Exploring the Relationships between Socioecological Determinants of Health and Heart Failure Self-Care
Exploring the Relationships between Socioecological Determinants of Health and Heart Failure Self-Care
Michelle Whyte, MSN, RN, doctoral candidate
Background:
There is limited research regarding the combined influence of several socioecological determinants of health on heart failure self-care. Objectives: This study analyzes the influence of food insecurity, health literacy, emotional and instrumental support on heart failure self-care. Methods: A cross-sectional, descriptive, correlational survey of 88 participants with heart failure was conducted. Multiple correlation and standard multiple regression were used to answer research questions. Results: Instrumental support significantly correlated with self-care maintenance and symptom perception, while emotional support had significant correlations with all three measures of self-care in heart failure. The combined impact of emotional support, food security, and health literacy significantly contributed 39.3% of the total variance in self-care maintenance (p=.003), 47.1% of the total variance in self-care perception (p<.001), and 33.1% of the total variance in self-care management (p=.02). When combined, the impact of food security, instrumental support, and health literacy significantly contributed 34.8% of the total variance in self-care maintenance (p=.013), 43.4% of the total variance in self-care perception (p<.001), 31% of the total variance in self-care management (p=.04).
Conclusion: This study contributes to the limited knowledge of the impact of food insecurity and types of social support in self-care practices. Food insecurity and health literacy, though they did not independently correlate to self-care, significantly influenced self-care when combined with emotional or instrumental support. Emotional support may influence a wider range of self-care behaviors than other types of social support.
Committee:
- Kristen A. Sethares, PhD, RN, CNE, FAHA, FHFSA, Professor of Nursing, UMass Dartmouth, chair
- Jennifer Dunbar Viveiros, PhD, RN, CNE, CHSE, Associate Professor of Nursing, UMass Dartmouth, Committee member
- Nancy Morris, PhD, RN, ANP-BC, Professor of Nursing, Tan Chingfen Graduate School of Nursing, UMass Chan Medical School, committee member
- Mary Beth Vieira, PhD, RN, CNE Assistant Professor of Nursing, College of Health and Wellness, Johnson & Wales University, committee member
Please email Deanna Hoffman for Zoom credentials.
Library 314
: ZOOM
Deanna Hoffman
5089106487
dhoffman@umassd.edu