RNPilotThe Journal of cardiovascular nursing2018

Impact of Mother-Daughter Relationship on Hypertension Self-management and Quality of Life: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model.

Celeste Shawler, Jean Edward, Jiying Ling and 2 others

PMID 28990970

WHAT IT FOUND

Hypertension self-management was not linked to mother-daughter relationship quality or inner strength in 51 older mother-adult daughter dyads.

Mothers' relationship quality was linked to their own physical functioning, and inner strength was linked to quality-of-life scores.

Key findings

01For the overall scores, no significant actor or partner effects were found for quality of life or hypertension self-management.

02Mothers who rated the mother-daughter relationship higher also had higher physical functioning scores.

03Higher inner strength was associated with higher quality of life in both mothers and daughters, and mothers' higher inner strength was associated with fewer emotional problems in daughters.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a pilot study with 51 dyads at baseline and 46 at follow-up, so it is too small to guide practice. Hypertension self-management was analysed only in 18 dyads where daughters also had hypertension, not the full sample. The authors state that Actor-Partner Interdependence Model outcomes should include the entire sample, and the self-management analysis did not. Participants were English-speaking community dwellers recruited from senior citizen centers, and education was fairly high, so results may not apply to other groups. The study did not test an intervention, so it cannot show that relationship quality, inner strength, or control attitudes caused changes in self-management or quality of life.

Declared interests

The supplied text says this was a federally funded research and training award and that sample size was influenced by small research funds. It does not report a separate conflicts-of-interest declaration.

The easy way to misread this

Do not conclude that improving mother-daughter relationships will improve hypertension self-management. This was a pilot observational study, not a tested intervention, and the overall self-management model was not significant; only some quality-of-life subscale associations were found.

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The study

Participants
51 older mother-adult daughter dyads at baseline; 46 completed six-month follow-up (90% retention); 18 dyads had daughters with hypertension for the self-management analysis
Certainty of evidence
Very low

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Cite

Celeste Shawler, Jean Edward, Jiying Ling, et al. Impact of Mother-Daughter Relationship on Hypertension Self-management and Quality of Life: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model. The Journal of cardiovascular nursing. 2018.

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