Factors influencing self-care behaviors of African Americans with heart failure: A photovoice project

Association of support from family and friends with self-leadership for making long-term lifestyle changes in patients with colorectal cancer

“…Support from family and friends to perform exercise (i.e., exercising together, providing rewards for exercising) appears to improve a patient's self‐leadership; in particular, family rewards lead the patient to actually perform exercise. This may be interpreted in terms of social cognitive theory (SCT) (Bandura, ), which emphasises the importance of social interactions, as in several previous studies (McEwen, Pasvogel, Murdaugh, & Hepworth, ; Woda, Belknap, Haglund, Sebern, & Lawrence, ). Friendly companionship can evoke feelings of relaxation and happiness, provide distraction from worry and improve mood, all of which can alleviate depressive symptoms (Woda et al., ) and increase the adoption and maintenance of healthy behaviours (McEwen et al., ).…”

“…This may be interpreted in terms of social cognitive theory (SCT) (Bandura, 1998), which emphasises the importance of social interactions, as in several previous studies (McEwen, Pasvogel, Murdaugh, & Hepworth, 2017;Woda, Belknap, Haglund, Sebern, & Lawrence, 2015). Friendly companionship can evoke feelings of relaxation and happiness, provide distraction from worry and improve mood, all of which can alleviate depressive symptoms (Woda et al, 2015) and increase the adoption and maintenance of healthy behaviours (McEwen et al, 2017). According to SCT, when family and friends participate in specific behaviours with an individual and provide encouragement, this can increase self-efficacy, improve goal setting, lower perceived barriers and provide a social model for performing and maintaining exercise, all of which are central constructs of SCT (Bandura, 1998).…”

A qualitative meta-summary using Sandelowski and Barroso’s method for integrating qualitative research to explore barriers and facilitators to self-care in heart failure patients

“…Engaging in self-care was perceived as a way to remain healthy, independent and autonomous, led to symptom improvement and positive feelings, and prevented hospitalization 52,57,58,38,59,60,39,61,40,62 Intrapersonal 34%…”

The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure

“…10 Notably, a four-fold increase in these negative HF outcomes occurs among depressed HF patients compared to those with no depression. 11 Also, HF patients who are depressed perform poorer self-management 12,13,14 Additionally, those with depression often report reduced quality of life. 15 Further, depressive symptoms may interfere with patient-physician discussions in clinic appointments.…”

“…11 African Americans with HF have the highest rates of depression among all ethnicities in the United States. 13 A meta-analysis of 27 large controlled studies found that the percent of depressive symptoms in HF patients was higher on average in all minority groups, including African Americans, than in Caucasians. 11 Mentz and colleagues compared HF patients by race and found that elevated baseline depressive symptom scores were associated with significantly greater HF-related rehospitalizations and mortality at 3 months in African Americans versus Caucasians.…”