The Contribution of Living Arrangements, Social Support, and Self-efficacy to Self-management Behaviors Among Individuals With Heart Failure

Abstract

Background: Living arrangements, social support, and self-efficacy have significant implications for self-management science. Despite the theoretical linkages among the three concepts, there is limited empirical evidence about their interplay and the subsequent influence on heart failure (HF) self-management. Objective: To validate components of the Individual and Family Self-Management Theory among individuals with HF. Methods: This is a secondary analysis of cross-sectional data generated from a sample of 370 individuals with HF. A path analysis was conducted to examine the indirect and direct associations among social environment (living arrangements), social facilitation (social support) and belief (self-efficacy) processes, and self-management behaviors (HF self-care maintenance) while accounting for individual and condition-specific factors (age, sex, race, and HF disease severity).

Clinical and Socio-demographic Determinants of Self-care Maintenance, Monitoring and Management in US Adults with Type 2 Diabetes Mellitus

“…Confidence or self-efficacy was a determinant of self-care maintenance, monitoring, and management. These results are similar to other studies on diabetes (Ausili et al, 2017a) and heart failure (Irani et al, 2019) self-care, suggesting that interventions designed to improve self-care self-efficacy have a strong potential for improving self-care. For example, a recent randomized controlled trial utilizing self-efficacy theory targeted and improved both self-efficacy and hemoglobin A1c (Wichit et al, 2017).…”

The roles of health literacy and social support in improving adherence to self‐care behaviours among older adults with heart failure

“…Social support from family and friends can be a facilitating factor in self‐care confidence and self‐care behaviours (Beckie et al., 2017; Chamberlain, 2017). Most older people with HF are likely to live alone, and their living arrangements are indirectly associated with HF self‐care behaviours through social support (Irani et al., 2019; Weissman & Russell, 2018). Likewise, as Korean society has aged, the traditional extended family structure has changed to a nuclear family structure.…”

Living with advanced heart failure: A qualitative study

“…In addition, a number of studies have highlighted the association between socioeconomic level and mortality [ 14 ]. The authors suggest that individuals’ circumstances and living conditions, as well as the social support they receive, have an impact on how HF is experienced [ 15 , 16 ].…”