Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure

Elizabeth G. Tovar; Rebecca L. Dekker; Misook L. Chung; Yevgeniya Gokun; Debra K. Moser; Terry A. Lennie; Mary Kay Rayens

doi:10.1177/1359105315583369

Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure

Elizabeth G. Tovar, Rebecca L. Dekker, Misook L. Chung, Yevgeniya Gokun, Debra K. Moser, Terry A. Lennie, Mary Kay Rayens

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.

Original language	English
Pages (from-to)	2673-2683
Number of pages	11
Journal	Journal of Health Psychology
Volume	21
Issue number	11
DOIs	https://doi.org/10.1177/1359105315583369
State	Published - Nov 1 2016

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded in part by a Center grant to the University of Kentucky, College of Nursing from National Institutes of Health (NIH), National Institute of Nursing Research (NINR): 1P20NR010679 (Debra Moser, principal investigator); NIH, NINR, R01NR009280 (Terry Lennie, principal investigator); and NIH, NINR, R01 NR008567 (Debra Moser, principal investigator).

Publisher Copyright:
© SAGE Publications.

Keywords

adherence
depression
heart
self-efficacy
social support

ASJC Scopus subject areas

Applied Psychology

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10.1177/1359105315583369

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abstract = "Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.",

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AU - Rayens, Mary Kay

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AB - Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.

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Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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