%0 Journal Article
%T The Influence of Mutuality on Self
%A Ercole Vellone
%A Federica Dellafiore
%A Marco Paturzo
%A Misook L. Chung
%A Rosaria Alvaro
%J Journal of Family Nursing
%@ 1552-549X
%D 2018
%R 10.1177/1074840718809484
%X Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrolled. The Actor–Partner Interdependence Model was used to identify the influence of individual patient and caregiver mutuality on their own self-care (actor effect) and on partner self-care (partner effect). The total mutuality score had an actor effect on patient self-care maintenance (i.e., behaviors aimed at maintaining HF stability) and on patient and caregiver self-care confidence. Total score of patient mutuality also had a partner effect on caregiver self-care management (i.e., responses to symptoms of HF exacerbation). Specific mutuality dimensions had different actor and partner effects on patient and caregiver self-care. Interventions to improve mutuality in HF patient–caregiver dyads may influence patient self-care and caregiver contribution to self-care
%K heart failure
%K mutuality
%K patient–caregiver dyads
%K self-care
%U https://journals.sagepub.com/doi/full/10.1177/1074840718809484