1. Dyad Gender and Relationship Quality Influence Heart Failure Self-Care.
- Author
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Stawnychy, Michael A., Vellone, Ercole, Zeffiro, Valentina, Teitelman, Anne M., Maria, Maddalena De, and Riegel, Barbara
- Subjects
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GENDER role , *STATISTICS , *MATHEMATICAL statistics , *KRUSKAL-Wallis Test , *CAREGIVERS , *PARAMETERS (Statistics) , *ANALYSIS of variance , *CONFIDENCE intervals , *MOTIVATIONAL interviewing , *PAIRED comparisons (Mathematics) , *REGRESSION analysis , *SEX distribution , *SELF-efficacy , *INTERPERSONAL relations , *SCALE analysis (Psychology) , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *RESEARCH funding , *SOCIODEMOGRAPHIC factors , *DATA analysis , *DATA analysis software , *HEART failure , *HEALTH self-care , *SECONDARY analysis - Abstract
Caregivers promote heart failure self-care, yet little is known about how relationship quality and dyad gender influences self-care. The purpose of this study was to evauluate the contribution of dyad gender and relationship quality on heart failure self-care. The study was a secondary analysis from a heart failure self-care intervention. Dyad gender was categorized by patient-caregiver gender as Male-Male (M + M), Female-Female (F + F), Female-Male (Fp + Mc), and Male-Female (Mp + Fc). The Self-Care of Heart Failure Index v.6.2 measured self-care. The Mutuality Scale assessed relationship quality. Univariate linear regression identified determinants of patient self-care maintenance and self-efficacy. The sample (n = 503) was 48% Mp + Fc, 27% F + F, 15% Fp + Mc, and 10% M + M. Better caregiver mutuality in M + M dyads was associated with lower self-care maintenance (b = −7.45, 95% CI [−13.80, −1.11]) and self-efficacy (b = −18.07, 95% CI [−29.11, −7.04]). Better patient mutuality was associated with higher self-efficacy for M + M dyads (b = 12.63, 95% CI [2.18, 23.09]). Mutuality and dyad gender appear important for self-care. Consider the role of gender in the dyad in behavioral interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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