The influence of caregiver preparedness on caregiver contributions to self-care in heart failure and the mediating role of caregiver confidence

Journal article


Vellone, Ercole, Biagioli, Valentina, Durante, Angela, Buck, Harleah G., Iovino, Paolo, Tomietto, Marco, Colaceci, Sofia, Alvaro, Rosaria and Petruzzo, Antonio. (2020). The influence of caregiver preparedness on caregiver contributions to self-care in heart failure and the mediating role of caregiver confidence. Journal of Cardiovascular Nursing. 35(3), pp. 243-252. https://doi.org/10.1097/JCN.0000000000000632
AuthorsVellone, Ercole, Biagioli, Valentina, Durante, Angela, Buck, Harleah G., Iovino, Paolo, Tomietto, Marco, Colaceci, Sofia, Alvaro, Rosaria and Petruzzo, Antonio
Abstract

Background
Caregiver contributions (CC) to heart failure (HF) self-care maintenance (ie, CC to maintaining HF stability) and management (ie, CC to dealing with HF signs and symptoms) improve patient outcomes, but it is unknown whether caregiver preparedness influences CC to self-care and whether caregiver confidence mediates this process.

Objectives
We evaluated the influence of caregiver preparedness on CC to HF self-care maintenance and management and the mediating role of caregiver confidence.

Methods
This is a secondary analysis of the MOTIVATE-HF study. Patients were 18 years or older, with a diagnosis of HF in New York Heart Association classes II to IV, who had insufficient self-care and did not have severe cognitive impairment. Patients' informal caregivers were those people inside or outside the family who gave most of the informal care to the patients. We used the Caregiver Preparedness Scale and the Caregiver Contribution to Self-Care of HF Index. We tested a path analysis model and the indirect effects.

Results
Caregivers (n = 323) were 55 (SD, 15) years old on average and predominantly female (77%). The path analysis showed that higher scores in caregiver preparedness were associated with higher scores in caregiver confidence. In turn, higher caregiver confidence was associated with higher CC to self-care maintenance and management. Caregiver confidence mediated the association between caregiver preparedness and CC to self-care maintenance and management.

Conclusions
Caregiver confidence may play a role in CC to self-care. Interventions to improve CC to HF self-care should not only be focused on improving caregiver preparedness but also should consider the role of caregiver confidence.

Keywordscaregiver preparedness; caregiver confidence; caregiver contributions; caregivers; heart failure; self-care
Year2020
JournalJournal of Cardiovascular Nursing
Journal citation35 (3), pp. 243-252
PublisherLippincott Williams & Wilkins
ISSN0889-4655
Digital Object Identifier (DOI)https://doi.org/10.1097/JCN.0000000000000632
PubMed ID32084078
Scopus EID2-s2.0-85083545896
Page range243-252
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online2020
Publication process dates
Deposited05 Oct 2023
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