{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T07:26:56Z","timestamp":1767598016890,"version":"build-2065373602"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic heart failure (CHF) is a significant global health issue with a rising prevalence among the older population. Family resilience (FR) and life space mobility (LSM) are crucial factors affecting the quality of home-based cardiac rehabilitation in older adult CHF patients. However, the dynamic interplay between these factors and their trajectories over time remain unclear. This study aims to explore the longitudinal relationship between FR and LSM in older adult CHF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This longitudinal study recruited 274 older adult CHF patients from January 2024 to June 2024, with a final sample size of 254 participants entering the study. Participants were assessed at three time points (1, 6, and 12\u202fmonths post-discharge) using the Life-Space Assessment scale (LSA) and the Family Resilience Assessment Scale-Chinese Version (FRAS-C). Latent growth curve modeling and cross-lagged panel models were applied to analyze the dynamic relationship between FR and LSM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both family resilience and life-space mobility exhibited linear increases over time, with significant inter-individual variability in their initial levels and changes. A significant positive correlation was found between family resilience and life-space mobility across all time points (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). The cross-lagged analysis revealed a bidirectional predictive relationship between family resilience and life-space mobility, with family resilience showing a stronger predictive effect on life-space mobility (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Sensitivity analysis confirmed the robustness of these findings, demonstrating the stability of the results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study emphasizes the importance of family resilience in enhancing life-space mobility and improving the quality of life for older adults with CHF. Clinical interventions should prioritize strengthening family support systems to optimize patient outcomes and foster greater mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1677106","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:21:42Z","timestamp":1761546102000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The dynamic relationship between the life-space mobility and family resilience of older adult patients with chronic heart failure"],"prefix":"10.3389","volume":"13","author":[{"given":"Shuhong","family":"Yue","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinyu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minyan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.cardfail.2024.07.001","article-title":"HF STATS 2024: heart failure epidemiology and outcomes statistics an updated 2024 report from the Heart Failure Society of America","volume":"31","author":"Bozkurt","year":"2025","journal-title":"J Card Fail"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1016\/j.jchf.2022.03.001","article-title":"JACC: heart failure: a new vision with the new editorial team","volume":"10","author":"Bozkurt","year":"2022","journal-title":"JACC Heart Failure"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.soard.2018.12.030","article-title":"Impact of prior bariatric surgery on outcomes of hospitalized patients with heart failure: a population-based study","volume":"15","author":"Han","year":"2019","journal-title":"Surg Obes Relat Dis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e008406","DOI":"10.1161\/CIRCHEARTFAILURE.121.008406","article-title":"Prevalence and incidence of heart failure among urban patients in China: a national population-based analysis","volume":"14","author":"Wang","year":"2021","journal-title":"Circ Heart Fail"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1097\/JCN.0000000000000726","article-title":"Changes in social support and relational mutuality as moderators in the association between heart failure patient functioning and caregiver burden","volume":"36","author":"Cooney","year":"2021","journal-title":"J Cardiovasc Nurs"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1046\/j.1532-5415.2003.51512.x","article-title":"Measuring life-space mobility in community-dwelling older adults","volume":"51","author":"Baker","year":"2003","journal-title":"J Am Geriatr Soc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/s12877-020-1431-5","article-title":"Modifiable factors related to life-space mobility in community-dwelling older adults: results from the Canadian longitudinal study on aging","volume":"20","author":"Kuspinar","year":"2020","journal-title":"BMC Geriatr"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"3360","DOI":"10.1093\/pm\/pnaa216","article-title":"Association between Kinesiophobia and life space among community-dwelling older people with chronic musculoskeletal pain","volume":"21","author":"Uchida","year":"2020","journal-title":"Pain Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1002\/rnj.290","article-title":"Quality of life among primary family caregivers of patients with heart failure in Southwest China","volume":"43","author":"Hu","year":"2018","journal-title":"Rehabil Nurs"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1177\/0733464817746757","article-title":"An intervention to improve physical function and caregiver perceptions in family caregivers of persons with heart failure","volume":"39","author":"Gary","year":"2020","journal-title":"J Appl Gerontol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1545-5300.2003.00001.x","article-title":"Family resilience: a framework for clinical practice","volume":"42","author":"Walsh","year":"2003","journal-title":"Fam Process"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"102400","DOI":"10.1016\/j.ejon.2023.102400","article-title":"Dyadic effects of family resilience on quality of life in patients with lung Cancer and spousal caregivers: the mediating role of dyadic coping","volume":"66","author":"Ke","year":"2023","journal-title":"Eur J Oncol Nurs"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.ijnurstu.2018.08.011","article-title":"Relationships between family resilience, breast Cancer survivors' individual resilience, and caregiver burden: a cross-sectional study","volume":"88","author":"Li","year":"2018","journal-title":"Int J Nurs Stud"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.2147\/PRBM.S405217","article-title":"Resilience in informal caregivers of patients with heart failure in China: exploring influencing factors and identifying the paths","volume":"16","author":"Peng","year":"2023","journal-title":"Psychol Res Behav Manag"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"323","DOI":"10.3390\/jcdd9100323","article-title":"Life-space activities are associated with the prognosis of older adults with cardiovascular disease","volume":"9","author":"Hashimoto","year":"2022","journal-title":"J Cardiovasc Dev Dis"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"277","DOI":"10.26599\/1671-5411.2025.03.002","article-title":"Chinese