The impact of sources of perceived social support on readmissions in patients with heart failure

Abstract Background Patients with heart failure (HF) experience continuous changes in symptom distress, care needs, social support, and meaning in life from acute decompensation to chronic phases. The longitudinal relationship between these four factors and quality of life (QOL) was not fully explored. Aims To simultaneously investigate the relationship between all factors and QOL from hospitalization to 6 months after discharge, and the impact of the changes in these factors on QOL at different time points. Methods A longitudinal design with panel research (4 time points) was used. From January 2017 to December 2019, patients hospitalized due to acute decompensated HF were consecutively enrolled and followed up for 6 months. Patients were interviewed with questionnaires assessing symptom distress, care needs, social support, meaning in life and QOL at hospitalization and 1, 3 and 6 months after discharge. Results A total of 184 patients completed 6 months of follow-up. From baseline to 6 months, QOL continuously improved along with decreases in symptoms and care needs, but increases in social support and meaning in life. Better QOL was associated with younger age, higher education level, economic independence, less symptom distress and care needs, and stronger meaning in life (p < 0.05). Compared with hospitalization, decreases in care needs and increases in meaning in life at 1, 3 and 6 months were associated with an increase in physical QOL (p < 0.01). The decrease in care needs and increase in meaning in life at 3 months were associated with an increase in mental QOL (p < 0.05). The increase in social support at 6 months was associated with increases in both physical and mental QOL (p < 0.01). Changes in symptom distress were not correlated with changes in QOL from baseline to all time points. In the multivariable analysis, these findings were independent of age, educational level and economic status. Conclusions Although symptom distress is associated with QOL after acute decompensated HF, QOL cannot be improved only by improvement in symptoms. With differential duration of improvement in each factor, the integration of alleviation in care needs and strengthening in social support and meaning in life might provide additional benefits in QOL.

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Positive Psychology, Activation, and Self-Care Adherence in a Diverse Sample of Adults With Heart Failure

Innovation in Aging ◽

10.1093/geroni/igab046.210 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 55-56

Author(s):

Jocelyn McGee ◽

Rebecca Meraz ◽

Elizabeth Perry Caldwell ◽

Kathryn Osteen

Keyword(s):

Heart Failure ◽

Social Support ◽

Perceived Social Support ◽

Patient Activation ◽

Self Care ◽

Nationwide Survey ◽

Health And Wellbeing ◽

Predictive Variables ◽

Activation Level ◽

The Impact

Abstract Heart failure (HF) self-care is vital to health and wellbeing, yet more than half of all persons with HF do not adhere to the self-care recommendations of taking medications as prescribed, weighing daily, eating low salt foods, or exercising. It has been suggested that disparities in HF among racial/ethnic groups may be reflective of underlying determinants of health, such as poor engagement in self-care activities, rather than genetic or physiological differences. The purpose of this study was to examine direct and indirect effects of perceived social support, positive psychological (PP) characteristics, and patient activation on self-care behaviors in a diverse sample of older adults with HF. A nationwide survey was conducted in cooperation with the recruitment and sampling company Qualtrics. Stratified random sampling was used where 49% of the 174 respondents were persons of color (POC). The mean age was 60. Logistic regression statistical models were used with a lasso procedure. In this study, PP characteristics and activation level were most predictive of HF self-care adherence, particularly medication adherence. Respondents who were resilient, hopeful, and activated also reported higher medication and self-care adherence. Perceived social support and health literacy levels were not associated with self-care adherence. There were no differences in predictive variables by race/ethnicity, gender, or age. Interventions aimed at increasing resilience, hope, and engagement in care or activation may improve HF self-care adherence among persons with HF. Further research is needed to understand the impact of PP characteristics and patient activation level on HF self-care adherence in POC.

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Medication Adherence, Perceived Social Support, and Event-Free Survival in Patients With Heart Failure

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2010.06.293 ◽

2010 ◽

Vol 16 (8) ◽

pp. S84

Author(s):

Jia-Rong Wu ◽

Debra K. Moser ◽

Misook Chung ◽

Terry A. Lennie

Keyword(s):

Heart Failure ◽

Social Support ◽

Medication Adherence ◽

Perceived Social Support ◽

Event Free Survival ◽

Free Survival ◽

Patients With Heart Failure

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Lonely Hearts: The Relationship Between Perceived Social Support and Depression in African American and Caucasian Patients with Heart Failure

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2017.07.242 ◽

2017 ◽

Vol 23 (8) ◽

pp. S84

Author(s):

Melanie P. Schrader ◽

Misook L. Chung ◽

Jenna Hatcher ◽

Graham Rowles ◽

Debra K. Moser

Keyword(s):

Heart Failure ◽

Social Support ◽

African American ◽

Perceived Social Support ◽

Patients With Heart Failure ◽

Caucasian Patients ◽

The Relationship

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Psychometric Properties of the Multidimensional Scale of Perceived Social Support in Patients With Heart Failure

Journal of Nursing Measurement ◽

10.1891/1061-3749.25.1.90 ◽

2017 ◽

Vol 25 (1) ◽

pp. 90-102 ◽

Cited By ~ 12

Author(s):

Shannon C. Shumaker ◽

Susan K. Frazier ◽

Debra K. Moser ◽

Misook L. Chung

Keyword(s):

Heart Failure ◽

Social Support ◽

Depressive Symptoms ◽

Perceived Social Support ◽

Secondary Analysis ◽

Reliability And Validity ◽

Internal Consistency Reliability ◽

Reliability Factor ◽

Patients With Heart Failure ◽

Valid Instrument

Background and Purpose: Low social support is associated with worse outcomes in patients with heart failure. Thus, the purpose of this study was to examine the reliability and validity of the Multidimensional Scale of Perceived Social Support (MSPSS). Methods: We performed a secondary analysis of registry data from patients (n = 475) with confirmed heart failure. Results: The MSPSS demonstrated excellent internal consistency reliability. Factor analysis yielded 3 factors that explained 83% of the variance in perceived social support. More than half of the sample had depressive symptoms (56%). Hypothesis testing demonstrated that worse perceived social support was a predictor of depressive symptoms. Conclusion: The MSPSS is a reliable and valid instrument to measure perceived social support in patients with heart failure.

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