Evidence map›Paper›PMID 23815766›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2014

Knowledge is insufficient for self-care among heart failure patients with psychological distress.

Boyoung Hwang, Debra K Moser, Kathleen Dracup

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Predictors of Adherence to Self-Care in Rural Patients With Heart Failure.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Boyoung HwangSchool of Nursing, University of California-Los Angeles.
Debra K MoserCollege of Nursing, University of Kentucky.
Kathleen DracupSchool of Nursing, University of California-San Francisco.

Funding

Improving Self Care Behavior/Outcomes in Rural PatientsR01HL083176 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DRACUP, KATHLEEN A · 2006 to 2010
$4.0M
NHLBI NIH HHS R01 HL083176
6 · The paper itself

Abstract

objectiveWe conducted a study to identify barriers to, and factors promoting, self-care among heart failure (HF) patients with higher or lower levels of knowledge.

methodBaseline data from 612 patients with HF enrolled in the REMOTE-HF trial were analyzed. Using median splits on the HF Knowledge Scale and the European HF Self-Care Behavior Scale, patients were divided into four groups: (a) low knowledge and good self-care, (b) low knowledge and poor self-care, (c) high knowledge and good self-care, and (d) high knowledge and poor self-care. Characteristics of the groups were compared using ANOVA, Kruskal-Wallis tests, and chi-square tests, followed by pairwise tests with Bonferroni correction. Variables significant in the univariate analyses were evaluated as predictors of self-care using hierarchical multiple linear regression. The potential moderating effect of knowledge was tested with interaction terms.

resultsThe four groups did not differ in sociodemographics or health literacy scores, but differed in New York Heart Association (NYHA) class, comorbidities, and scores on depression, anxiety, and perceived control. In post hoc pairwise tests, patients with high knowledge and poor self-care tended to have worse NYHA class, greater depression and anxiety, and lower levels of perceived control than others. In the multivariate analysis, knowledge, depressive symptoms, and perceived control were significant predictors of self-care, as was the interaction between knowledge and anxiety.

conclusionsScreening and treatment of depression and anxiety is important in improving self-care among HF patients. HF management programs need to include strategies for increasing patients' perceived control over their heart disease.

Indexed as

Health Knowledge, Attitudes, PracticeAgedAnxietyCross-Sectional StudiesDepressionFemaleHealth LiteracyHeart FailureHumansInternal-External ControlMaleMiddle AgedSelf CareStress, Psychological

Identifiers

PMID23815766
PMCPMC4090087

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.