Relationship between self-care adherence, time perspective, readiness to change and executive function in patients with heart failure.
Jocelyn Han Shi ChewKheng Leng David SimKai Chow ChoiSek Ying ChairPublished in: Journal of behavioral medicine (2020)
This study examined the relationship between self-care adherence, time perspective (TP), readiness to change (RTC) and executive function in heart failure (HF) self-care. 147 heart failure patients completed questionnaires on self-care, TP, RTC; and cognitive tasks that reflect working memory and inhibition. Positive correlation was found between self-care, future-oriented TP (r = 0.362, P = 0.01), RTC (r = 0.184, P = 0.05) and working memory (r = 0.174, P = 0.01). Mediation analysis elucidated the indirect effect of RTC on self-care through TP (B = 1.205, bias-corrected bootstrapped at 95% confidence interval 0.532, 2.145) explaining 62.0% of the total effect. Working memory did not moderate this relationship and inhibition did not predict self-care. Self-care scores were lower than cut-off of 70 (mean = 51.2, standard deviation = 17.2). Age (r = - 0.220), staying alone (r = - 0.270) income < 1000 (r = - 0.270) and not having formal education (r = - 0.165) were correlated with TP. Healthcare professionals could motivate HF patients to perform regular self-care behaviours by tailoring interventions according to their TP and RTC.
Keyphrases
- working memory
- transcranial direct current stimulation
- heart failure
- attention deficit hyperactivity disorder
- ejection fraction
- end stage renal disease
- healthcare
- physical activity
- chronic kidney disease
- newly diagnosed
- acute heart failure
- adipose tissue
- mental health
- skeletal muscle
- high intensity
- weight loss
- atrial fibrillation