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Vehovec Dissertation Final 7_30.pdf (1.26 MB)

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Interoception: A New Mechanism to Explain Self-Management in Heart Failure

Vehovec, Anton M.
http://rave.ohiolink.edu/etdc/view?acc_num=case1533994567301647

Abstract Details

2018, Doctor of Philosophy, Case Western Reserve University, Nursing.
Patients with heart failure must perform adequate self-management to reduce mortality, and hospitalizations caused by heart failure. Patients with HF struggle with all aspects of self-management and therefore, new ways to help patients are needed. Interoception is a possible mechanism to explain why patients with HF struggle with self-management. Interoception is the ability to feel visceral stimuli and use it to inform a decision. The purpose of this cross sectional descriptive study was to determine (a) the association between interoception and HF self-management (maintenance, symptom perception, and symptom management), and (b) the moderating effects of influencing factors on the relationships between interoception and HF self-management. A total of 109 individuals with heart failure were recruited from heart failure clinics. Participants answered questionnaires, completed cognitive test, and the heart beat perception task. Multivariate linear regression was used to test the effect of interoceptive variables on self-management variables while controlling for influencing factors. The only significant effect of an interoceptive variable on a self-management variable was between interoceptive sensibility and symptom perception (b=.162, p<.05). Moderation models were tested for each combination of interoceptive variables and influencing factors for each outcome. There were only two significance moderation models. The first was interoceptive sensibility and comorbidities on symptom management where there was only a positive significant effect of interoceptive sensibility on symptom management at low values of comorbidities (<2.63). The second moderation model was interoceptive sensibility and attention on symptom management where there was only a positive significant model at high levels of attention (>90.4). Interoceptive accuracy and interoceptive awareness did not have a significant effect on any self-management variables for any research question.
Mary Dolansky, PhD, RN (Committee Chair)
Ronald Hickman, PhD, RN (Committee Member)
Christopher Burant, PhD (Committee Member)
Richard Josephson, MD (Committee Member)
184 p.
Nursing
self-management; body awareness; interoception; heart failure

Recommended Citations

Citations

  • Vehovec, A. M. (2018). Interoception: A New Mechanism to Explain Self-Management in Heart Failure [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1533994567301647

    APA Style (7th edition)

  • Vehovec, Anton. Interoception: A New Mechanism to Explain Self-Management in Heart Failure. 2018. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1533994567301647.

    MLA Style (8th edition)

  • Vehovec, Anton. "Interoception: A New Mechanism to Explain Self-Management in Heart Failure." Doctoral dissertation, Case Western Reserve University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1533994567301647

    Chicago Manual of Style (17th edition)

case1533994567301647
534
© 2018, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.