Journal article
A Structural Equation Model of Gratitude, Self-efficacy, and Medication Adherence in Patients With Stage B Heart Failure
The Journal of cardiovascular nursing, Vol.35(6), pp.E18-E24
11/01/2020
DOI: 10.1097/JCN.0000000000000721
PMID: 32649372
Abstract
Background
Consistent self-care slows the progression of heart failure (HF). Gratitude, the practice of appreciating the positive aspects of life, may influence self-efficacy, which in turn is known to improve self-care. However, little is known about the relationships among gratitude, self-efficacy, and medication adherence in HF. Objective
The aim of this study was to test a model to determine if self-efficacy mediates the relationship between gratitude and medication adherence in asymptomatic patients with HF. Method
This is a secondary analysis of data from a prospective observational study. Data were analyzed using a structural equation model to examine associations between gratitude, cardiac-specific self-efficacy, and medication adherence in 153 patients with HF. Gratitude, self-efficacy, and medication adherence were assessed using the Gratitude Questionnaire-6, Cardiac Self-efficacy Scale-Maintain Function Subscale, and the Morisky Medication Adherence Scale, respectively. Results
Patient mean (SD) age was 66 (11) years, and 95% of the participants were men. Patients were primarily white (79%), black (12%), or Asian (6%). Gratitude exerted an indirect effect on medication adherence through self-efficacy (b = 0.16; P < .05). Gratitude was positively related to self-efficacy (b = 0.50; P < .05), and self-efficacy was positively related to medication adherence (b = 0.31; P < .05). The model fit was acceptable (comparative fit index = 0.92, Tucker-Lewis index = 0.90, root-mean-square error of approximation = 0.08). Conclusion
In this study, we found evidence that self-efficacy was a mechanism through which gratitude was associated with medication adherence in asymptomatic patients with HF, suggesting a way to improve self-care nonpharmacologically. Future work will examine whether gratitude intervention results in improved self-care.
Details
- Title: Subtitle
- A Structural Equation Model of Gratitude, Self-efficacy, and Medication Adherence in Patients With Stage B Heart Failure
- Creators
- Lakeshia Cousin - University of South FloridaHarleah Buck - Univ S Florida, Coll Nursing, Tampa, FL 33620 USABryan Benitez - Univ S Florida, Dept Psychol, Tampa, FL 33620 USAPaul Mills - University of California, San DiegoLaura Redwine - Univ S Florida, Coll Nursing, Tampa, FL 33620 USA
- Resource Type
- Journal article
- Publication Details
- The Journal of cardiovascular nursing, Vol.35(6), pp.E18-E24
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/JCN.0000000000000721
- PMID
- 32649372
- ISSN
- 0889-4655
- eISSN
- 1550-5049
- Number of pages
- 7
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Nursing
- Record Identifier
- 9984370654902771
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