Ann F Jacobson1, Veronica Sumodi2, Nancy M Albert3, Robert S Butler4, Lori DeJohn2, Donna Walker5, Kelly Dion6, Hua-Li Lin Tai6, Donna M Ross7. 1. Cleveland Clinic Hillcrest Chronic Care, 6801 Mayfield Rd., Mayfield Heights, OH 44124. Electronic address: ajacobso@kent.edu. 2. Cleveland Clinic Hillcrest Chronic Care, 6801 Mayfield Rd., Mayfield Heights, OH 44124. 3. Cleveland Clinic, 9500 Euclid Avenue, Mail code J3-4, Cleveland OH 44195. 4. Cleveland Clinic Quantitative Health Sciences, 9500 Euclid Avenue/JJN3-01, Cleveland, OH 44195. 5. Cleveland Clinic Euclid Hospital Chronic Care, 18901 Lakeshore Blvd, Euclid, OH 44119. 6. Cleveland Clinic South Pointe Hospital Chronic Care, 20000 Harvard Ave, Warrensville Heights, OH 44122. 7. Cleveland Clinic Lakewood Chronic Care, 14519 Detroit Ave., Lakewood, OH 44107.
Abstract
BACKGROUND: More evidence is needed about factors that influence self-management behaviors in persons with heart failure. OBJECTIVE: To test a correlational mediation model of the independent variables of health literacy, patient activation, and heart failure knowledge with heart failure self-management behaviors. METHODS: The study used a prospective, cross-sectional, correlational design. Correlation and multiple regression were used to analyze associations among variables. RESULTS: Of 151 participants, 57% were male, and mean age was 68 years. Heart failure self-management behaviors was positively correlated with patient activation level (p = .0008), but not with health literacy or heart failure knowledge. CONCLUSIONS: Persons with heart failure may better manage their condition if sufficiently activated, regardless of their level of health literacy or knowledge of heart failure disease and management processes.
BACKGROUND: More evidence is needed about factors that influence self-management behaviors in persons with heart failure. OBJECTIVE: To test a correlational mediation model of the independent variables of health literacy, patient activation, and heart failure knowledge with heart failure self-management behaviors. METHODS: The study used a prospective, cross-sectional, correlational design. Correlation and multiple regression were used to analyze associations among variables. RESULTS: Of 151 participants, 57% were male, and mean age was 68 years. Heart failure self-management behaviors was positively correlated with patient activation level (p = .0008), but not with health literacy or heart failure knowledge. CONCLUSIONS:Persons with heart failure may better manage their condition if sufficiently activated, regardless of their level of health literacy or knowledge of heart failure disease and management processes.
Authors: Tammy R Toscos; Amanda Coupe; Shauna Wagner; Michelle Drouin; Amelia E Roebuck; Carly N Daley; Maria D Carpenter; Michael J Mirro Journal: Nurs Open Date: 2020-05-12
Authors: Uday Narayan Yadav; Jane Lloyd; Hassan Hosseinzadeh; Kedar Prasad Baral; Narendra Bhatta; Mark Fort Harris Journal: BMC Public Health Date: 2020-03-06 Impact factor: 3.295