Heart Failure Self-care in Developed and Developing Countries

Barbara Riegel, Andrea Driscoll, Jom Suwanno, Debra K. Moser, Terry A. Lennie, Misook L. Chung, Jia Rong Wu, Victoria Vaughan Dickson, Beverly Carlson, Jan Cameron

Research output: Contribution to journalArticle

Abstract

Background: Heart failure (HF) self-care is poor in developed countries like the United States, but little is known about self-care in developing countries. Methods and Results: A total of 2082 adults from 2 developed (United States and Australia) and 2 developing countries (Thailand and Mexico) were studied in a descriptive, comparative study. Self-care was measured using the Self-Care of HF Index, which provided scores on self-care maintenance, management, and confidence. Data were analyzed using regression analysis after demographic (age, gender, education), clinical (functional status, experience with the diagnosis, comorbid conditions), and setting of enrollment (hospital or clinic) differences were controlled. When adequate self-care was defined as a standardized score ≥70%, self-care was inadequate in most scales in most groups. Self-care maintenance was highest in the Australian sample and lowest in the Thai sample (P < .001). Self-care management was highest in the US sample and lowest in the Thai sample (P < .001). Self-care confidence was highest in the Mexican sample and lowest in the Thai sample (P < .001). Determinants differed for the three types of self-care (eg, experience with HF was associated only with self-care maintenance). Conclusion: Interventions aimed at improving self-care are greatly needed in both the developed and the developing countries studied.

Original languageEnglish (US)
Pages (from-to)508-516
Number of pages9
JournalJournal of Cardiac Failure
Volume15
Issue number6
DOIs
StatePublished - Aug 2009

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Self Care
Developed Countries
Developing Countries
Heart Failure
Thailand
Mexico
Regression Analysis
Demography

Keywords

  • hispanic
  • minority groups
  • Self-management
  • treatment adherence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Riegel, B., Driscoll, A., Suwanno, J., Moser, D. K., Lennie, T. A., Chung, M. L., ... Cameron, J. (2009). Heart Failure Self-care in Developed and Developing Countries. Journal of Cardiac Failure, 15(6), 508-516. https://doi.org/10.1016/j.cardfail.2009.01.009

Heart Failure Self-care in Developed and Developing Countries. / Riegel, Barbara; Driscoll, Andrea; Suwanno, Jom; Moser, Debra K.; Lennie, Terry A.; Chung, Misook L.; Wu, Jia Rong; Dickson, Victoria Vaughan; Carlson, Beverly; Cameron, Jan.

In: Journal of Cardiac Failure, Vol. 15, No. 6, 08.2009, p. 508-516.

Research output: Contribution to journalArticle

Riegel, B, Driscoll, A, Suwanno, J, Moser, DK, Lennie, TA, Chung, ML, Wu, JR, Dickson, VV, Carlson, B & Cameron, J 2009, 'Heart Failure Self-care in Developed and Developing Countries', Journal of Cardiac Failure, vol. 15, no. 6, pp. 508-516. https://doi.org/10.1016/j.cardfail.2009.01.009
Riegel B, Driscoll A, Suwanno J, Moser DK, Lennie TA, Chung ML et al. Heart Failure Self-care in Developed and Developing Countries. Journal of Cardiac Failure. 2009 Aug;15(6):508-516. https://doi.org/10.1016/j.cardfail.2009.01.009
Riegel, Barbara ; Driscoll, Andrea ; Suwanno, Jom ; Moser, Debra K. ; Lennie, Terry A. ; Chung, Misook L. ; Wu, Jia Rong ; Dickson, Victoria Vaughan ; Carlson, Beverly ; Cameron, Jan. / Heart Failure Self-care in Developed and Developing Countries. In: Journal of Cardiac Failure. 2009 ; Vol. 15, No. 6. pp. 508-516.
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