Sandra B Dunbar1, Patricia C Clark2, Kelly D Stamp3, Carolyn M Reilly1, Rebecca A Gary1, Melinda Higgins1, Nadine Kaslow4. 1. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 2. Georgia State University, Byrdine F. Lewis School of Nursing, Atlanta, GA, USA. 3. Boston College, School of Nursing, Chestnut Hill, MA 02467, USA. Electronic address: stampk@bc.edu. 4. School of Medicine, Emory University, Atlanta, GA, USA.
Abstract
OBJECTIVES: Determine if family functioning influences response to family-focused interventions aimed at reducing dietary sodium by heart failure (HF) patients. BACKGROUND: Lowering dietary sodium by HF patients often occurs within the home and family context. METHODS: Secondary analysis of 117 dyads randomized to patient and family education (PFE), family partnership intervention (FPI) or usual care (UC). Dietary sodium measures were obtained from 3-day food record and 24-h urine samples. RESULTS: In the poor family functioning groups, FPI and PFE had lower mean urine sodium than UC (p < .05) at 4 months, and FPI remained lower than UC at 8 months (p < .05). For good family functioning groups, FPI and PFE had lower mean sodium levels by 3-day food record at 4 and 8 months compared to the UC group. CONCLUSION: Optimizing family-focused interventions into HF clinical care maybe indicated.
RCT Entities:
OBJECTIVES: Determine if family functioning influences response to family-focused interventions aimed at reducing dietary sodium by heart failure (HF) patients. BACKGROUND: Lowering dietary sodium by HF patients often occurs within the home and family context. METHODS: Secondary analysis of 117 dyads randomized to patient and family education (PFE), family partnership intervention (FPI) or usual care (UC). Dietary sodium measures were obtained from 3-day food record and 24-h urine samples. RESULTS: In the poor family functioning groups, FPI and PFE had lower mean urine sodium than UC (p < .05) at 4 months, and FPI remained lower than UC at 8 months (p < .05). For good family functioning groups, FPI and PFE had lower mean sodium levels by 3-day food record at 4 and 8 months compared to the UC group. CONCLUSION: Optimizing family-focused interventions into HF clinical care maybe indicated.
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