Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

2021 ◽  
pp. 019394592199742
Author(s):  
Svetlana Zaharova ◽  
Kim Litwack ◽  
Sandeep Gopalakrishnan ◽  
Julie Ellis ◽  
Mitchell Todd Saltzberg
Keyword(s):  
Heart Failure ◽  
Self Efficacy ◽  
Self Regulation ◽  
Public Health Problem ◽  
Self Management ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Change Health Behavior ◽  
Cross Sectional Design ◽  
The Individual

Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment.

scholarly journals Cognitive and self-care changes in patients with heart failure in the Amazon Region

2020 ◽  
Vol 9 (6) ◽  
pp. e98963321
Author(s):  
Adriana de Oliveira Lameira Veríssimo ◽  
Juniel Pereira Honorato ◽  
Silvio Douglas Medeiros Costa ◽  
João Victor Moura Garcia ◽  
Isis Jaspe Reis da Silva ◽  
...  
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Public Health Problem ◽  
Clinical Aspects ◽  
Digit Symbol Substitution Test ◽  
Cognitive Changes ◽  
Cross Sectional ◽  
Significance Level ◽  
Symbol Substitution ◽  
The Individual

Heart failure is characterized as the lack of blood pumping capacity performed by the heart, which is considered a public health problem worldwide. Due to HF, the individual can develop clinical aspects that impact cognitive function and, consequently, self-care. Therefore, this study aimed to investigate cognitive changes and self-care in patients affected by HF and compare it with the cognitive and self-care changes of healthy participants. This is a quantitative, epidemiological, cross-sectional case-control study carried out at an institution in the city of Belém, Pará, Brazil. The following tests were used for data collection: Montreal Cognitive Assessment, Digit Symbol Substitution Test, European Heart Failure Self-care Behavior Scale (EHFScBS). Data were tabulated in Microsoft Excel 2010 and statistically treated by Epi Info version 3.5.2 with a 5% significance level and considering a 95% confidence interval in all analyzes. It was observed that patients with HF have slightly better self-care compared to patients without HF with scores obtained by EHFScBS equal to 29.7 ± 6.9 and 31.8 ± 8.2, respectively. Additionally, patients with HF showed impairments in the three cognitive domains, and women with HF demonstrated greater cognitive impairment compared to the other participants. The present study provides data to help build new approaches to interventions by the multidisciplinary team to promote better self-care and avoid cognitive impairments in patients with HF.

GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK)

2017 ◽  
Vol 6 (1) ◽  
pp. 38-45
Author(s):  
Emdat Suprayitno ◽  
Azizah Khoiriyati ◽  
Titiek Hidayati
Keyword(s):  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Self Efficacy ◽  
Peak Expiratory Flow Rate ◽  
Public Health Problem ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Expiratory Flow ◽  
Cross Sectional Design

ABSTRACT   Background: Chronic Obstructive Pulmonary Disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed the condition and problems of lung function and the narrowing or blockage of the airway. Objective: To identify the conditions and problems of self efficacy and Peak expiratory flow rate in COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Results: Self  efficacy was in low category with score less than 99 (86.7%) and Peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of  COPD Self efficacy in Asy-Syaafi Hospital Pamekasan were not good category and Peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways.   Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate

Social Support, Self-Efficacy, and Psychological Wellbeing of Adults with Type 2 Diabetes

2020 ◽  
pp. 019394592092110
Author(s):  
Tariq N. Al-Dwaikat ◽  
Jehad A. Rababah ◽  
Mohammed Munther Al-Hammouri ◽  
Diane Orr Chlebowy
Keyword(s):  
Social Support ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Psychological Outcomes ◽  
Self Management ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship

