ArticleResearch in nursing & health2015
Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis.
Article in Research in nursing & health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 146 citations in OpenAlex.
- Systematic Review of Technology-Based Interventions Targeting Chronically Ill Adults and Their Caregivers.Western journal of nursing research · 2020Pooled it
- Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association.Journal of the American Heart Association · 2017Guideline
- A Digital Platform to Support Self-management of Multiple Chronic Conditions (ProACT): Findings in Relation to Engagement During a One-Year Proof-of-Concept Trial.Journal of medical Internet research · 2021Trial
- 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 · 2020Trial
- A pilot randomized clinical trial of a teamwork intervention for heart failure care dyads.Heart & lung : the journal of critical careTrial
- Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads.Heart & lung : the journal of critical careTrial
- Global Trends in Heart Failure Self-Care Research: A Bibliometric and Visual Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Self-care profiles and quality of life trajectories in patients with chronic heart failure-caregiver dyads: a prospective cohort study.BMC nursing · 2026Article
- The Impact of Informal Caregiving on Patient-Reported Outcomes, Psychological Well-Being and Quality of Life in Inflammatory Bowel Disease: A Systematic Review.Nursing reports (Pavia, Italy) · 2026Review
- Translation and Psychometric Properties of the Japanese Version of Caregiver Contribution to Self-Care of Heart Failure Index Version 2.Circulation reports · 2026Article
- Latent profiles of caregiver self-care contributions for patients with COPD: a multicenter cross-sectional study.BMC nursing · 2026Article
- Gender Difference in the Caregiving Burden and Psychological Distress of Family Caregivers of Liver Transplant Recipients.Nursing open · 2026Article
- Illness perceptions and self-care behaviors among Chinese hospitalized adults with heart failure.BMC psychology · 2025Article
- Caregiver Contribution to Patient Self-Care and Associated Variables in Older Adults with Multiple Chronic Conditions Living in a Middle-Income Country: Key Findings from the 'SODALITY-AL' Observational Study.Nursing reports (Pavia, Italy) · 2025Article
- Readiness for Heart Failure Self-Care: Commitment and Capacity.Healthcare (Basel, Switzerland) · 2025Article
- Factors associated with dementia risk reduction lifestyle in mild cognitive impairment: a cross-sectional study of individuals and their family caregivers.BMC neurology · 2025Article
- Does a multimedia education program work as a remedy for stress and burden in family caregivers of elderly heart attack patients? A clinical trial study.BMC nursing · 2025Article
- Family caregivers' contributions to self-care behaviors among heart failure patients in Oman.PloS one · 2025Article
- Individual and systems-related factors associated with heart failure self-care: a systematic review.BMC nursing · 2024Article
- Gender differences in efficiency of the telemedicine care of heart failure patients. The results from the TeleEduCare-HF study.Archives of medical science : AMS · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 3 countries.
Funding
Abstract
Disease self-management is a critical component of maintaining clinical stability for patients with chronic illness. This is particularly evident in the context of heart failure (HF), which is the leading cause of hospitalization for older adults. HF self-management, commonly known as HF self-care, is often performed with the support of informal caregivers. However, little is known about how a HF dyad manages the patient's care together. The purpose of this study was to identify determinants of patient and caregiver contributions to HF self-care maintenance (daily adherence and symptom monitoring) and management (appropriate recognition and response to symptoms), utilizing an approach that controls for dyadic interdependence. This was a secondary analysis of cross-sectional data from 364 dyads of Italian HF patients and caregivers. Multilevel modeling was used to identify determinants of HF self-care within patient-caregiver dyads. Patients averaged 76.2 (SD = 10.7) years old, and a slight majority (56.9%) was male, whereas caregivers averaged 57.4 (SD = 14.6) years old, and about half (48.1%) were male. Most caregivers were adult children (48.4%) or spouses (32.7%) of patients. Both patients and caregivers reported low levels of HF maintenance and management behaviors. Significant individual and dyadic determinants of self-care maintenance and self-care management included gender, quality of life, comorbid burden, impaired ADLs, cognition, hospitalizations, HF duration, relationship type, relationship quality, and social support. These comprehensive dyadic models assist in elucidating the complex nature of patient-caregiver relationships and their influence on HF self-care, leading to more effective ways to intervene and optimize outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.