The Influence of Preparedness, Mutuality, and Self-efficacy on Home Care Workers' Contribution to Self-care in Heart Failure: A Structural Equation Modeling Analysis.
Madeline R Sterling, Claudio Barbaranelli, Barbara Riegel and 4 others
PMID 33315614WHAT IT FOUND
Preparedness was linked to greater self-efficacy, and self-efficacy was linked to more reported help from home care workers with heart failure self-care.
Worker-patient closeness was directly linked to more reported help. These are associations, not proof training changes care.
Key findings
01Preparedness was associated with higher self-efficacy, and self-efficacy was associated with greater contributions to self-care maintenance and management.
02Self-efficacy fully mediated preparedness's association with contributions to self-care maintenance and management.
0363% of workers contributed adequately to self-care maintenance and 35.1% contributed adequately to self-care management.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study was cross-sectional, so the links cannot show that preparedness, mutuality, or self-efficacy caused greater contribution to self-care. It used home care workers' reports only and had no patient-level data, so it does not show what patients actually did or how their heart failure changed. Participants were English-speaking agency-employed workers from one large urban area, so results may not apply to privately hired workers, rural or suburban workers, or non-English speakers. The fit results for the Caregiver Preparedness scale need caution because the post-hoc power analysis did not adequately support the RMSEA test.
Declared interests
The supplied publication types list NIH extramural and non-U.S. government research support. The article text does not report author conflicts.
The easy way to misread this
Do not read these paths as evidence that training home care workers improves heart failure self-care. The study was cross-sectional and measured workers' reported contributions, not patient outcomes.