Social support improves self-efficacy, which in turns enhances self-management that lead to better psychological outcomes of persons with type 2 diabetes (T2D). The purpose of this study was to examine the relationship between social support and psychological outcomes of adults with T2D. A cross-sectional design was used to recruit a sample of 339 participants from a diabetes clinic. The participants responded to a series of questionnaires on demographics, social support dimensions, and self-management; self-efficacy; and psychological outcomes. The function and quality of social support were positively associated with self-efficacy. Self-efficacy was significantly associated with both self-management and psychological outcomes. In addition, self-efficacy demonstrated successful mediation role in the relationship between social support and psychological outcomes of T2D, however, self-management failed to mediate this relationship. The quality and functionality of social support are distinctive variables that should be recognized to promote social support interventions to reduce or prevent T2D-related psychological outcomes.

scholarly journals From Thoughts to Actions: The Importance of Climate Change Education in Enhancing Students’ Self-Efficacy

2019 ◽  
Vol 35 (2) ◽  
pp. 123-144 ◽  
Author(s):  
Subaru Ken Muroi ◽  
Edoardo Bertone
Keyword(s):  
Climate Change ◽  
Self Efficacy ◽  
Cross Sectional ◽  
Climate Change Education ◽  
Environmental Behaviour ◽  
Individual Level ◽  
Cross Sectional Design ◽  
Self Organising Map ◽  
The Individual ◽  
Individual Commitment

AbstractThe relation between the understanding and belief of the site-specific dangers of climate change and the behaviour that individuals take to mitigate their impacts was assessed to investigate the psychological antecedent to pro-environmental behaviour; a necessity to mitigate anthropogenic climate change at the individual level. A quantitative cross-sectional design was employed to measure beliefs and behaviour of university students. Correlation was measured between the belief in one’s ability to affect change and pro-environmental behaviour. The hypothesis that nations facing greater climate threat would behave accordingly was tested on the two largest national representatives of the sample, China and Australia. In addition, a naïve Bayesian network, coupled with a self-organising map, was developed to explore correlations between self-efficacy and participants’ socio-demographic features. Results showed that Chinese students are more likely to have higher self-efficacy, while such trend was not noticed for Australians. Similarly, participants with higher educational qualifications, older, and with higher paid jobs also have a higher chance of presenting pro-environmental behaviour. Despite the study limitations, there seems to be evidence suggesting that educational and climate change policies have affected students’ self-efficacy and individual commitment to mitigation.

scholarly journals Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025819 ◽  
Author(s):  
Zhan Qu ◽  
Monica Parry ◽  
Fang Liu ◽  
Xiulin Wen ◽  
Jieqiong Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Management Practices ◽  
Self Regulation ◽  
Cross Sectional Study ◽  
Effective Theory ◽  
Self Management ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Reported

ObjectivesThis study explored the relationship between self-management and blood pressure (BP) control in China.DesignA cross-sectional study.SettingEight community health centres from four cities in the Northeast (Shenyang), Northwest (Xi’an), Southwest (Chengdu) and South (Changsha) of China.ParticipantsA total of 873 adults with hypertension, including 360 men and 513 women. Hypertension was defined as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg.Outcome measurementsBP control was the primary outcome variable. This was categorised as good control if individuals with hypertension reduced their BP to <140/90 mm Hg, otherwise, it was categorised as poor control. Secondary outcomes included self-management, defined as: (1) context or condition-specific factors or physical/social environments (eg, age, sex, marital status, education, personal income and health insurance) and (2) process or knowledge/beliefs, self-regulation skills/abilities and social facilitation (eg, treatment, diet, exercise and risk factor management). Data were analysed using logistic regression models using SPSS V.20.ResultsA total of 67.1% (n=586) participants had poor BP control. Limited outpatient care benefits in mainly rural residents (OR 2.26, 95% CI 1.06 to 4.81) and longer disease duration (OR 1.03, 95% CI 1.01 to 1.04) were associated with poor BP control. Self-management practices reduced the odds of having poor BP control (OR 0.98, 95% CI 0.97 to 0.99).ConclusionsThe individual and family self-management theory can serve as an effective theory for understanding the key contexts, processes and outcomes essential for BP control in China. Future research should evaluate the effect of a self-management intervention (eg, self-monitoring, medication adherence, regular and routine doctor visits, and social supports) for BP control in China using a multisite cluster randomised controlled trial. Sex and gender difference, cost and patient-reported outcomes should also be examined.

