Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Izabella Uchmanowicz, Kenneth M. Faulkner, Ercole Vellone, Agnieszka Siennicka, Remigiusz Szczepanowski and Agnieszka Olchowska-Kotala
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Izabella Uchmanowicz: Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, ul. K. Bartla 5, 51-618 Wroclaw, Poland
Kenneth M. Faulkner: School of Nursing, Stony Brook University, Nicolls Road, Stony Brook, NY 11794, USA
Ercole Vellone: Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy
Agnieszka Siennicka: Department of Physiology and Pathophysiology, Wroclaw Medical University, ul. T. Chałubińskiego 10, 50-368 Wroclaw, Poland
Remigiusz Szczepanowski: Department of Computer Science and Systems Engineering, Wroclaw University of Science and Technology, ul. Janiszewskiego 11/17, 50-372 Wroclaw, Poland
Agnieszka Olchowska-Kotala: Department of Humanities and Social Science, Wroclaw Medical University, ul. Mikulicza-Radeckiego 7, 50-368 Wroclaw, Poland

IJERPH, 2022, vol. 19, issue 4, 1-18

Abstract: 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.

Keywords: heart failure; self-care behaviors; Actor–Partner Interdependence Model (APIM); caregiver; dyad; dyadic care; patients (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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