Effectiveness of Family-Centered Empowerment Model on Psychological Improvement of Patients With Myocardial Infarction: A Bayesian Multivariate Approach

Abstract

ObjectiveThere is a limited understanding of the impact of the family-centered empowerment model (FCEM) on the psychological symptoms in post-myocardial infarction (MI). This study aimed to evaluate the effectiveness of the FCEM on the psychological improvement of patients with MI.MethodsThe present study was a randomized controlled trial (RCT) where patients experienced a standard home cardiac rehabilitation (CR) or CR utilizing the FCEM approach. The empowerment of patients was estimated during nine assessments, such as pre- and post-intervention. Factors, such as quality of life (QoL), state and trait anxiety, and perceived stress, were evaluated. A Bayesian multivariate mixed-effects model was used to simultaneously investigate the effect of the intervention group on study outcomes across the time.ResultsAmong all the participants in this study, 24 (34.3%) were women with a total mean ± standard deviation (SD) of 61.40 ± 12.83 and 24.87 ± 3.80 for age and body mass index (BMI). The participants who were in the FCEM group had a significantly higher mean level of perceived stress (β = 28.80), state anxiety (β = 16.20), trait anxiety (β = 3.65), physical (β = 38.54), and mental QoL (β = 42.14). Moreover, the individuals in the FCEM group had a significantly higher mean level of general health (β = 31.64) in the physical dimension of QoL, vitality (β = 15.04), mental role limitation (β = 21.84), and mental health (β = 18.16) in the mental dimension of QoL.ConclusionsThe FCEM can be a valuable treatment mechanism for patients with post-MI to improve their stress, anxiety, and QoL.

Application of family-centered empowerment model in primary caregivers of premature infants: A quasi-experimental study

“…Through the training of the FECM group, this study advocates the main caregivers to actively participate in the baby oil classroom, group meetings, bedside skills training, and other projects, to maximize the rights of the main caregivers, cultivate the care skills of the main caregivers, improve the care ability of the main caregivers, and provide a prerequisite for a smooth transition to home care after discharge and improve the quality of life of premature infants. The results are similar to those of Raei et al ( 16 ). At the same time, primary caregivers are not only providers of care services but also excavators of the potential abilities of preterm infants, which can significantly optimize the health outcomes of preterm infants ( 17 ).…”

Developing and Implementing a Hospital‑based Family-centered Health Approach for Patients Undergoing Percutaneous Coronary Intervention: A Randomized Controlled Trial

“…One of the main factors of health promotion is health literacy, which includes any activity aimed at increasing health awareness, and its purpose is to promote health and prevent disease and illnesses [71]. In addition, Raei, et al [72], while investigating the effectiveness of the family-centered empowerment model in following the treatment of post-PCI patients, reported that improving family health literacy along with the patient is correlated with reducing stress, improving physical activity and health-related quality of life [72]. Duncan S, et al concluded that family-based approaches that target caregivers and patients and pay attention to the structural and environmental conditions in which families live could be the most effective approach to promote cardiovascular health at three levels of prevention [73].…”