title: Factors influencing self-care behaviors of African Americans with heart failure: a photovoice project.
abstract: OBJECTIVE
  The purpose of this study was to understand the influences of heart failure (HF) self-care among low income, African Americans.
  
  
  BACKGROUND
  Compared to all other racial groups, African Americans have the highest risk of developing HF, coupled with high mortality and morbidity rates.
  
  
  METHODS
  Using the photovoice method, participants related important lifestyle factors through photography. The participants and researcher met for reflection and discussion 2 h per week for six weeks.
  
  
  RESULTS
  Four themes emerged: family support gives me the push I need, social interaction lifts me up, improving my mind to lift depression can improve my heart, and it is important but challenging to follow the HF diet.
  
  
  CONCLUSIONS
  The findings from this study may assist policy makers, health care professionals, patients, and support systems in understanding the complexity of engaging in HF self-care. This understanding may lead to the development of appropriate patient-centered assessments and interventions.
authors.affiliation: Marquette University College of Nursing, Milwauke, WI 53201, USA. Electronic address: aimee.woda@marquette.edu.
authors.forename: Aimee
authors.initials: A
authors.lastname: Woda
authors.affiliation: Marquette University College of Nursing, Milwauke, WI 53201, USA.
authors.forename: Ruth Ann
authors.initials: RA
authors.lastname: Belknap
authors.affiliation: Marquette University College of Nursing, Milwauke, WI 53201, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Haglund
authors.affiliation: Marquette University College of Nursing, Milwauke, WI 53201, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Sebern
authors.affiliation: Aurora St. Lukes Medical Center, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Lawrence
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D004032:Diet; D005260:Female; D006333:Heart Failure / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010781:Photography / Q000379:methods; D012648:Self Care / Q000379:methods* / Q000523:psychology; D012944:Social Support
keywords: African American; Barriers; Heart failure; Photovoice; Self-care