Open AccessImpact of Provider Self‐Management Education, Patient Self‐Efficacy, and Health Status on Patient Adherence in Heart Failure in a Veterans Administration Population
Author(s) -
Subramanian Usha,
Hopp Faith,
Mitchinson Allison,
Lowery Julie
Publication year - 2008
Publication title -
congestive heart failure
Language(s) - English
Resource type - Journals
eISSN - 1751-7133
pISSN - 1527-5299
DOI - 10.1111/j.1751-7133.2008.07174.x
Subject(s) - medicine , heart failure , self efficacy , veterans affairs , patient education , population , self management , health care , psychological intervention , physical therapy , family medicine , intensive care medicine , psychiatry , environmental health , psychology , machine learning , computer science , economics , psychotherapist , economic growth
To address the need for more information on predictors of adherence to heart failure (HF) self‐management regimens, this study analyzed surveys completed by 259 HF patients receiving care at 2 Veterans Affairs hospitals in 2003. Linear multivariable regression models were used to examine general health status, HF‐specific health status (Kansas City Cardiomyopathy Questionnaire) self‐management education, and self‐efficacy as predictors of self‐reported adherence to salt intake and exercise regimens. Self‐management education was provided most often for salt restriction (87%) followed by exercise (78%). In multivariable regression analyses, education about salt restriction ( P =.01), weight reduction ( P =.0004), self‐efficacy ( P =.03), and health status ( P =.003) were significantly associated with patient‐reported adherence to salt restriction. In a similar model, self‐efficacy ( P =.006) and health status ( P ≤.0001), but not exercise education, were significantly associated with patient‐reported exercise adherence. Findings suggest that provider interventions may lead to improved adherence with HF self‐management and thus improvements in patients' health .