{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:07:16Z","timestamp":1777709236228,"version":"3.51.4"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"ERDF\/FEDER","award":["PI15\/00089"],"award-info":[{"award-number":["PI15\/00089"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Patient empowerment is a key factor in the management of chronic heart failure (HF), as it enables individuals to better understand and manage their condition, improve outcomes, and reduce the risk of decompensation. This study aims to identify predictors of baseline empowerment and its changes (improvement or deterioration) in patients with HF. Examining empowerment trajectories can help identify patients at risk of deterioration and support the design of tailored interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Sociodemographic, clinical, psychosocial, HRQoL, self-care, and empowerment questionnaire data were collected at baseline and at 12 weeks. Empowerment evolution was calculated as the difference between baseline and 12-week empowerment values, categorized as improvement, no change, or deterioration. The sample was analysed descriptively, and bivariate, linear, and regression models were applied. Factors associated with lower baseline empowerment included functional class (P = 0.01) and anxiety (P = 0.01). Predictors of empowerment deterioration were age (P = 0.003), functional class (P = 0.037), and dependency level (P = 0.047). Regression analyses showed that advanced age (P &amp;lt; 0.03), cognitive status (P = 0.006), and level of dependency (P = 0.002) were the main determinants of deterioration in empowerment over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Poor functional status and anxiety were associated with lower baseline empowerment levels. Advanced age, cognitive decline, and higher dependency were significant predictors of worsening empowerment over time. These findings emphasize the need for tailored interventions to address functional, psychological, and cognitive challenges in patients with HF to support their empowerment and improve health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvaf159","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T11:38:01Z","timestamp":1754480281000},"page":"302-313","source":"Crossref","is-referenced-by-count":1,"title":["Empowerment trajectories in patients with chronic heart failure: a descriptive correlational study"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-6933","authenticated-orcid":false,"given":"Paloma","family":"Garcimart\u00edn","sequence":"first","affiliation":[{"name":"Nursing Department, Hospital del Mar , Passeig Mar\u00edtim 25-29, Barcelona 08003 ,","place":["Spain"]},{"name":"Research Group in Nursing Care, Hospital del Mar Research Institute , Carrer del Doctor Aiguader 88, Barcelona 08003 ,","place":["Spain"]},{"name":"Biomedical Network Research Center for Cardiovascular Diseases (CIBERCV), Carlos III Health Institute , Av. de Monforte de Lemos 5, Madrid 28029 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6180-4059","authenticated-orcid":false,"given":"Guillermo","family":"Pedreira-Robles","sequence":"additional","affiliation":[{"name":"Hospital del Mar Nursing School (ESIHMar), Universitat Pompeu Fabra-affiliated , Carrer del Doctor Aiguader 80, Barcelona 08003 ,","place":["Spain"]},{"name":"Social Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute , Carrer del Doctor Aiguader 88, Barcelona 08003 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4960-8634","authenticated-orcid":false,"given":"Neus","family":"Badosa","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital del Mar, Parc de Salut Mar , Passeig Mar\u00edtim 25-29, Barcelona 08003 ,","place":["Spain"]},{"name":"Biomedical Research in Heart Diseases, Hospital del Mar Research Institute , Carrer del Doctor Aiguader 88, Barcelona 08003 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Linas","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital del Mar, Parc de Salut Mar , Passeig Mar\u00edtim 25-29, Barcelona 08003 ,","place":["Spain"]},{"name":"Biomedical Research in Heart Diseases, Hospital del Mar Research Institute , Carrer del Doctor Aiguader 88, Barcelona 08003 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Heart Transplantation Unit, Cardiology Department, Bellvitge University Hospital, Carrer de la Feixa Llarga, s\/n, L\u2019Hospitalet de Llobregat , Barcelona 08907 ,","place":["Spain"]},{"name":"Bio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat , Carrer de la Feixa Llarga, s\/n, Barcelona 08907 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8753-695X","authenticated-orcid":false,"given":"Mercedes","family":"Faraudo","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Mois\u00e8s Broggi, Carrer d'Oriol Martorell, 12, Sant Joan Desp\u00ed \u00a0 , Barcelona 08970 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3134-4071","authenticated-orcid":false,"given":"Esther","family":"Calero","sequence":"additional","affiliation":[{"name":"Biomedical Network Research Center for Cardiovascular Diseases (CIBERCV), Carlos III Health Institute , Av. de Monforte de Lemos 5, Madrid 28029 ,","place":["Spain"]},{"name":"Bio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat , Carrer de la Feixa Llarga, s\/n, Barcelona 08907 ,","place":["Spain"]},{"name":"Cardiology Department, Bellvitge University Hospital, Carrer de la Feixa Llarga, s\/n, L\u2019Hospitalet de Llobregat , Barcelona 08907 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4586-0755","authenticated-orcid":false,"given":"Elena","family":"Calvo","sequence":"additional","affiliation":[{"name":"Biomedical Network Research Center for Cardiovascular Diseases (CIBERCV), Carlos III Health Institute , Av. de Monforte de Lemos 5, Madrid 28029 ,","place":["Spain"]},{"name":"Cardiology Department, Bellvitge University Hospital, Carrer de la Feixa Llarga, s\/n, L\u2019Hospitalet de Llobregat , Barcelona 08907 ,","place":["Spain"]},{"name":"Nursing Research Group, Bellvitge Biomedical Research Institute (IDIBELL), Carrer de la Feixa Llarga, s\/n, L'Hospitalet de Llobregat , Barcelona 08907 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuria","family":"Jose","sequence":"additional","affiliation":[{"name":"Bio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat , Carrer de la Feixa Llarga, s\/n, Barcelona 08907 ,","place":["Spain"]},{"name":"Community Heart Failure Program, Cardiology Department, Bellvitge University Hospital,Carrer de la Feixa Llarga, s\/n, L\u2019Hospitalet de Llobregat , Barcelona 08907 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8780-720X","authenticated-orcid":false,"given":"Josep","family":"Com\u00edn-Colet","sequence":"additional","affiliation":[{"name":"Biomedical Network Research Center for Cardiovascular Diseases (CIBERCV), Carlos III Health Institute , Av. de Monforte de Lemos 5, Madrid 28029 ,","place":["Spain"]},{"name":"Bio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat , Carrer de la Feixa Llarga, s\/n, Barcelona 08907 ,","place":["Spain"]},{"name":"Cardiology Department, Bellvitge University Hospital, Carrer de la Feixa Llarga, s\/n, L\u2019Hospitalet 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