BACKGROUND: Nonadherence to treatment recommendations is a leading preventable cause of rehospitalization and premature mortality in chronic heart failure (HF) patients. PURPOSE: This study examined whether self-efficacy mediates the contributions of social support and depression to treatment adherence. METHODS: A sample of 252 HF outpatients with a mean age of 54 years completed self-report questionnaires assessing depression, perceived social support, self-efficacy, and treatment adherence. RESULTS: Self-efficacy mediated the associations of social support and depression with treatment adherence after adjusting for demographic (age, gender, marital status, education, and ethnicity) and medical (New York Heart Association Classification and comorbidity) covariates. CONCLUSION: Self-efficacy explains the influence of social support and depression on treatment adherence and may be a key target for interventions to improve disease management and self-care behaviors in HF patients.
BACKGROUND: Nonadherence to treatment recommendations is a leading preventable cause of rehospitalization and premature mortality in chronic heart failure (HF) patients. PURPOSE: This study examined whether self-efficacy mediates the contributions of social support and depression to treatment adherence. METHODS: A sample of 252 HF outpatients with a mean age of 54 years completed self-report questionnaires assessing depression, perceived social support, self-efficacy, and treatment adherence. RESULTS: Self-efficacy mediated the associations of social support and depression with treatment adherence after adjusting for demographic (age, gender, marital status, education, and ethnicity) and medical (New York Heart Association Classification and comorbidity) covariates. CONCLUSION: Self-efficacy explains the influence of social support and depression on treatment adherence and may be a key target for interventions to improve disease management and self-care behaviors in HF patients.
Authors: Ian M Kronish; Nina Rieckmann; Ethan A Halm; Daichi Shimbo; David Vorchheimer; Donald C Haas; Karina W Davidson Journal: J Gen Intern Med Date: 2006-08-09 Impact factor: 5.128
Authors: C Opasich; O Febo; P G Riccardi; E Traversi; G Forni; G Pinna; M Pozzoli; R Riccardi; A Mortara; M Sanarico; F Cobelli; L Tavazzi Journal: Am J Cardiol Date: 1996-08-01 Impact factor: 2.778
Authors: Kenneth E Freedland; Michael W Rich; Judith A Skala; Robert M Carney; Victor G Dávila-Román; Allan S Jaffe Journal: Psychosom Med Date: 2003 Jan-Feb Impact factor: 4.312
Authors: Avelina C Padin; Stephanie J Wilson; Brittney E Bailey; William B Malarkey; Maryam B Lustberg; William B Farrar; Stephen P Povoski; Doreen M Agnese; Raquel E Reinbolt; Robert Wesolowski; Nicole Williams; Sagar Sardesai; Bhuvaneswari Ramaswamy; Anne M Noonan; Jeffrey B Vandeusen; Garrie J Haas; Janice K Kiecolt-Glaser Journal: Int J Behav Med Date: 2019-06
Authors: Zaid Bilgrami; Ameer Abutaleb; Kenechukwu Chudy-Onwugaje; Patricia Langenberg; Miguel Regueiro; David A Schwartz; J Kathleen Tracy; Leyla Ghazi; Seema A Patil; Sandra M Quezada; Katharine M Russman; Charlene C Quinn; Guruprasad Jambaulikar; Dawn B Beaulieu; Sara Horst; Raymond K Cross Journal: Dig Dis Sci Date: 2019-01-02 Impact factor: 3.199
Authors: Elliane Irani; Scott Emory Moore; Ronald L Hickman; Mary A Dolansky; Richard A Josephson; Joel W Hughes Journal: J Cardiovasc Nurs Date: 2019 Jul/Aug Impact factor: 2.083
Authors: Michael L Alosco; Mary Beth Spitznagel; Manfred van Dulmen; Naftali Raz; Ronald Cohen; Lawrence H Sweet; Lisa H Colbert; Richard Josephson; Joel Hughes; Jim Rosneck; John Gunstad Journal: J Aging Health Date: 2013-01-31