C. Supportive relationships, self-care confidence, and heart failure self-care. J. Cardiovasc. Nurs. 2012, 27:384-393.
53. Smeulders E.S., van Haastregt J.C., Ambergen T., Uszko-Lencer N.H., Janssen-Boyne J.J., Gorgels A.P., Stoffers H.E., Lodewijks-van der Bolt C.L., van Eijk J.T., Kempen G.I. Nurse-led self-management group programme for patients with congestive heart failure: randomized controlled trial. J. Adv. Nurs. 2010, 66:1487-1499. 10.1111/j.1365-2648.2010.05318.x.
54. Song E.K., Moser D.K., Rayens M.K., Lennie T.A. Symptom clusters predict event-free survival in patients with heart failure. J. Cardiovasc. Nurs. 2010, 25:284-291. 10.1097/JCN.0b013e3181cfbcbb.
55. The Psychological Corporation WAIS-III Technical Manual 2002, Harcourt Assessment Co., San Antonio, TX.
56. Tung H.H., Lin C.Y., Chen K.Y., Chang C.J., Lin Y.P., Chou C.H. Self-management intervention to improve self-care and quality of life in heart failure patients. Congest. Heart Fail. 2013, 19:E9-E16. 10.1111/chf.12014.
57. Vellone E., Fida R., D'Agostino F., Mottola A., Juarez-Vela R., Alvaro R., Riegel B. Self-care confidence may be the key: a cross-sectional study on the association between cognition and self-care behaviors in adults with heart failure. Int. J. Nurs. Stud. 2015, 52:1705-1713. 10.1016/j.ijnurstu.2015.06.013.
58. Vellone E., Riegel B., Cocchieri A., Barbaranelli C., D'Agostino F., Antonetti G., Glaser D., Alvaro R. Psychometric testing of the self-care of heart failure index version 6.2. Res. Nurs. Health 2013, 36:500-511.