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

Research output: Contribution to journalArticlepeer-review

20 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 languageEnglish
Pages (from-to)2673-2683
Number of pages11
JournalJournal of Health Psychology
Volume21
Issue number11
DOIs
StatePublished - 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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