title: Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure.
abstract: Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.
authors.affiliation: University of Kentucky, USA.
authors.forename: Elizabeth G
authors.initials: EG
authors.lastname: Tovar
authors.affiliation: University of Kentucky, USA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Dekker
authors.affiliation: University of Kentucky, USA.
authors.forename: Misook L
authors.initials: ML
authors.lastname: Chung
authors.affiliation: University of Kentucky, USA.
authors.forename: Yevgeniya
authors.initials: Y
authors.lastname: Gokun
authors.affiliation: University of Kentucky, USA.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Moser
authors.affiliation: University of Kentucky, USA.
authors.forename: Terry A
authors.initials: TA
authors.lastname: Lennie
authors.affiliation: University of Kentucky, USA.
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Rayens
keywords: adherence; depression; heart; self-efficacy; social support