scholarly journals From Believing to Doing: The Association Between Leadership Self-Efficacy and the Developmental Leadership Model

2021 ◽  
Vol 12 ◽  
Author(s):  
David Bergman ◽  
Marie Gustafsson-Sendén ◽  
Erik Berntson
Keyword(s):  
Self Efficacy ◽  
Armed Forces ◽  
Two Dimensions ◽  
Self Control ◽  
Control Efficacy ◽  
Cross Sectional ◽  
Leadership Model ◽  
Emotional Ability ◽  
Cross Sectional Design ◽  
The Individual

The current study examined the association between leadership self-efficacy and the developmental leadership model. The purpose was to better understand how leadership training transfers to facets of developmental leadership. This was tested in a cross-sectional design with military commanders in the Swedish Armed Forces. The results show that the sub-domain of leader self-control efficacy (the cognitive and emotional ability to remain composure) did not predict developmental leadership, but that leader assertiveness efficacy (the ability to make rational decisions) predicted the two dimensions of the exemplary model, and inspiration and motivation in the developmental leadership model. One possibility is that leader self-control efficacy can be what enables the individual to function within an extreme context, but leader assertiveness efficacy can be what most determines the leadership performance within that context. The possibility for mediatory analyses in further research is discussed.

Self-management factors associated with quality of life among women with endometriosis: a cross-sectional Australian survey

2020 ◽  
Author(s):  
Rebecca O’Hara ◽  
Heather Rowe ◽  
Jane Fisher
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Disease Management ◽  
Self Efficacy ◽  
Chronic Disease Management ◽  
Self Management ◽  
Cross Sectional ◽  
Female Population ◽  
Management Factors

Abstract STUDY QUESTION What self-management factors are associated with quality of life among women with endometriosis? SUMMARY ANSWER Greater self-efficacy was associated with improved physical and mental quality of life. WHAT IS KNOWN ALREADY Women with endometriosis have an impaired quality of life compared to the general female population. However, most studies have investigated quality of life in a hospital or clinic setting rather than a community setting and the association between self-management factors and quality of life have not, to date, been investigated. STUDY DESIGN, SIZE, DURATION A cross-sectional, population-based online survey was performed, which was advertised through women’s, community and endometriosis-specific groups. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 620 women completed the survey for this study. Mental and physical quality of life was assessed using the standardized SF36v2 questionnaire. Self-management factors included self-efficacy, partners in health (active involvement in managing the condition) and performance of self-care activities. Treatment approaches included the use of hormonal treatment, pain medications and complementary therapies and whether the participant had a chronic disease management plan. Hierarchical regression analyses were used to examine whether self-management and treatment factors were associated with quality of life. MAIN RESULTS AND THE ROLE OF CHANCE Both physical and mental quality of life were significantly lower among women with endometriosis compared to the mean scores of the general Australian female population (P &lt; 0.001). Physical quality of life was positively associated with income sufficiency (P &lt; 0.001) and greater self-efficacy (P &lt; 0.001), but negatively associated with age (P &lt; 0.001), pain severity (P &lt; 0.001), use of prescription medications (P &lt; 0.001), having a chronic disease management plan (P &lt; 0.05) and number of self-care activities (P &lt; 0.05). Mental quality of life was positively associated with being older (P &lt; 0.001), partnered (P &lt; 0.001), having a university education (P &lt; 0.05), increasing self-efficacy (P &lt; 0.001) and higher partners in health scores (P &lt; 0.001). LIMITATIONS, REASONS FOR CAUTION Results are derived from a cross-sectional study and can only be interpreted as associations not as causal relationships. The sample was more educated, more likely to speak English and be born in Australia than the general Australian female population of the same age, which may influence the generalizability of these results. WIDER IMPLICATIONS OF THE FINDINGS This study investigated a knowledge gap by investigating quality of life of women with endometriosis in a large community sample. Self-efficacy was significantly associated with both physical and mental quality of life. Supporting women with endometriosis to improve self-efficacy through a structured chronic disease management programme may lead to improvements in this aspect of wellbeing. STUDY FUNDING/COMPETING INTEREST(S) R.O. undertook this research as part of her PhD at Monash University, which was supported by an Australian Government Research Training Program Stipend. J.F. is the Finkel Professor of Global Public Health, which was supported by the Finkel Family Foundation. There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER NA.

