Evidence map›Paper›PMID 28868917›Full record

ArticleEuropean journal of cardiovascular nursing2018

Mutuality and heart failure self-care in patients and their informal caregivers.

Stephanie A Hooker, Sarah J Schmiege, Ranak B Trivedi, Nicole R Amoyal, David B Bekelman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of cardiovascular nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 7 pooled it
12.2field-weighted citation impact, top 1% 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.

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

41 citing papers in PubMed, 7 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Stephanie A Hooker1 Department of Psychology, University of Colorado Denver, USA.
Sarah J Schmiege3 Department of Biostatistics and Informatics, Colorado School of Public Health at the Anschutz Medical Campus, University of Colorado Denver, USA.
Ranak B Trivedi4 Center for Innovation to Implementation, VA Palo Alto Health Care System, Department of Psychiatry and Behavioral Sciences, Stanford University, USA.
Nicole R Amoyal5 Division of General Internal Medicine, University of Colorado School of Medicine, USA.
David B Bekelman5 Division of General Internal Medicine, University of Colorado School of Medicine, USA.
University of Colorado Denver · USCenter for Innovation · USUniversity of Minnesota · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Improving Symptoms and Quality of Life in Advanced Chronic Heart FailureR01NR013422 · NINR · DENVER RESEARCH INSTITUTE · PI BEKELMAN, DAVID B. · 2011 to 2015
$1.4M
NCATS NIH HHS UL1 TR001082NINR NIH HHS R01 NR013422
6 · The paper itself

Abstract

backgroundHeart failure is a progressive condition characterized by frequent hospitalizations for exacerbated symptoms. Informal family caregivers may help patients improve self-care, which may in turn reduce hospitalizations. However, little is known about how mutuality, defined as the quality of the patient-caregiver relationship, and caregiver burden affect self-care.

objectiveThis study examines the associations among mutuality, patient self-care confidence (beliefs in abilities to engage in self-care behaviors) and maintenance (behaviors such as medication adherence, activity, and low salt intake), caregiver confidence in and maintenance of patient care, and caregiver perceived burden.

methodsThis study used cross-sectional baseline data from a multi-site randomized clinical trial of a symptom and psychosocial care intervention. Patient-caregiver dyads ( N=99) completed self-report surveys of mutuality and self-care confidence and maintenance, and caregivers completed a measure of caregiver burden. Path analysis, with actor (effects within a person) partner (effects across the dyad) interdependence model paths and regression models were used to examine the associations among mutuality, caregiver burden, and self-care.

resultsThe majority of patients ( M age=66, 21% female) and caregivers ( M age=57, 81% female) were spouses (60%). The path model demonstrated significant actor effects; patients and caregivers with better mutuality were more confident in patient self-care ( p<.05). Partner effects were not significant. Regression models indicated that caregivers with greater mutuality reported less perceived burden ( p<.01).

conclusionsMutuality in patient-caregiver dyads is associated with patient self-care and caregiver burden and may be an important intervention target to improve self-care and reduce hospitalizations.

Indexed as

Self CareAdaptation, PsychologicalAgedCaregiversCost of IllnessCross-Sectional StudiesFemaleHeart FailureHumansMaleMiddle AgedSelf ConceptSelf ReportSurveys and QuestionnairesBurdencaregivingconfidencemaintenancemutuality

Identifiers

PMID28868917
PMCPMC9390005
OpenAlexW2752533454

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.