Family partnership and education interventions to reduce dietary sodium by patients with heart failure differ by family functioning

Heart Lung. 2016 Jul-Aug;45(4):311-8. doi: 10.1016/j.hrtlng.2016.04.001. Epub 2016 May 9.

Abstract

Objectives: Determine if family functioning influences response to family-focused interventions aimed at reducing dietary sodium by heart failure (HF) patients.

Background: Lowering dietary sodium by HF patients often occurs within the home and family context.

Methods: Secondary analysis of 117 dyads randomized to patient and family education (PFE), family partnership intervention (FPI) or usual care (UC). Dietary sodium measures were obtained from 3-day food record and 24-h urine samples.

Results: In the poor family functioning groups, FPI and PFE had lower mean urine sodium than UC (p < .05) at 4 months, and FPI remained lower than UC at 8 months (p < .05). For good family functioning groups, FPI and PFE had lower mean sodium levels by 3-day food record at 4 and 8 months compared to the UC group.

Conclusion: Optimizing family-focused interventions into HF clinical care maybe indicated.

Keywords: Adherence; Dietary sodium; Family functioning; Heart failure; Self-care.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Diet, Sodium-Restricted / methods*
  • Female
  • Follow-Up Studies
  • Heart Failure / psychology
  • Heart Failure / therapy*
  • Humans
  • Male
  • Medication Adherence / psychology*
  • Middle Aged
  • Patient Education as Topic / methods*
  • Professional-Family Relations*
  • Self Report*
  • Sodium Chloride, Dietary / administration & dosage*
  • Time Factors
  • Young Adult

Substances

  • Sodium Chloride, Dietary