Background: Patients with heart failure may experience poor quality of life due to a variety of physical and psychological symptoms. Quality of life can improve if patients adhere to consistent self-care behaviors. Patient outcomes (i.e., quality of life) are thought to improve as a result of caregiver contribution to self-care. However, uncertainty exists on whether these outcomes improve as a direct result of caregiver contribution to self-care or whether this improvement occurs indirectly through the improvement of patient heart failure self-care behaviors. Aims: To investigate the influence of caregiver contribution to self-care on quality of life of heart failure people and explore whether patient self-care behaviors mediate such a relationship. Methods: This is a secondary analysis of the MOTIVATE-HF randomized controlled trial (Clinicaltrials.gov registration number: NCT02894502). Data were collected at baseline and 3 months. An autoregressive longitudinal path analysis model was conducted to test our hypotheses. Results: We enrolled a sample of 510 caregivers [mean age = 54 (±15.44), 24% males)] and 510 patients [mean age = 72.4 (±12.28), 58% males)]. Patient self-care had a significant and direct effect on quality of life at three months (β = 0.20, p < .01). Caregiver contribution to self-care showed a significant direct effect on patient self-care (β = 0.32, p < .01), and an indirect effect on patient quality of life through the mediation of patient self-care (β = 0.07, p < .001). Conclusion: Patient quality of life is influenced by self-care both directly and indirectly, through the mediation of caregiver contribution to self-care. These findings improve our understanding on how caregiver contribution to self-care improves patient outcomes.

Caggianelli, G., Alivernini, F., Chirico, A., Iovino, P., Lucidi, F., Uchmanowicz, I., et al. (2024). The relationship between caregiver contribution to self-care and patient quality of life in heart failure: A longitudinal mediation analysis. PLOS ONE, 19(3), 1-11 [10.1371/journal.pone.0300101].

The relationship between caregiver contribution to self-care and patient quality of life in heart failure: A longitudinal mediation analysis

Paolo Iovino;Rosaria Alvaro;Ercole Vellone
2024-03-12

Abstract

Background: Patients with heart failure may experience poor quality of life due to a variety of physical and psychological symptoms. Quality of life can improve if patients adhere to consistent self-care behaviors. Patient outcomes (i.e., quality of life) are thought to improve as a result of caregiver contribution to self-care. However, uncertainty exists on whether these outcomes improve as a direct result of caregiver contribution to self-care or whether this improvement occurs indirectly through the improvement of patient heart failure self-care behaviors. Aims: To investigate the influence of caregiver contribution to self-care on quality of life of heart failure people and explore whether patient self-care behaviors mediate such a relationship. Methods: This is a secondary analysis of the MOTIVATE-HF randomized controlled trial (Clinicaltrials.gov registration number: NCT02894502). Data were collected at baseline and 3 months. An autoregressive longitudinal path analysis model was conducted to test our hypotheses. Results: We enrolled a sample of 510 caregivers [mean age = 54 (±15.44), 24% males)] and 510 patients [mean age = 72.4 (±12.28), 58% males)]. Patient self-care had a significant and direct effect on quality of life at three months (β = 0.20, p < .01). Caregiver contribution to self-care showed a significant direct effect on patient self-care (β = 0.32, p < .01), and an indirect effect on patient quality of life through the mediation of patient self-care (β = 0.07, p < .001). Conclusion: Patient quality of life is influenced by self-care both directly and indirectly, through the mediation of caregiver contribution to self-care. These findings improve our understanding on how caregiver contribution to self-care improves patient outcomes.
12-mar-2024
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/45
English
Caggianelli, G., Alivernini, F., Chirico, A., Iovino, P., Lucidi, F., Uchmanowicz, I., et al. (2024). The relationship between caregiver contribution to self-care and patient quality of life in heart failure: A longitudinal mediation analysis. PLOS ONE, 19(3), 1-11 [10.1371/journal.pone.0300101].
Caggianelli, G; Alivernini, F; Chirico, A; Iovino, P; Lucidi, F; Uchmanowicz, I; Rasero, L; Alvaro, R; Vellone, E
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/356623
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