scholarly journals The mediating role of narcissism in the effects of regulatory mode on positivity

2021 ◽  
Author(s):  
Daniela Di Santo ◽  
Calogero Lo Destro ◽  
Conrad Baldner ◽  
Alessandra Talamo ◽  
Cristina Cabras ◽  
...  
Keyword(s):  
Self Regulation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Motivational Orientation ◽  
Cross Sectional ◽  
Mediating Role ◽  
Regulatory Mode ◽  
The Individual ◽  
Reported Data

AbstractPositivity (i.e., the individual tendency to positively approach life experiences) has proven to be an effective construct applied in positive psychology. However, individuals’ self-regulation may have contrasting effects on positivity. We specifically examined whether positivity could be partially explained through two aspects of motivation concerned with self-regulation: locomotion (i.e., a motivational orientation concerned with movement) and assessment (i.e., a motivational orientation concerned with comparison and evaluation). Furthermore, based on previous literature that found a link between these aspects and narcissism, we examined whether “adaptive” and “maladaptive” dimensions of narcissism could mediate the effects of locomotion and assessment on increased or decreased positivity. Narcissism was defined by previous research as adaptive or maladaptive insofar as it leads or does not lead to increased psychological well-being. We estimated a mediation model with multiple independent variables and multiple mediators in a cross-sectional study with self-reported data from 190 university students. We found that both locomotion and assessment were associated with adaptive narcissism, which in turn was positively associated with positivity. However, assessment was also associated with maladaptive narcissism, which in turn was negatively associated with positivity. Relationships between aspects of self-regulation, narcissism, and positivity can have significant implications which will be discussed.

Relationship between Paternal Involvement and Child Malnutrition in a Rural Area of Vietnam

2008 ◽  
Vol 29 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Bich Huu Tran
Keyword(s):  
Nutritional Status ◽  
Health Care Providers ◽  
Paternal Care ◽  
Public Health Problem ◽  
Paternal Involvement ◽  
Health Programs ◽  
Outcome Variable ◽  
Care Providers ◽  
Cross Sectional ◽  
Nutritional Status Of Children

Background Malnutrition is a public health problem in Vietnam. Child health and the status of women have been targets for various health programs in the country. In general, reports in the literature suggest that care is positively correlated with positive nutritional status of children. In the household, the father is considered a resource for care. However, the role of paternal care in health programs has not received the attention it deserves. Objective To identify associations between the involvement of fathers in child care and housework and the nutritional status of children under 3 years of age. Methods This cross-sectional study was based on a random sample of 547 children under 3 years of age from intact families and their biological parents. The main outcome variable was child nutrition. Predictor variables represented two domains of father's involvement. Multivariable general linear modeling and multivariable logistic regression modeling were performed with the use of a combination of stepwise and hierarchical approaches in data analysis. Results The overall prevalence of underweight among children was 19.1%, and the prevalence of stunting was 14.4%. Children whose fathers did not bring them to a medical facility for immunization were about 1.7 times more likely to be underweight and stunted than those whose fathers did bring them for immunization after child's age, household economic status, and mother's education were controlled for. Father's involvement in housework was not found to be related to the prevalence of malnutrition. Conclusions Paternal involvement in child immunization should be encouraged by health-care providers who manage immunization programs.

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