ArticleThe Journal of cardiovascular nursing
The Impact of Self-management Knowledge and Support on the Relationships Among Self-efficacy, Patient Activation, and Self-management in Rural Patients With Heart Failure.
Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 34 citations in OpenAlex.
- Path analysis of cardiovascular disease preventive health behavior in postmenopausal Korean women based on the I-Change model.Scientific reports · 2026Article
- Latent Profile Analysis for Patient Activation in Patients with Essential Hypertension.Patient preference and adherence · 2025Article
- Patient activation levels in cardiovascular disease: a cross-sectional study in Brazilian community pharmacies.Sao Paulo medical journal = Revista paulista de medicina · 2025Article
- A short tool to screen self-care preparedness: cross-sectional study in general practice.Family practice · 2024Article
- Impact of digital technologies on self-efficacy in people with Parkinson's: a scoping review protocol.BMJ open · 2023Article
- Initiating and Maintaining Complete Decongestive Therapy Self-Management of Lymphedema Among Breast Cancer Survivors: Descriptive Qualitative Study.Integrative cancer therapiesArticle
- The Situation-Specific Theory of Heart Failure Self-care: An Update on the Problem, Person, and Environmental Factors Influencing Heart Failure Self-care.The Journal of cardiovascular nursingArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundSelf-management (SM) is an essential component of heart failure (HF) management. The mechanisms to improve SM behaviors are unclear.
objectiveThe objective of this study is to examine whether patient activation mediates the effect of self-efficacy on SM behaviors in rural HF patients.
methodsA secondary analysis was conducted using data collected from a randomized controlled trial aimed to improve SM behaviors. The main variables included were SM knowledge, self-efficacy, patient activation, and SM behaviors.
resultsMediation analysis showed patient activation mediated the effect of self-efficacy on SM. Both self-efficacy and patient activation were significantly related to SM behaviors, respectively (r = 0.46, P < .001; β = .48, P = .001). However, self-efficacy was no longer directly related to SM behaviors when patient activation was entered into the final model (β = .17, P = .248). Self-management knowledge and support were significant moderators. In patients with high levels of SM knowledge, patient activation did not mediate the effect of self-efficacy on SM behaviors (β = .15, P = .47). When SM support was entered in the path model, patient activation was not a significant mediator between self-efficacy and SM behavior at high (β = .27, P = .27) or low (β = .27, P = .25) levels of SM support.
conclusionsStudy findings suggest that targeted SM support for high-risk HF patients with low SM knowledge and support may be useful. In addition, strategies to increase patient activation may improve HF patients' SM confidence.
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