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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 1/2013

01-03-2013

Self-Efficacy Mediates the Associations of Social Support and Depression with Treatment Adherence in Heart Failure Patients

Authors: Uta Maeda, Biing-Jiun Shen, Ernst R. Schwarz, Kristen A. Farrell, Stephen Mallon

Published in: International Journal of Behavioral Medicine | Issue 1/2013

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Abstract

Background

Nonadherence to treatment recommendations is a leading preventable cause of rehospitalization and premature mortality in chronic heart failure (HF) patients.

Purpose

This study examined whether self-efficacy mediates the contributions of social support and depression to treatment adherence.

Methods

A sample of 252 HF outpatients with a mean age of 54 years completed self-report questionnaires assessing depression, perceived social support, self-efficacy, and treatment adherence.

Results

Self-efficacy mediated the associations of social support and depression with treatment adherence after adjusting for demographic (age, gender, marital status, education, and ethnicity) and medical (New York Heart Association Classification and comorbidity) covariates.

Conclusion

Self-efficacy explains the influence of social support and depression on treatment adherence and may be a key target for interventions to improve disease management and self-care behaviors in HF patients.
Appendix
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Metadata
Title
Self-Efficacy Mediates the Associations of Social Support and Depression with Treatment Adherence in Heart Failure Patients
Authors
Uta Maeda
Biing-Jiun Shen
Ernst R. Schwarz
Kristen A. Farrell
Stephen Mallon
Publication date
01-03-2013
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 1/2013
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-011-9215-0

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