Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Yeom, Hyun-E; Lee, Jungmin

doi:10.3390/ijerph19074132

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…Moreover, as underscored in prior research, the perceptions of autonomy support among patients play pivotal roles in regulating coping behaviors and influencing psychosocial and physiological health outcomes across various health-related challenges [7][8][9][16][17][18][19][20]. Consequently, further research is warranted, applying the HCCQ-K to explore SDT-based cognitive-behavioral mechanisms among individuals with diverse health conditions beyond cancer.…”

Section: Discussionmentioning

confidence: 99%

“…The original HCCQ and its translations into French [13], German [14], and Persian [15] have been used to explore autonomy support perceptions among patients with diverse health issues such as cancer, type 2 diabetes, cardiovascular disease, and chronic kidney disease [12][13][14][15]. Several studies have investigated the concept of autonomy support within clinical healthcare contexts for the Korean population with acute or chronic health problems [8,[16][17][18][19], thus revealing associations with both empirically and conceptually relevant variables, including self-efficacy, motivation, self-care, and adherence to medical regimens. Also, one study [20] validated the modified Korean version of HCCQ, customized to harmonize with the specific attributes of the psychological counseling environment.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors

Yeom,

Lee,

Kim

2024

Healthcare

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Healthcare professionals should support autonomy in their patients in order for them to maintain the motivation to cope actively with their conditions. The Health Care Climate Questionnaire (HCCQ) is useful for assessing patients’ perceptions of the autonomy support provided to them. We aimed to validate the psychometric properties of the Korean version of the HCCQ (HCCQ-K) among Korean cancer survivors. This study evaluated the factor structure, concurrent validity, and internal consistency. Data from 367 cancer survivors were analyzed using confirmatory factor analysis (CFA), Pearson’s correlations, and Cronbach’s α values. The CFA validated that the single-factor structure of the HCCQ-K had an excellent fit that was consistent with that of the original English version. Concurrent validity was confirmed by moderate correlations between the HCCQ-K and both psychological well-being and self-management. Reliability was verified by satisfactory internal consistency, with a Cronbach’s α value of 0.91 and strong item-total and inter-item correlations. The HCCQ-K is therefore a valid and reliable tool for assessing autonomy support provided by healthcare professionals to Korean cancer survivors. The HCCQ-K may help healthcare professionals understand their patients’ needs for autonomy support and develop strategies to motivate active coping behaviors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors

Yeom,

Lee,

Kim

2024

Healthcare

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“…A growing body of evidence suggests that patients who are engaged in their care are more likely to adhere to medication and treatment plans, take up screening opportunities and prevention practices, participate in the detection of errors and safety risks, and adopt effective management strategies for chronic conditions [28,[44][45][46][47]. The findings of this and numerous other survey studies have consistently found that patients feel more in control of their health care and better able to play a role in decision-making with access to their personal health records [28,33,34,37,40].…”

Section: Comparison With Wider Literaturementioning

confidence: 99%

Perceptions of Quality of Care Among Users of a Web-Based Patient Portal: Cross-sectional Survey Analysis

Lear¹,

Freise²,

Kybert³

et al. 2022

J Med Internet Res

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Background Web-based patient portals enable patients access to, and interaction with, their personal electronic health records. However, little is known about the impact of patient portals on quality of care. Users of patient portals can contribute important insights toward addressing this knowledge gap. Objective We aimed to describe perceived changes in the quality of care among users of a web-based patient portal and to identify the characteristics of patients who perceive the greatest benefit of portal use. Methods A cross-sectional web-based survey study was conducted to understand patients’ experiences with the Care Information Exchange (CIE) portal. Patient sociodemographic data were collected, including age, sex, ethnicity, educational level, health status, geographic location, motivation to self-manage, and digital health literacy (measured by the eHealth Literacy Scale). Patients with experience using CIE, who specified both age and sex, were included in these analyses. Relevant survey items (closed-ended questions) were mapped to the Institute of Medicine’s 6 domains of quality of care. Users’ responses were examined to understand their perceptions of how portal use has changed the overall quality of their care, different aspects of care related to the 6 domains of care quality, and patient’s satisfaction with care. Multinomial logistic regression analyses were performed to identify patient characteristics associated with perceived improvements in overall care quality and greater satisfaction with care. Results Of 445 CIE users, 38.7% (n=172) reported that the overall quality of their care was better; 3.2% (n=14) said their care was worse. In the patient centeredness domain, 61.2% (273/445) of patients felt more in control of their health care, and 53.9% (240/445) felt able to play a greater role in decision-making. Regarding timeliness, 40.2% (179/445) of patients reported they could access appointments, diagnoses, and treatment more quickly. Approximately 30% of CIE users reported better care related to the domains of effectiveness (123/445, 27.6%), safety (138/445, 31%), and efficiency (174/445, 28.6%). Regarding equity, patients self-reporting higher digital health literacy (odds ratio 2.40, 95% CI 1.07-5.42; P=.03) and those belonging to ethnic minority groups (odds ratio 2.27, 95% CI 1.26-3.73; P<.005) were more likely to perceive improvements in care quality. Across ethnic groups, Asian and British Asian patients perceived the greatest benefits. Increased frequency of CIE use also predicted perceived better care quality and greater satisfaction with care. Conclusions A large proportion of CIE users perceived better care quality and greater satisfaction with care, although many portal users reported no change. The most favorable perceived improvements related to the domain of patient centeredness. With national policy directed toward addressing health disparities, patient portals could be valuable in improving care quality for ethnic minority groups. Future research should test the causal relationship between patient portal use and care quality.

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“…hybrid revascularization, lower extremity, nursing, patients, peripheral arterial disease, selfmanagement, structural equation model Lee, 2022). Some studies have reported that autonomy support from healthcare providers can influence the three primary psychological needs of SDT (Czarnecka et al, 2021;McCallum et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Autonomy support from healthcare providers can be defined as respect for patients' opinions and encouragement of patients' problem‐solving and decision‐making (Kayser et al, 2014). This support from healthcare providers may help to facilitate patients' autonomous motivation for self‐management and the acquisition of long‐term self‐management skills (McCallum et al, 2021; Yeom & Lee, 2022). Some studies have reported that autonomy support from healthcare providers can influence the three primary psychological needs of SDT (Czarnecka et al, 2021; McCallum et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model

Kim

Lee

Son

2022

Journal of Advanced Nursing

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Aim:To investigate the factors associated with self-management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach. Design:A cross-sectional study was adopted.Methods: A total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200-bed tertiary care hospital in Korea. Data were collected using a self-reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model. Results:The item mean score of participants' self-management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index.Autonomy support from healthcare providers was directly associated with selfmanagement (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self-management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self-management.The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p < 0.001) and relatedness (z = −2.12, p < 0.001) on the relationship between illness perception and self-management. Conclusion:Our findings revealed that autonomy support from healthcare providers and patients' illness perception directly influenced patients' self-management.Additionally, patients' illness perception can indirectly influence self-management through their perceived competence and relatedness.Impact: Healthcare providers' autonomy support to patients may promote self-care behaviours, leading to greater autonomous motivation. Assessment of patients' illness perception before patient education is vital to designing effective self-management strategies which can improve patients' perceived competency and meaningful relatedness with healthcare providers.

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Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Cited by 6 publications

References 30 publications

Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors

Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors

Perceptions of Quality of Care Among Users of a Web-Based Patient Portal: Cross-sectional Survey Analysis

Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model

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