Heart Failure patients have a high use of health resources related to exacerbated symptoms through the course of their chronic disease. Managing these symptoms requires awareness and participation by the patient and family caregiver (FCG). A greater understanding of the processes used to assess symptoms, determine their importance, and triggers for action to treat or seek help for symptoms is essential. The purpose of this study is to examine the congruence and associated factors between HF patients and their FCG as they relate to the processes of: perception of a symptom, evaluation of the meaning of a symptom, and response to a symptom.
The specific aims are to: Explore the relationship between family context variables (family functioning and partner support style) and HF-FCG symptom management congruence (perception, evaluation, response). Examine HF patient and FCG symptom management behaviors (perception, evaluation, response) and family context variables (family functioning and partner support style) as possible predictors of HF patient outcomes (QOL and health care utilization). This study will identify characteristics associated with the symptom management processes of HF patients and FCG's and will delineate approaches to interventions to ultimately improve symptom management treatment seeking and outcomes. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
1F32NR009888-01A1
Application #
7220870
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Huss, Karen
Project Start
2007-01-01
Project End
2008-12-31
Budget Start
2007-01-01
Budget End
2007-12-31
Support Year
1
Fiscal Year
2006
Total Cost
$65,195
Indirect Cost
Name
Emory University
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Quinn, Christina; Dunbar, Sandra B; Higgins, Melinda (2010) Heart failure symptom assessment and management: can caregivers serve as proxy? J Cardiovasc Nurs 25:142-8
Quinn, Christina; Dunbar, Sandra B; Clark, Patricia C et al. (2010) Challenges and strategies of dyad research: cardiovascular examples. Appl Nurs Res 23:e15-20
Quinn, Christina; Haber, Michael J; Pan, Yi (2009) Use of the concordance correlation coefficient when examining agreement in dyadic research. Nurs Res 58:368-73
Dunbar, Sandra B; Clark, Patricia C; Quinn, Christina et al. (2008) Family influences on heart failure self-care and outcomes. J Cardiovasc Nurs 23:258-65