Key result
In 17 patient-framily dyads (n=34), shared care networks and strong interpersonal relationships facilitated successful heart failure management and a positive outlook on quality of life.
Why the study?
Less is known about how dyadic interactions or interactions between dyads and their extended care networks positively impact life with heart failure.
Observational (n=34)
Social support by an external network and mutual support within a patient-framily dyad create an environment of optimism and effective coping, facilitating successful heart failure management.
May encourage involving framily in HF management; leaves open efficacy of structured dyadic interventions.
BACKGROUND: Heart failure (HF) management can be improved by involving framily (family and friends) who provide valuable support. Less is known about how dyadic interactions or interactions between dyads and their extended care networks positively impact life with HF. OBJECTIVES: This study aimed to understand the positive behavioral, cognitive, and social factors through which patient-framily dyads manage health together. METHODS: Heart failure patient-framily dyads were recruited through Stanford heart failure clinics. Participants completed a 45-minute semistructured interview that elicited their experiences with managing HF. Interviews were audio recorded, transcribed for analysis, and independently coded by 2 team members using thematic analyses. RESULTS: Seventeen dyads (n = 34) participated in the study; 47% of patients and 78% of framily were women. Mean (SD) age of patients was 66 (14) years, and mean (SD) age of framily caregivers was 59 (12.3) years. Three themes showcased the positive contributions of dyadic HF management: (1) management of HF was perceived as successful when individuals in a dyad both received support from a shared care network; (2) when strength of the interpersonal relationship and love were the main motivators for care, dyads reported a positive outlook on quality of life with HF; and (3) the framily caregivers' own health conditions affected the dyadic relationship and perceived success with HF management. CONCLUSIONS: Social support by an external network and mutual support within a patient-framily dyad both create an environment of optimism and effective coping, making successful HF management possible. A dyad's success with these factors may result in better condition management and perceived quality of life.
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Risbud et al. (2021) conducted an observational in Heart failure (n=34). Patient-framily dyadic management was evaluated on Positive behavioral, cognitive, and social factors through which patient-framily dyads manage health together. In 17 patient-framily dyads (n=34), shared care networks and strong interpersonal relationships facilitated successful heart failure management and a positive outlook on quality of life.
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