What is the clinical evidence from this study?

Study design: Observational. Population: Chronic heart failure (n=254). Intervention: Observation of family resilience and life-space mobility. Primary outcome: Bidirectional predictive relationship between family resilience and life-space mobility (p=<0.01).

October 27, 2025Frontiers in Public Health1 citationsOpen Access

The dynamic relationship between the life-space mobility and family resilience of older adult patients with chronic heart failure

Q: What are the key findings of this study?

Family resilience and life-space mobility exhibited a bidirectional predictive relationship over 12 months in older adults with chronic heart failure, with family resilience showing a stronger predictive effect on mobility.

SYShiping YueTianjin University YZYu ZhangShanghai University XYXinyu YangHuzhou University

Key Result

Family resilience and life-space mobility exhibited a bidirectional predictive relationship over 12 months in older adults with chronic heart failure, with family resilience showing a stronger predictive effect on mobility.

Study Design

Type

Observational (n=254)

Multicenter

Structured PICO

Does family resilience predict life-space mobility in older adult patients with chronic heart failure?

Population

254 older adult patients (aged ≥60 years) with chronic heart failure (CHF) and stable conditions, recruited from a single center in China. Key demographics: 42.52% male, 43.7% aged 70-80 years, 66.53% NYHA class III.

Outcome

Dynamic relationship and bidirectional predictive effects between family resilience (measured by Family Resilience Assessment Scale-Chinese Version) and life-space mobility (measured by Life-Space Assessment scale) at 1, 6, and 12 months post-dischargepatient reported

Family resilience and life-space mobility have a bidirectional predictive relationship in older adults with chronic heart failure, with family resilience serving as a strong predictor of improved mobility.

Main Result

p-value: p=<0.01

Limitations

Single-center study design limits generalizability to other populations.
Sample limited to older adults with CHF, which may not capture variability in other chronic diseases.
Model did not account for all potential influencing factors, including major comorbidities, cardiovascular history, and medical therapy.
Reliance on self-reported measurements.

Abstract

Background Chronic heart failure (CHF) is a significant global health issue with a rising prevalence among the older population. Family resilience (FR) and life space mobility (LSM) are crucial factors affecting the quality of home-based cardiac rehabilitation in older adult CHF patients. However, the dynamic interplay between these factors and their trajectories over time remain unclear. This study aims to explore the longitudinal relationship between FR and LSM in older adult CHF patients. Methods This longitudinal study recruited 274 older adult CHF patients from January 2024 to June 2024, with a final sample size of 254 participants entering the study. Participants were assessed at three time points (1, 6, and 12 months post-discharge) using the Life-Space Assessment scale (LSA) and the Family Resilience Assessment Scale-Chinese Version (FRAS-C). Latent growth curve modeling and cross-lagged panel models were applied to analyze the dynamic relationship between FR and LSM. Results Both family resilience and life-space mobility exhibited linear increases over time, with significant inter-individual variability in their initial levels and changes. A significant positive correlation was found between family resilience and life-space mobility across all time points ( p 0.05). The cross-lagged analysis revealed a bidirectional predictive relationship between family resilience and life-space mobility, with family resilience showing a stronger predictive effect on life-space mobility ( p 0.05). Sensitivity analysis confirmed the robustness of these findings, demonstrating the stability of the results. Conclusion This study emphasizes the importance of family resilience in enhancing life-space mobility and improving the quality of life for older adults with CHF. Clinical interventions should prioritize strengthening family support systems to optimize patient outcomes and foster greater mobility.

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