Structural equation model testing the situation-specific theory of heart failure self-care

Vellone, Ercole, Riegel, Barbara, D'Agostino, Fabio, Fida, Roberta, Rocco, Gennaro, Cocchieri, Antonello and Alvaro, Rosaria (2013) Structural equation model testing the situation-specific theory of heart failure self-care. Journal of Advanced Nursing, 69 (11). pp. 2481-92. ISSN 0309-2402

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Abstract

Aim To test the situation-specific theory of heart failure self-care with structural equation modelling. Background Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This theory has never been tested with structural equation modelling. Design A secondary analysis of data from a cross-sectional study. Methods Patients with heart failure were recruited in 21 cardiovascular centres across Italy during 2011. Data were collected with a sociodemographic questionnaire, chart abstraction for clinical data and the Self-Care of Heart Failure Index v.6·2. Results A sample of 417 participants was enrolled in the study (59% males, mean age 72 years). The following propositions were tested and supported: Symptom monitoring correlates with treatment adherence; symptom monitoring and treatment adherence have a direct, positive relationship with symptom recognition and evaluation that in turn have a direct, positive relationship with treatment implementation; treatment implementation has a direct, positive relationship with treatment evaluation. In addition, the following three relationships were found: Symptom monitoring has a direct, positive relationship with treatment implementation; symptom recognition and evaluation have direct, positive relationships with treatment evaluation and symptom monitoring correlates with treatment evaluation. [Correction added on 9th April 2013, after first online publication: ‘…symptom monitoring correlates with treatment implementation.’ has been corrected to read ‘…symptom monitoring correlates with treatment evaluation.’] Conclusion The data support the situation-specific theory of heart failure self-care with the addition of three new relationships that emerged from the analysis. Results of this study lend further support to the use of the situation-specific theory of heart failure self-care in research and practice.

Item Type: Article
Additional Information: © 2013 Blackwell Publishing Ltd.
Uncontrolled Keywords: aged,aged, 80 and over,cross-sectional studies,female,health knowledge, attitudes, practice,heart failure,humans,italy,male,middle aged,models, theoretical,patient compliance,questionnaires,self care
Faculty \ School: Faculty of Social Sciences > Norwich Business School
Depositing User: Pure Connector
Date Deposited: 19 Nov 2015 08:12
Last Modified: 22 Apr 2020 00:28
URI: https://ueaeprints.uea.ac.uk/id/eprint/55403
DOI: 10.1111/jan.12126

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