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Self-efficacy as a predictor of patient-reported outcomes in adults with congenital heart disease.
- Source :
-
European Journal of Cardiovascular Nursing . Oct2018, Vol. 17 Issue 7, p619-626. 8p. - Publication Year :
- 2018
-
Abstract
- Objective: Self-efficacy is a known predictor of patient-reported outcomes in individuals with acquired diseases. With an overall objective of better understanding patient-reported outcomes in adults with congenital heart disease, this study aimed to: (i) assess self-efficacy in adults with congenital heart disease, (ii) explore potential demographic and medical correlates of self-efficacy and (iii) determine whether self-efficacy explains additional variance in patient-reported outcomes above and beyond known predictors. Methods: As part of a large cross-sectional international multi-site study (APPROACH-IS), we enrolled 454 adults (median age 32 years, range: 18–81) with congenital heart disease in two tertiary care centres in Canada and Switzerland. Self-efficacy was measured using the General Self-Efficacy (GSE) scale, which produces a total score ranging from 10 to 40. Variance in the following patient-reported outcomes was assessed: perceived health status, psychological functioning, health behaviours and quality of life. Hierarchical multivariable linear regression analysis was performed. Results: Patients’ mean GSE score was 30.1 ± 3.3 (range: 10–40). Lower GSE was associated with female sex (p = 0.025), not having a job (p = 0.001) and poorer functional class (p = 0.048). GSE positively predicted health status and quality of life, and negatively predicted symptoms of anxiety and depression, with an additional explained variance up to 13.6%. No associations between self-efficacy and health behaviours were found. Conclusions: GSE adds considerably to our understanding of patient-reported outcomes in adults with congenital heart disease. Given that self-efficacy is a modifiable psychosocial factor, it may be an important focus for interventions targeting congenital heart disease patients’ well-being. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALYSIS of variance
*ANXIETY
*CONGENITAL heart disease
*MENTAL depression
*HEALTH behavior
*HEALTH status indicators
*MEDICAL cooperation
*MEDICAL protocols
*MEDICAL records
*MENTAL health
*HEALTH outcome assessment
*PEOPLE with disabilities
*QUALITY of life
*QUESTIONNAIRES
*RESEARCH
*SELF-efficacy
*STATISTICS
*T-test (Statistics)
*UNEMPLOYMENT
*MULTIPLE regression analysis
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
*TERTIARY care
*MANN Whitney U Test
*KRUSKAL-Wallis Test
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 17
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 132113798
- Full Text :
- https://doi.org/10.1177/1474515118771017