ArticleApplied nursing research : ANR2024
Does self-care improve coping or does coping improve self-care? A structural equation modeling study.
Article in Applied nursing research : ANR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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
6 citing papers in PubMed.
- Virtual health coaching to improve self-care among informal caregivers of hospitalized older adults during a transition in care: Randomized controlled trial study protocol.Contemporary clinical trials · 2026Article
- Exploring the experiences of women of African, Caribbean and Mixed heritages to inform a music-based intervention for perinatal mental health in South East London: A qualitative study.PLOS mental health · 2026Article
- Associations between neighborhood factors and insomnia and their spatial clustering in Philadelphia, Pennsylvania.Sleep health · 2025Article
- Prevalence of Depression and Anxiety Symptoms Among Parents of Hospitalized Children in 14 Countries.Children (Basel, Switzerland) · 2025Article
- Trends and influencing factors of self-management in patients with chronic heart failure: a longitudinal study.BMC geriatrics · 2025Article
- An Update to the Middle-Range Theory of Self-Care of Chronic Illness.ANS. Advances in nursing scienceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundSupport interventions often address both self-care and coping. Different approaches are used to promote self-care and coping so clarifying the intervention effect can guide clinicians and researchers to provide interventions that achieve benefit. PURPOSE: To compare two models to determine whether self-care improves coping or coping improves self-care.
methodsWe used cross-sectional data from 248 caregivers obtained at enrollment into a randomized controlled trial testing the efficacy of a support intervention. Factor scores for scales measuring caregiver demand, self-care, coping, stress appraisal, and mental health were derived from exploratory factor analysis. Structural equation models were analyzed using the factor scores as estimates of each construct. To control possible spurious effects caregiver age, gender, relationship with the patient, and income adequacy were included.
resultsBoth models were compatible with the data, but the self-care model was stronger than the coping model. That model had a non-significant chi square and an excellent fit to the data, χ
conclusionsThe self-care model was strongest, illustrating that self-care decreases stress, promotes coping, and improves mental health. These results suggest that promoting self-care may be more effective in improving mental health than interventions aimed at improving coping.
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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.