Key result
A scoping review of 15 studies found that the Actor-Partner Interdependence Model reveals interrelated patient and caregiver characteristics that influence self-care in heart failure.
Why the study?
Heart failure self-care depends on mutual patient-caregiver interactions, leading to the use of the Actor-Partner Interdependence Model (APIM), but what has been learned from these HF dyadic studies needed synthesis.
What did we learn from HF dyadic studies based on the APIM approach?
What did we learn from HF dyadic studies based on the APIM approach?
This scoping review highlights the value of the Actor-Partner Interdependence Model in understanding how interrelated patient and caregiver characteristics influence heart failure self-care and adaptation.
Self-care behaviors are essential for the effective treatment of heart failure (HF), and poor self-care may lead to adverse clinical events in patients with HF. A growing body of literature addresses the need to analyze the characteristics of both patient and caregiver since they are in mutual, long-term interaction, and their reactions to events are dependent on each other. One of the most common approaches for analyzing data on HF self-care dyads is the Actor–Partner Interdependence Model (APIM). The purpose of this study was to conduct a scoping review to answer the following question: what did we learn from HF dyadic studies based on the APIM approach? Medline, Academic Search Ultimate, and CINAHL Complete databases were searched, using the terms “dyad,” “dyadic,” and “heart failure,” for studies published between 2009 and April 2021. Fifteen studies were reviewed from a pool of 106 papers. Studies using the APIM approach revealed interrelated patient and caregiver characteristics that influence self-care and explain many complex dyadic behaviors. Our analysis provided evidence that (1) APIM is a useful analytical approach; (2) a family-oriented approach can improve the functioning of a patient with HF; and (3) social support from caregivers significantly enhances patients’ adaptation to illness.
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Uchmanowicz et al. (2022) conducted a review in Heart failure (n=15). Actor-Partner Interdependence Model (APIM) was evaluated on Patient and caregiver characteristics influencing self-care. A scoping review of 15 studies found that the Actor-Partner Interdependence Model reveals interrelated patient and caregiver characteristics that influence self-care in heart failure.
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