The Influence of Self-concept on Adherence to Recommended Health Regimens in Adults With Heart Failure

Thomas, Christine

doi:10.1097/01.jcn.0000287037.85067.3d

Cited by 28 publications

(42 citation statements)

References 21 publications

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“…Results (Table 2) on HF self-care (composite) scores were reported in thirteen articles. Although some studies used the term ''self-care'' [26,27,33,40,43], other studies used other terms, including ''self-management'' [18,32,39], ''adherence'' [35], ''compliance'' [20,29,36] and ''self-care specific behaviours'' [21]. In addition, eight articles reported results on self-care management [22,25,30,31,33,38,41,42] and ten on self-care maintenance [22,25,30,31,33,34,37,38,41,42].…”

Section: Resultsmentioning

confidence: 96%

“…Eleven of the articles were rated as good quality, fifteen as fair quality (the articles are numbered according to quality score in Tables 2 and 4; studies numbered 1-11 are rated as good quality [18][19][20][21][22][23][24][25][26][27][28], and those numbered 12-26 are rated as fair quality [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]). Four articles were excluded due to a low quality score [44][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

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Determinants of heart failure self-care: a systematic literature review

et al. 2011

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Self-care is an important aspect of heart failure (HF) management. Information on the determinants of self-care is necessary for the development of self-care promotion interventions. HF self-care includes self-care management, self-care maintenance, sodium, fluid and alcohol intake restriction, physical activity, smoking cessation, monitoring signs and symptoms and keeping follow-up appointments. To assess the evidence regarding presumed determinants of HF self-care and make recommendations for interventions to promote self-care behavior among HF patients, a systematic literature review was conducted. Based on inclusion and exclusion criteria and a quality assessment, twenty-six articles were included. A best evidence synthesis was used. Results showed that the length of time since patients' diagnosis with HF is positively related to their performance of self-care maintenance. Moreover, it was found that HF patients' perceived benefits and barriers are related to their restriction of sodium intake, and that patients with type-D personality are less likely to consult medical professionals. There was also evidence for a few non-significant relationships. All other evidence was inconsistent, mainly due to insufficient evidence. Interventions that aim to increase the performance of self-care maintenance can teach newly diagnosed patients the skills that are usually attained with experience acquired as a result of living with HF for a longer time. Perceived benefits and barriers of restricting sodium intake could be targeted in interventions for sodium intake reduction among HF patients. Finally, interventions for the promotion of adequate consulting of medical professionals can specifically target HF patients with a type-D personality.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Determinants of heart failure self-care: a systematic literature review

et al. 2011

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“…A number of cross-sectional studies examined other cognitive determinants of self-care, such as perceived control (16,42), locus of control (62), self-concept (79,80), and health satisfaction (20) (Table S1, Supplemental Digital Content 1, http://links.lww.com/PSYMED/A255). One study of high quality reported a significant association between perceived control and self-care beyond disease severity, comorbidities, and HF knowledge (42), whereas it was not associated with being novice, expert, and inconsistent in self-care in another study (16).…”

Section: Other Cognitive Determinantsmentioning

confidence: 99%

Psychological Determinants of Heart Failure Self-Care

Kessing

Denollet

Widdershoven

et al. 2016

Psychosomatic Medicine

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Psychological factors (depression, self-efficacy, and mental well-being) were associated with specific self-care facets in patients with chronic HF. These associations were predominantly observed with self-reported indices of self-care and not objective indices. Methodological heterogeneity and limitations preclude definite conclusions about the association between psychological factors and self-care and should be addressed in future research.

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“…Following Hill and colleagues, spirituality is defined herein as, "feelings, thoughts, experiences, and behaviors which arise from a search for the sacred," and religion is distinguished by its communal nature by adding to the definition "the means and methods (e.g., rituals or prescribed behaviors) of the search receive validation and support from within an identifiable group of people" (9). R/S has been related to treatment adherence in other populations (10)(11)(12)(13), and parents of children with CF have described a relationship between their spiritual beliefs and treatment adherence (14).…”

mentioning

confidence: 99%

Adherence Determinants in Cystic Fibrosis: Cluster Analysis of Parental Psychosocial, Religious, and/or Spiritual Factors

et al. 2015

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Rationale: Cystic fibrosis is a progressive disease requiring a complex, time-consuming treatment regimen. Nonadherence may contribute to an acceleration of the disease process. Spirituality influences some parental healthcare behaviors and medical decision-making. Objectives:We hypothesized that parents of children with cystic fibrosis, when classified into groups based on adherence rates, would share certain psychosocial and religious and/or spiritual variables distinguishing them from other adherence groups.Methods: We conducted a multisite, prospective, observational study focused on parents of children younger than 13 years old at two cystic fibrosis center sites (Site 1, n = 83; Site 2, n = 59). Religious and/or spiritual constructs, depression, and marital adjustment were measured by using previously validated questionnaires. Determinants of adherence included parental attitude toward treatment, perceived behavioral norms, motivation, and self-efficacy. Adherence patterns were measured with the Daily Phone Diary, a validated instrument used to collect adherence data. Cluster analysis identified discrete adherence patterns, including parents' completion of more treatments than prescribed.Measurements and Main Results: For airway clearance therapy, four adherence groups were identified: median adherence rates of 23%, 52%, 77%, and 120%. These four groups differed significantly for parental depression, sanctification of their child's body, and self-efficacy. Three adherence groups were identified for nebulized medications: median adherence rates of 35%, 82%, and 130%. These three groups differed significantly for sanctification of their child's body and self-efficacy. Conclusions:Our results indicated that parents in each group shared psychosocial and religious and/or spiritual factors that differentiated them. Therefore, conversations about adherence likely should be tailored to baseline adherence patterns. Development of efficacious religious and/or spiritual interventions that promote adherence by caregivers of children with cystic fibrosis may be useful.

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The Influence of Self-concept on Adherence to Recommended Health Regimens in Adults With Heart Failure

Cited by 28 publications

References 21 publications

Determinants of heart failure self-care: a systematic literature review

Determinants of heart failure self-care: a systematic literature review

Psychological Determinants of Heart Failure Self-Care

Adherence Determinants in Cystic Fibrosis: Cluster Analysis of Parental Psychosocial, Religious, and/or Spiritual Factors

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