Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals.

Van Do,Sue Barnason,Hoang Tran,Lufei Young

doi:10.12688/f1000research.6557.1

Van Do, Sue Barnason + Show 2 more

Open Access

https://doi.org/10.12688/f1000research.6557.1

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Journal: F1000Research	Publication Date: Jun 11, 2015
Citations: 36	License type: CC BY 4.0

Affiliation: University of Nebraska Medical Center

Abstract

Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. Evidence showed that patient activation affects self-management behaviors in populations living with chronic conditions. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failure patients discharged from rural hospitals. Our study populations were recruited from two hospitals in rural areas of Nebraska. We found that two-thirds of the participants reported low activation levels (e.g., taking no action to manage their heart failure condition). In addition, low patient activation levels were associated with inadequate heart failure knowledge (p=.005), low self-efficacy (p<.001) and low engagement in heart failure self-management behaviors (p<.001) after discharge from hospital.

Highlights

Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients
Few studies have reported the relationship between disease specific knowledge, self-efficacy, patient activation and self-management behaviors in rural heart failure patients
Research design We conducted a secondary analysis to evaluate the relationships between levels of patient activation and heart failure selfmanagement knowledge, self-efficacy, and self-management behaviors in heart failure patients discharged from rural critical access hospitals to home

Summary

Introduction

Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failure patients discharged from rural hospitals. Low patient activation levels were associated with inadequate heart failure knowledge (p=.005), low self-efficacy (p

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