The Influence of Mutuality on Self-Care in Heart Failure Patients and Caregivers: A Dyadic Analysis

Vellone, Ercole; Chung, Misook L.; Alvaro, Rosaria; Paturzo, Marco; Dellafiore, Federica

doi:10.1177/1074840718809484

Cited by 43 publications

(52 citation statements)

References 46 publications

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“…In this context, there is further need for research that develops specific tools for the measurement of each experiential theme identified by the present study. Deepening research on which aspects, such as mutuality or self-care, could influence or predict the clinical outcomes of these women36–38 would have an important impact on daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Exploring the lived experiences of pregnancy and early motherhood in Italian women with congenital heart disease: an interpretative phenomenological analysis

et al. 2020

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ObjectiveThis study explored the lived experiences of women with congenital heart disease (CHD) during pregnancy and early motherhood.DesignQualitative study using semistructured interviews. Data were analysed according to interpretative phenomenological analysis.SettingSan Donato Milanese, Italy.Participants12 adult women during pregnancy or early motherhood.ResultsThree main themes emerged from the analysis that were labelled as follows: ‘Being a woman with CHD’; ‘Being a mother with CHD’; and ‘Don’t be alone’. Mothers described both positive and negative feelings about their pregnancies and transitions from childless women to mothers with CHD. They needed supportive care to improve the management of their health during pregnancy and early motherhood.ConclusionThis study explored the lived experiences of women with CHD during pregnancy and early motherhood. The emerged themes represent an initial framework for implementing theory-grounded educational and supportive strategies that improve self-care, engagement and quality of life for women with CHD. Furthermore, the study’s results provide guidance for operationalising the described experiences into items and domains for future cross-national surveys.

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Section: Discussionmentioning

confidence: 99%

Exploring the lived experiences of pregnancy and early motherhood in Italian women with congenital heart disease: an interpretative phenomenological analysis

et al. 2020

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“…Other investigators have emphasized the dyadic approach to HF management that aims to improve health outcomes for both patients and caregivers. 46 In a dyadic context, the type of dyadic relationship (e.g., spouse, child, other relative, friend) 47,48 and the quality of the relationship 47,[49][50][51] were linked to varying degrees of engagement in HF self-management for both care partners. Yet, little is known about the link between the coresidence status of dyads and their level of engagement in self-management behaviors.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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).

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“…and "How much emotional support does he or she give you?" The measure has demonstrated strong reliability and validity in samples of both spouse and non-spouse dyads (Archbold et al, 1990;Lyons et al, 2007;Vellone et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

The Association of Dyadic Symptom Appraisal With Physical and Mental Health Over Time in Care Dyads Living With Lung Cancer

Lyons

Lee

2019

J Fam Nurs

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The study examined the association between changes in dyadic symptom appraisal with changes in physical and mental health of 109 family care dyads living with lung cancer over 12 months. Multilevel modeling was used to analyze both aggregate and time-varying associations of dyadic symptom appraisal with dyadic health. Patients had significantly worse physical health compared with their care partner; care partners had significantly worse mental health compared with patients. In general, greater incongruent symptom appraisals were significantly associated with worse physical health for both patients and care partners. Importantly, increases in magnitude of incongruence regarding the patient’s pain interference were significantly associated with declines in patient physical health over time. Direction of the incongruence was associated with mental health. Findings highlight the need for both a longitudinal and dyadic perspective of symptom appraisal to move toward theoretically driven interventions that will optimize the health of both patients and their care partners.

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The Influence of Mutuality on Self-Care in Heart Failure Patients and Caregivers: A Dyadic Analysis

Cited by 43 publications

References 46 publications

Exploring the lived experiences of pregnancy and early motherhood in Italian women with congenital heart disease: an interpretative phenomenological analysis

Exploring the lived experiences of pregnancy and early motherhood in Italian women with congenital heart disease: an interpretative phenomenological analysis

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

The Association of Dyadic Symptom Appraisal With Physical and Mental Health Over Time in Care Dyads Living With Lung Cancer

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