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

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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.

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