Factors influencing self-care behaviors of African Americans with heart failure: A photovoice project

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The purpose of this study was to understand the influences of heart failure (HF) self-care among low income, African Americans.


Compared to all other racial groups, African Americans have the highest risk of developing HF, coupled with high mortality and morbidity rates.


Using the photovoice method, participants related important lifestyle factors through photography. The participants and researcher met for reflection and discussion 2 h per week for six weeks.


Four themes emerged: family support gives me the push I need, social interaction lifts me up, improving my mind to lift depression can improve my heart, and it is important but challenging to follow the HF diet.


The findings from this study may assist policy makers, health care professionals, patients, and support systems in understanding the complexity of engaging in HF self-care. This understanding may lead to the development of appropriate patient-centered assessments and interventions.

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