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

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)222-227
Number of pages6
JournalApplied Nursing Research
Volume30
DOIs
StatePublished - May 1 2016

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Self Care
Heart Failure
Self Efficacy
Patient Participation
Delivery of Health Care

Keywords

  • Heart failure
  • Patient activation
  • Rural health
  • Self-efficacy
  • Self-management

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Mechanism of engaging self-management behavior in rural heart failure patients. / Young, Lufei; Barnason, Susan Ann; Kupzyk, Kevin A.

In: Applied Nursing Research, Vol. 30, 01.05.2016, p. 222-227.

Research output: Contribution to journalArticle

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