Nurs Res. 2022;71(6):477-482. doi: 10.1097/NNR.0000000000000609. Epub 2022 Jul 1.
Research to understand self-care behaviors increasingly engages patient-caregiver dyads. However, collecting data on dyads requires both members to complete the research protocol, potentially resulting in biased information if caregivers who do not participate differ from caregivers who do.
The aim of the study was to examine how recruitment conditions and patients' appraisal of dyadic engagement in heart failure management are related to caregiver participation across two research studies.
We used logistic regression to examine whether recruitment strategy and patients' responses on the dyadic symptom management-type instrument were associated with caregivers' participation.
Caregivers not present at the initial recruitment were less likely to participate in the study. Regardless of recruitment strategy, caregivers were less likely to participate if the patient indicated primary responsibility for heart failure management. In the restricted recruitment study (recruiting both dyad members simultaneously), caregiver participation was significantly higher when patients selected a collaborative-oriented care type relative to patient- or caregiver-oriented type.
Instruments assessing dyad-level information could aid researchers in deploying resources at recruitment, as well as in adjusting results for data that could bias results and conclusions. Our findings support the importance of considering the recruitment strategy as well as dyadic care type as part of the recruitment process.
为了深入了解自我护理行为，研究人员越来越多地将患者和护理人员二人组合纳入研究对象。然而，收集二人组合的数据需要两名成员都完成研究方案，如果不参与的护理人员与参与的护理人员不同，可能会导致信息偏差。
本研究旨在探讨在两项研究中，招募条件和患者对心力衰竭管理中二人组合参与的评估与护理人员参与情况之间的关系。
我们使用逻辑回归来检验招募策略和患者在二元症状管理型工具上的反应是否与护理人员的参与有关。
未在初始招募时在场的护理人员参与研究的可能性较低。无论招募策略如何，如果患者表示对心力衰竭管理负有主要责任，那么护理人员参与的可能性就会降低。在受限招募研究（同时招募二人组合成员）中，当患者选择协作导向的护理类型而不是患者或护理人员导向的类型时，护理人员的参与度显著提高。
评估二元水平信息的工具可以帮助研究人员在招募时分配资源，以及调整可能会导致结果和结论产生偏差的数据。我们的研究结果支持将招募策略以及二元护理类型作为招募过程的一部分来考虑的重要性。
