Analysis of action planning, achievement and life purpose statements in an intervention to support caregivers of persons with heart failure

Abshire, Martha; Clair, Catherine A; Curriero, Samantha; DeGroot, Lyndsay; Nelson, Katie; Pavlovic, Noelle; Taylor, Jan; Gallo, Joseph J.; Szanton, Sarah L.

doi:10.1016/j.hrtlng.2023.04.002

Cited by 4 publications

(1 citation statement)

References 44 publications

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“…Study participants were highly engaged in intervention activities, action planning, and action plan achievement. We reported action plans elsewhere (Abshire Saylor et al, 2022, 2023). Briefly, of 69 action plans, 66.7% were achieved.…”

Section: Resultsmentioning

confidence: 99%

Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure

Abshire Saylor,

Pavlovic,

DeGroot

et al. 2023

J Appl Gerontol

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Caregivers of persons with heart failure (HF) navigate complex care plans, yet support strategies often focus solely on meeting the needs of patients. We conducted a randomized waitlist control trial ( N = 38) to test the feasibility and gauge initial effect size of the Caregiver Support intervention on quality of life, caregiver burden, and self-efficacy among HF caregivers. The intervention includes up to five remote, nurse-facilitated sessions. Components address: holistic caregiver assessment, life purpose, action planning, resources, and future planning. Caregivers were 93.3% female, 60% White, and 63.3% spouses. Average age was 59.4. Participants who completed the intervention reported high satisfaction and acceptability of activities. Between-group effect sizes at 16 and 32 weeks suggest improvement in quality of life (mental health) (.88; 1.08), caregiver burden (.31; .37), and self-efficacy (.63; .74). Caregivers found Caregiver Support acceptable and feasible. Findings contribute evidence that this intervention can enhance caregiver outcomes. Clinicaltrials.gov Identifier NCT04090749.

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Section: Resultsmentioning

confidence: 99%

Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure

Abshire Saylor,

Pavlovic,

DeGroot

et al. 2023

J Appl Gerontol

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Purpose in life among haemodialysis caregivers: Links with adaptive coping, caregiver burden, and psychological distress

Sousa,

Ribeiro,

Figueiredo

2024

Stress and Health

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Research has evidenced that purpose in life helps to minimise the strains of providing informal care to a significant other, but little is known about whether this psychological resource influences the paths from stressors to the health outcomes of family caregiving and through which mechanisms it can exert this protective effect. This study aimed to explore the moderating role of purpose in life on the (mediated through adaptive coping) relationship between caregiver burden and psychological distress in haemodialysis caregivers. A cross‐sectional study was conducted with a convenience sample of family caregivers (n = 173; M = 55.9, SD = 15.6 years old) of adults undergoing haemodialysis. A moderated‐mediation model was computed to explore the interaction effects of purpose in life on the path between burden and distress, having adaptive coping behaviours as parallel mediators. Results showed that purpose in life had a buffering effect on the mediated (through acceptance coping) relationship between burden and distress (index of partial moderated‐mediation: bsimple = −0.029, 95% bootstrap confidence interval (CI) [‐0.070, −0.002]), and that this conditional effect was lowest at high levels of the moderator (at +1SD: bsimple = 0.038, SE = 0.026, 95% bootstrap CI [0.001, 0.098]). Use of emotional support (F(1,159) = 4.395, p = 0.038) and positive reframing (F(1,159) = 5.648, p = 0.019) also mediated this path. This study expands knowledge about the modifiable internal resources through which purpose in life can help promote psychosocial adjustment to the haemodialysis caregiving process. Mental health promotion initiatives aimed at this population need to consider combining different intervention approaches to foster purpose in life and train adaptive (and flexible) coping skills.

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Purpose in life moderates the relationship between loneliness and caregiving stress among family caregivers of people with mental health problems

Hua,

2024

Archives of Psychiatric Nursing

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Analysis of action planning, achievement and life purpose statements in an intervention to support caregivers of persons with heart failure

Cited by 4 publications

References 44 publications

Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure

Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure

Purpose in life among haemodialysis caregivers: Links with adaptive coping, caregiver burden, and psychological distress

Purpose in life moderates the relationship between loneliness and caregiving stress among family caregivers of people with mental health problems

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