ArticleThe Journal of cardiovascular nursing
Motivation to Engage in Self-Care of Heart Failure: An Ecological Momentary Assessment.
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. Not yet cited in PubMed.
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Abstract
backgroundHeart failure (HF) is associated with substantial morbidity and mortality worldwide. Although self-care is crucial for long-term HF management, individuals with HF often face challenges in maintaining self-care behaviors over time. This highlights the need to understand people's motivation to engage in self-care and how those motivations might change over time. Self-determination theory provides a valuable framework for understanding the link between motivation and self-care, but the specific conditions that shape this relationship in daily life remain uncertain.
objectivesAn ecological momentary assessment study was conducted to investigate the relationship between intention and self-care among patients with HF, as well as the moderating role of motivation types.
methodsParticipants completed 2 surveys per day for a week using the Sema3 mobile application.
resultsA total of 63 patients with HF (49.2% male) with a mean age of 61.7 years (standard deviation = 17.1) completed the study. Medication adherence demonstrated high stability (intraclass correlation coefficient [ICC] = 0.99) in daily life, while diet (ICC = 0.80) and weighing behaviors (ICC = 0.79) were also largely consistent within participants. In contrast, exercise demonstrated greater day-to-day fluctuation (ICC = 0.46). Morning self-care intentions significantly predicted evening behaviors for weighing and exercise, but not for diet-related self-care. Identified and integrated motivation were the most commonly endorsed types of motivation across different self-care behaviors.
conclusionsThis study highlighted the dynamic nature of motivation and self-care in daily life. Health professionals should recognize that intention does not necessarily translate into actual behavior, and some behaviors require greater support than others.
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