Structural equation model testing the situation-specific theory of heart failure self-care
Journal article
Vellone, Ercole, Riegel, Barbara, D'Agostino, Fabio, Fida, Roberta, Rocco, Gennaro, Cocchieri, Antonello and Alvaro, Rosaria. (2013). Structural equation model testing the situation-specific theory of heart failure self-care. Journal of Advanced Nursing. 69(11), pp. 2481 - 2492. https://doi.org/10.1111/jan.12126
Authors | Vellone, Ercole, Riegel, Barbara, D'Agostino, Fabio, Fida, Roberta, Rocco, Gennaro, Cocchieri, Antonello and Alvaro, Rosaria |
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Abstract | Aim To test the situation-specific theory of heart failure self-care with structural equation modelling. Background Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This theory has never been tested with structural equation modelling. Design A secondary analysis of data from a cross-sectional study. Methods Patients with heart failure were recruited in 21 cardiovascular centres across Italy during 2011. Data were collected with a sociodemographic questionnaire, chart abstraction for clinical data and the Self-Care of Heart Failure Index v.6·2. Results A sample of 417 participants was enrolled in the study (59% males, mean age 72 years). The following propositions were tested and supported: Symptom monitoring correlates with treatment adherence; symptom monitoring and treatment adherence have a direct, positive relationship with symptom recognition and evaluation that in turn have a direct, positive relationship with treatment implementation; treatment implementation has a direct, positive relationship with treatment evaluation. In addition, the following three relationships were found: Symptom monitoring has a direct, positive relationship with treatment implementation; symptom recognition and evaluation have direct, positive relationships with treatment evaluation and symptom monitoring correlates with treatment evaluation. [Correction added on 9th April 2013, after first online publication: ‘…symptom monitoring correlates with treatment implementation.’ has been corrected to read ‘…symptom monitoring correlates with treatment evaluation.’] Conclusion The data support the situation-specific theory of heart failure self-care with the addition of three new relationships that emerged from the analysis. Results of this study lend further support to the use of the situation-specific theory of heart failure self-care in research and practice. |
Year | 2013 |
Journal | Journal of Advanced Nursing |
Journal citation | 69 (11), pp. 2481 - 2492 |
Publisher | Wiley-Blackwell Publishing Ltd. |
ISSN | 0309-2402 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/jan.12126 |
Scopus EID | 2-s2.0-84885171831 |
Page range | 2481 - 2492 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/87098/structural-equation-model-testing-the-situation-specific-theory-of-heart-failure-self-care
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