Evidence map›Paper›PMID 25673525›Full record

Trial reportEuropean journal of cardiovascular nursing2016

Family partner intervention influences self-care confidence and treatment self-regulation in patients with heart failure.

Kelly D Stamp, Sandra B Dunbar, Patricia C Clark, Carolyn M Reilly, Rebecca A Gary, Melinda Higgins, Richard M Ryan

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of cardiovascular nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04991857 (The Effects and Cost-effectiveness of a Technology-based Family-centered Empowerment), which is not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% of its field
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.

NCT04991857 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effects and Cost-effectiveness of a Technology-based Family-centered Empowerment (T-FAME) Program on Health and Health Service Utilization Outcomes of Post-discharged Patients With Advanced Heart Failure: A Sequential Mixed Method Study

TypeinterventionalSponsorThe University of Hong KongRan2021 to 2026Enrolled270ConditionsHeart Failure, Telerehabilitation, Self Care, EmpowermentArmsT-FAME-HF, Control group - HF education program
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models.International journal of environmental research and public health · 2021
    Pooled it
  3. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
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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

7 authors at 4 institutions in 2 countries.

Kelly D StampBoston College, USA stampk@bc.edu.
Sandra B DunbarNell Hodgson Woodruff School of Nursing, Emory University, USA.
Patricia C ClarkByrdine F. Lewis School of Nursing, Georgia State University, USA.
Carolyn M ReillyNell Hodgson Woodruff School of Nursing, Emory University, USA.
Rebecca A GaryNell Hodgson Woodruff School of Nursing, Emory University, USA.
Melinda HigginsNell Hodgson Woodruff School of Nursing, Emory University, USA.
Richard M RyanInstitute for Positive Psychology and Education Australian Catholic University, Australia.
Emory University · USAustralian Catholic University · AUBoston College · USGeorgia State University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 1985 to 2007
$21.3M
A Family Partnership Intervention for Heart FailureR01NR008800 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2004 to 2009
$2.4M
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NCRR NIH HHS M01 RR000039NCRR NIH HHS UL1 RR025008NINR NIH HHS R01 NR008800
6 · The paper itself

Abstract

backgroundHeart failure self-care requires confidence in one's ability and motivation to perform a recommended behavior. Most self-care occurs within a family context, yet little is known about the influence of family on heart failure self-care or motivating factors.

aimsTo examine the association of family functioning and the self-care antecedents of confidence and motivation among heart failure participants and determine if a family partnership intervention would promote higher levels of perceived confidence and treatment self-regulation (motivation) at four and eight months compared to patient-family education or usual care groups.

methodsHeart failure patients (N=117) and a family member were randomized to a family partnership intervention, patient-family education or usual care groups. Measures of patient's perceived family functioning, confidence, motivation for medications and following a low-sodium diet were analyzed. Data were collected at baseline, four and eight months.

resultsFamily functioning was related to self-care confidence for diet (p=0.02) and autonomous motivation for adhering to their medications (p=0.05) and diet (p=0.2). The family partnership intervention group significantly improved confidence (p=0.05) and motivation (medications (p=0.004; diet p=0.012) at four months, whereas patient-family education group and usual care did not change.

conclusionPerceived confidence and motivation for self-care was enhanced by family partnership intervention, regardless of family functioning. Poor family functioning at baseline contributed to lower confidence. Family functioning should be assessed to guide tailored family-patient interventions for better outcomes.

Indexed as

Patient Education as TopicSelf CareCaregiversDiet, Sodium-RestrictedFamilyFamily HealthHeart FailureHumansMotivationfamily interventionsHeart failurelow-sodium dietmedication administrationself-care confidence

Identifiers

PMID25673525
PMCPMC4532663
OpenAlexW2055299396

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Registered trials

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.