Evidence map›Paper›PMID 38470867›Full record

ArticlePloS one2024

The relationship between caregiver contribution to self-care and patient quality of life in heart failure: A longitudinal mediation analysis.

Gabriele Caggianelli, Fabio Alivernini, Andrea Chirico, Paolo Iovino, Fabio Lucidi, Izabella Uchmanowicz, Laura Rasero, Rosaria Alvaro, Ercole Vellone

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02894502 (MOTIVATional intErviewing to Improve Self-care in Heart Failure Patients), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.0field-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.

NCT02894502 nacompletednot on this map

MOTIVATional intErviewing to Improve Self-care in Heart Failure Patients (MOTIVATE-HF): Study Protocol of a Three-arm Multicenter Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Rome Tor VergataRan2014 to 2018Enrolled510ConditionsHeart FailureArmsMotivational interviewing
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Caregiver contribution to patient self‑care and quality of life among informal carers of adult patients with inflammatory bowel disease: a cross‑sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  5. Review
  6. Dual trajectories of capacity management behavior and quality of life in hemodialysis patients: a longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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  13. Review
  14. Article
  15. Association Between Family Caregiver Oral Care Practices and Oral Health Status in Rehabilitation Ward Patients With Dysphagia.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
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

9 authors at 5 institutions in 2 countries.

Gabriele CaggianelliSan Giovanni Addolorata Hospital, Rome, Italy.
Fabio AliverniniDepartment of Psychology of Development and Socialization processes, "Sapienza" University of Rome, Rome, Italy.
Andrea ChiricoDepartment of Psychology of Development and Socialization processes, "Sapienza" University of Rome, Rome, Italy.
Paolo IovinoHealth Sciences Department, University of Florence, Florence, Italy.ORCID 0000-0001-5952-881X
Fabio LucidiDepartment of Psychology of Development and Socialization processes, "Sapienza" University of Rome, Rome, Italy.
Izabella UchmanowiczDepartment of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0001-5452-0210
Laura RaseroHealth Sciences Department, University of Florence, Florence, Italy.
Rosaria AlvaroDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Ercole VelloneDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0003-4673-7473
Sapienza University of Rome · ITUniversity of Florence · ITUniversity of Rome Tor Vergata · ITAzienda Ospedaliera San Giovanni Addolorata · ITWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with heart failure may experience poor quality of life due to a variety of physical and psychological symptoms. Quality of life can improve if patients adhere to consistent self-care behaviors. Patient outcomes (i.e., quality of life) are thought to improve as a result of caregiver contribution to self-care. However, uncertainty exists on whether these outcomes improve as a direct result of caregiver contribution to self-care or whether this improvement occurs indirectly through the improvement of patient heart failure self-care behaviors.

aimsTo investigate the influence of caregiver contribution to self-care on quality of life of heart failure people and explore whether patient self-care behaviors mediate such a relationship.

methodsThis is a secondary analysis of the MOTIVATE-HF randomized controlled trial (Clinicaltrials.gov registration number: NCT02894502). Data were collected at baseline and 3 months. An autoregressive longitudinal path analysis model was conducted to test our hypotheses.

resultsWe enrolled a sample of 510 caregivers [mean age = 54 (±15.44), 24% males)] and 510 patients [mean age = 72.4 (±12.28), 58% males)]. Patient self-care had a significant and direct effect on quality of life at three months (β = 0.20, p < .01). Caregiver contribution to self-care showed a significant direct effect on patient self-care (β = 0.32, p < .01), and an indirect effect on patient quality of life through the mediation of patient self-care (β = 0.07, p < .001).

conclusionPatient quality of life is influenced by self-care both directly and indirectly, through the mediation of caregiver contribution to self-care. These findings improve our understanding on how caregiver contribution to self-care improves patient outcomes.

Indexed as

Heart FailureQuality of LifeAdultAgedAged, 80 and overCaregiversFemaleHumansMaleMediation AnalysisMiddle AgedRandomized Controlled Trials as TopicSelf Care

Identifiers

PMID38470867
PMCPMC10931462
OpenAlexW4392716506

What OpenQuestion holds

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LicenceCC BY
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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.