PMID- 23815766
OWN - NLM
STAT- MEDLINE
DCOM- 20150304
LR  - 20211021
IS  - 1930-7810 (Electronic)
IS  - 0278-6133 (Print)
IS  - 0278-6133 (Linking)
VI  - 33
IP  - 7
DP  - 2014 Jul
TI  - Knowledge is insufficient for self-care among heart failure patients with 
      psychological distress.
PG  - 588-96
LID - 10.1037/a0033419 [doi]
AB  - OBJECTIVE: We conducted a study to identify barriers to, and factors promoting, 
      self-care among heart failure (HF) patients with higher or lower levels of 
      knowledge. METHOD: Baseline data from 612 patients with HF enrolled in the 
      REMOTE-HF trial were analyzed. Using median splits on the HF Knowledge Scale and 
      the European HF Self-Care Behavior Scale, patients were divided into four groups: 
      (a) low knowledge and good self-care, (b) low knowledge and poor self-care, (c) 
      high knowledge and good self-care, and (d) high knowledge and poor self-care. 
      Characteristics of the groups were compared using ANOVA, Kruskal-Wallis tests, 
      and chi-square tests, followed by pairwise tests with Bonferroni correction. 
      Variables significant in the univariate analyses were evaluated as predictors of 
      self-care using hierarchical multiple linear regression. The potential moderating 
      effect of knowledge was tested with interaction terms. RESULTS: The four groups 
      did not differ in sociodemographics or health literacy scores, but differed in 
      New York Heart Association (NYHA) class, comorbidities, and scores on depression, 
      anxiety, and perceived control. In post hoc pairwise tests, patients with high 
      knowledge and poor self-care tended to have worse NYHA class, greater depression 
      and anxiety, and lower levels of perceived control than others. In the 
      multivariate analysis, knowledge, depressive symptoms, and perceived control were 
      significant predictors of self-care, as was the interaction between knowledge and 
      anxiety. CONCLUSIONS: Screening and treatment of depression and anxiety is 
      important in improving self-care among HF patients. HF management programs need 
      to include strategies for increasing patients' perceived control over their heart 
      disease.
FAU - Hwang, Boyoung
AU  - Hwang B
AD  - School of Nursing, University of California-Los Angeles.
FAU - Moser, Debra K
AU  - Moser DK
AD  - College of Nursing, University of Kentucky.
FAU - Dracup, Kathleen
AU  - Dracup K
AD  - School of Nursing, University of California-San Francisco.
LA  - eng
GR  - R01 HL083176/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20130701
PL  - United States
TA  - Health Psychol
JT  - Health psychology : official journal of the Division of Health Psychology, 
      American Psychological Association
JID - 8211523
SB  - IM
MH  - Aged
MH  - Anxiety/diagnosis
MH  - Cross-Sectional Studies
MH  - Depression/diagnosis
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Health Literacy/statistics & numerical data
MH  - Heart Failure/*psychology/*therapy
MH  - Humans
MH  - Internal-External Control
MH  - Male
MH  - Middle Aged
MH  - Self Care/*psychology
MH  - Stress, Psychological/*psychology
PMC - PMC4090087
MID - NIHMS597646
EDAT- 2013/07/03 06:00
MHDA- 2015/03/05 06:00
PMCR- 2015/07/01
CRDT- 2013/07/03 06:00
PHST- 2013/07/03 06:00 [entrez]
PHST- 2013/07/03 06:00 [pubmed]
PHST- 2015/03/05 06:00 [medline]
PHST- 2015/07/01 00:00 [pmc-release]
AID - 2013-22751-001 [pii]
AID - 10.1037/a0033419 [doi]
PST - ppublish
SO  - Health Psychol. 2014 Jul;33(7):588-96. doi: 10.1037/a0033419. Epub 2013 Jul 1.