guidelines for the diagnosis and treatment of heart failure 2024","volume":"22","author":"Zhang","year":"2025","journal-title":"J Geriatr Cardiol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/j.archger.2015.06.012","article-title":"Pilot study on the Chinese version of the life space assessment among community-dwelling elderly","volume":"61","author":"Ji","year":"2015","journal-title":"Arch Gerontol Geriatr"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"2710","DOI":"10.1007\/s10826-016-0432-7","article-title":"Psychometric properties of the shortened Chinese version of the family resilience assessment scale","volume":"25","author":"Li","year":"2016","journal-title":"J Child Fam Stud"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1186\/s12888-021-03495-6","article-title":"A comparison of the Mini-mental state examination (MMSE) with the Montreal cognitive assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: a cross-sectional study","volume":"21","author":"Jia","year":"2021","journal-title":"BMC Psychiatry"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"13","DOI":"10.2340\/1650197771331","article-title":"The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance","volume":"7","author":"Fugl-Meyer","year":"1975","journal-title":"J Rehabil Med"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.hrtlng.2022.03.017","article-title":"Providers\u2019 accuracy in decision-making with assessing NYHA functional class of patients with heart failure after use of a classification guide","volume":"54","author":"Stamp","year":"2022","journal-title":"Heart Lung"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1080\/15248371003699969","article-title":"Twelve frequently asked questions about growth curve modeling","volume":"11","author":"Curran","year":"2010","journal-title":"J Cogn Dev"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1111\/j.1541-0420.2007.00856_7.x","article-title":"An introduction to latent variable growth curve modeling: concepts, issues, and applications, 2nd edition by T. E. Duncan, S. C. Duncan, and L. A. Strycker","volume":"63","author":"Flora","year":"2007","journal-title":"Biometrics"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1177\/02692163211057749","article-title":"Resilience in advanced cancer caregiving. A systematic review and meta-synthesis","volume":"36","author":"Opsomer","year":"2022","journal-title":"Palliat Med"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s12888-024-05526-4","article-title":"Social support, family resilience and psychological resilience among maintenance hemodialysis patients: a longitudinal study","volume":"24","author":"Wang","year":"2024","journal-title":"BMC Psychiatry"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1926","DOI":"10.1111\/jan.15421","article-title":"Predictors of psychological resilience trajectories in patients with knee arthroplasty: a longitudinal study","volume":"79","author":"Shan","year":"2023","journal-title":"J Adv Nurs"},{"key":"ref27","first-page":"11","article-title":"Analysis of the current status and influencing factors of life-space levels in community-dwelling elderly","volume":"30","author":"Ren","year":"2023","journal-title":"Nurs J"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1161\/CIRCRESAHA.116.308030","article-title":"Chronic heart failure and inflammation: what do we really know?","volume":"119","author":"Dick","year":"2016","journal-title":"Circ Res"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1093\/eurheartj\/12.suppl_c.21","article-title":"Reduced exercise tolerance in chronic heart failure and its relationship to neurohumoral factors","volume":"12","author":"Drexler","year":"1991","journal-title":"Eur Heart J"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1111\/jgs.14739","article-title":"Life-space assessment predicts hospital readmission in home-limited adults","volume":"65","author":"Fathi","year":"2017","journal-title":"J Am Geriatr Soc"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1186\/s12877-022-03355-2","article-title":"Life-space, frailty, and health-related quality of life","volume":"22","author":"Chitalu","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s10741-017-9597-4","article-title":"Family caregiving for persons with heart failure at the intersection of heart failure and palliative care: a state-of-the-science review","volume":"22","author":"Nicholas Dionne-Odom","year":"2017","journal-title":"Heart Fail Rev"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"e864\u2013e878","DOI":"10.1161\/CIR.0000000000000768","article-title":"Family caregiving for individuals with heart failure: a scientific statement from the American Heart Association","volume":"141","author":"Kitko","year":"2020","journal-title":"Circulation"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1080\/17405629.2016.1154035","article-title":"Family resilience: a developmental systems framework","volume":"13","author":"Walsh","year":"2016","journal-title":"Eur J Dev Psychol"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"104590","DOI":"10.1016\/j.ijnurstu.2023.104590","article-title":"Relationships of person-related, problem-related, and environment-related factors to self-care behaviours and the mediating role of self-confidence among patients with heart failure: cross-sectional analysis of structural equation modelling","volume":"147","author":"Jiang","year":"2023","journal-title":"Int J Nurs Stud"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"3672","DOI":"10.1111\/jocn.16458","article-title":"Dyadic profiles of family resilience among patients with first-episode stroke: a longitudinal study of the first 6 months after stroke","volume":"32","author":"Zhang","year":"2023","journal-title":"J Clin Nurs"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"4478","DOI":"10.1111\/jocn.15033","article-title":"The effects of family functioning and resilience on self-management and glycaemic control among youth with type 1 diabetes","volume":"28","author":"Luo","year":"2019","journal-title":"J Clin Nurs"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1111\/jan.15078","article-title":"Informal caregivers of people with heart failure and resilience: a convergent mixed methods study","volume":"78","author":"Durante","year":"2022","journal-title":"J Adv Nurs"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1016\/j.ijnurstu.2012.04.013","article-title":"The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: a quasi-experimental study","volume":"49","author":"Chiang","year":"2012","journal-title":"Int J Nurs Stud"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1677106\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:21:43Z","timestamp":1761546103000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1677106\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,27]]},"references-count":39,"alternative-id":["10.3389\/fpubh.2025.1677106"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1677106","relation":{},"ISSN":["2296-2565"],"issn-type":[{"type":"electronic","value":"2296-2565"}],"subject":[],"published":{"date-parts":[[2025,10,27]]},"article-number":"1677106"}}