Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Uchmanowicz, Izabella; Faulkner, Kenneth M.; Vellone, Ercole; Siennicka, Agnieszka; Szczepanowski, Remigiusz; Olchowska-Kotala, Agnieszka

doi:10.3390/ijerph19041919

Cited by 7 publications

(5 citation statements)

References 72 publications

(113 reference statements)

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“…In line with previous studies, 10,52 our study showed that both patients' self-care management and caregivers' contributions to self-care management were inadequate, indicating the challenge of implementing HF self-care management for both patients and caregivers. Considering both the significance and inadequacy of self-care management, our findings may provide new paths for developing interventions to improve HF self-care management.…”

Section: Discussionsupporting

confidence: 90%

Association Between Benefit Finding and Self-care Management in Heart Failure Patient-Caregiver Dyads

et al. 2023

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Background Inadequate self-care management has been reported in patients with heart failure (HF) and their family caregivers. However, evidence on the influencing factors and corresponding action paths for self-care management within a dyadic context is limited. Objective The aim of this study was to examine dyadic associations between benefit finding and self-care management in HF patient-caregiver dyads and the mediating role of mutuality in these associations. Methods This cross-sectional study was conducted in China, and a convenience sample of 253 HF patient-caregiver dyads was included in the analysis. Dyadic benefit finding and mutuality, patients' self-care management, and caregivers' contributions to self-care management were measured using self-reported questionnaires. The actor-partner interdependence model and actor-partner interdependence mediation model were adopted to analyze the data. Results Patients' benefit finding had an actor effect on their own self-care management (β = 0.134, P < .05) and a partner effect on caregivers' contributions to self-care management (β = 0.130, P < .05). Similarly, caregivers' benefit finding had an actor effect on their contributions to self-care management (β = 0.316, P < .01) and a partner effect on patients' self-care management (β = 0.187, P < .01). Moreover, patients' mutuality completely mediated the actor effect of their benefit finding on self-care management (β = 0.127; 95% confidence interval, 0.032–0.233), and caregivers' mutuality partially mediated the actor effect of their benefit finding on contributions to self-care management (β = 0.060; 95% confidence interval, 0.012–0.124). In addition, caregivers' mutuality completely mediated the partner effect of patients' benefit finding on caregivers' contributions to self-care management (β = 0.036; 95% confidence interval, 0.009–0.081). Conclusions The findings revealed the importance of benefit finding and mutuality, 2 modifiable factors positively associated with dyadic HF self-care management. Dyadic interventions targeting on enhancing benefit finding and mutuality should be designed and implemented to improve HF self-care management.

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Section: Discussionsupporting

confidence: 90%

Association Between Benefit Finding and Self-care Management in Heart Failure Patient-Caregiver Dyads

et al. 2023

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“…Both social participation and close family relationships are important ways to boost social support. It’s worth noting that a distinctive feature of the dyadic approach to patient care is the focus on dyadic health ( Uchmanowicz et al, 2022 ), rather than the individual patient or caregiver.…”

Section: Discussionmentioning

confidence: 99%

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Tao

Liu²,

Zhuang³

et al. 2023

Front. Psychol.

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ObjectivesPatients’ and caregivers’ physical and mental health may interact. The theory of dyadic illness management holds that patients and caregivers should be regarded as a whole in health management. Previous studies have found that hemodialysis patients and their family caregivers experience poor sleep quality. Perceived stress and social support have effects on insomnia. However, the dyadic interaction between perceived stress, social support, and insomnia among hemodialysis patients and caregivers is unclear. This study aimed to explore the mediating role of social support in the association between perceived stress and insomnia in hemodialysis patient-caregiver dyads.MethodsA total of 259 hemodialysis patient-caregiver dyads completed the Chinese Perceived Stress Scales (CPSS), the Perceived Social Support Scale (PSSS), and the Athens Insomnia Scale (AIS) in Lanzhou, China, from May 2022 to July 2022. The actor-partner interdependence mediation model analysis was used for data analysis.ResultsIn the actor effect, there was a significant positive correlation between perceived stress and insomnia in hemodialysis patients (β = 0.091, p = 0.001) and their family caregivers (β = 0.588, p < 0.001). Patient’s and caregiver’s social support played partial mediating roles in the relationship between caregiver’s perceived stress and insomnia (β = 0.135, p < 0.001 and β = 0.111, p < 0.001). In the partner effect, caregiver’s perceived stress was positively connected with patient’s insomnia (β = 0.915, p < 0.001), and the mediating effect of patient’s social support on the relationship between caregiver’s perceived stress and patient’s insomnia was statistically significant (β = −0.040, p = 0.046).ConclusionThe perceived stress, social support and insomnia of hemodialysis patients and their family caregivers had interactive effects. Effective dyadic-based interventions should be developed to improve hemodialysis patients’ and caregivers’ sleep quality.

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“…The MSPSS has twelve items that measure the perceived adequacy of the available amount of SS. The amount of SS is rated on a 7-point Likert scale with responses ranging from very strongly disagree (1) to agree (7) very strongly. The total is calculated through the sum across all the items then divided by 12, with higher scores indicating higher perceived social support.…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…A recent review about dyadic dynamics in HF showed the interrelationship of patient and caregiver and highlighted the need to include both care partners [7]. Despite caregivers play a pivotal role in the recovery of their relatives with HF, supporting them in promoting health and symptom management is challenging.…”

Section: Introductionmentioning

confidence: 99%

Burden among informal caregivers of individuals with heart failure: A mixed methods study

Durante,

Younas,

Cuoco

et al. 2023

PLoS ONE

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Aims To develop a comprehensive understanding of caregiver burden and its predictors from a dyadic perspective. Method A convergent mixed methods design was used. This study was conducted in three European countries, Italy, Spain, and the Netherlands. A sample of 229 HF patients and caregivers was enrolled between February 2017 and December 2018 from the internal medicine ward, outpatient clinic, and private cardiologist medical office. In total, 184 dyads completed validated scales to measure burden, and 50 caregivers participated in semi-structured interviews to better understand the caregiver experience. The Care Dependency Scale, Montreal Cognitive Assessment, and SF-8 Health Survey were used for data collection. Multiple regression analysis was conducted to identify the predictors and qualitative content analysis was performed on qualitative data. The results were merged using joint displays. Results Caregiver burden was predicted by the patient’s worse cognitive impairment, lower physical quality of life, and a higher care dependency perceived by the caregivers. The qualitative and mixed analysis demonstrated that caregiver burden has a physical, emotional, and social nature. Conclusions Caregiver burden can affect the capability of informal caregivers to support and care for their relatives with heart failure. Developing and evaluating individual and community-based strategies to address caregiver burden and enhance their quality of life are warranted.

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Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Cited by 7 publications

References 72 publications

Association Between Benefit Finding and Self-care Management in Heart Failure Patient-Caregiver Dyads

Association Between Benefit Finding and Self-care Management in Heart Failure Patient-Caregiver Dyads

Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis

Burden among informal caregivers of individuals with heart failure: A mixed methods study

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