Family partnership and education interventions to reduce dietary sodium by patients with heart failure differ by family functioning

• Type of Material: Article
• Authors: Sandra B Dunbar, Emory University; Patricia Clark, Emory University; Kelly D. Stamp, Boston College; Carolyn Miller Reilly, Emory University; Rebecca A Gary, Emory University; Melinda K Higgins, Emory University; Nadine Kaslow, Emory University
• Language: English
• Date: 2016-07-01
• Publisher: Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2016 Elsevier Inc. All rights reserved.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.hrtlng.2016.04.001
• Title of Journal or Parent Work: Heart and Lung
• ISSN: 0147-9563
• Volume: 45
• Issue: 4
• Start Page: 311
• End Page: 318
• Grant/Funding Information: This study was supported by (1) A Family Partnership Intervention for Heart Failure”, (RO1 R08800) National Institute of Nursing Research, NIH 07/01/04-11/30/09, PI: S. Dunbar and in part by PHS Grant M01 RR0039 from the General Clinical Research Center program, National Institutes of Health, National Center for Research Resources and PHS Grant UL1 RR025008 from the Clinical and Translational Science Award program, National Institutes of Health, National Center for Research Resources, and the Atlanta Veterans Administration Medical Center.
• Keywords: HEALTH; Heart failure; Nursing; SYMPTOMS; QUALITY-OF-LIFE; ISSUES; DEPRESSION; Science & Technology; Cardiac & Cardiovascular Systems; OUTCOMES; SELF-DETERMINATION THEORY; MORTALITY; Life Sciences & Biomedicine; Self-care; Dietary sodium; Cardiovascular System & Cardiology; ADHERENCE; Adherence; Respiratory System; ANXIETY; Family functioning
• Research Categories: Health Sciences, Nutrition; Health Sciences, Health Care Management

Abstract

Objectives Determine if family functioning influences response to family-focused interventions aimed at reducing dietary sodium by heart failure (HF) patients. Background Lowering dietary sodium by HF patients often occurs within the home and family context. Methods Secondary analysis of 117 dyads randomized to patient and family education (PFE), family partnership intervention (FPI) or usual care (UC). Dietary sodium measures were obtained from 3-day food record and 24-hour urine samples. Results In the poor family functioning groups, FPI and PFE had lower mean urine sodium than UC (p<.05) at 4 months, and FPI remained lower than UC at 8 months (p<.05). For good family functioning groups, FPI and PFE had lower mean sodium levels by 3-day food record at 4 and 8 months. Conclusion Optimizing family-focused interventions into HF clinical care maybe indicated.