Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers

Abstract

Background: Patients' negative illness perceptions and beliefs about cardiac rehabilitation (CR) can influence uptake and adherence to CR. Little is known about the interpartner influence of these antecedent variables on quality of life of patients with coronary artery disease (CAD) and their family caregivers. The aims of the study were: 1) to assess differences in illness perceptions, beliefs about CR and quality of life between patients with CAD and their family caregivers upon entry to a CR programme and at 6 months follow-up; and 2) to examine whether patients' and caregivers' perceptions of the patient's illness and beliefs about CR at baseline predict their own and their partner's quality of life at 6 months. Methods: In this longitudinal study of 40 patient-caregiver dyads from one CR service, patients completed the Brief Illness Perception Questionnaire and Beliefs about Cardiac Rehabilitation Questionnaire at baseline and 6 months; and caregivers completed these questionnaires based on their views about the patient's illness and CR. The Short-Form 12 Health Survey was used to assess patients' and caregivers' perceived health status. Dyadic data were analysed using the Actor-Partner Interdependence Model. Results: Most patients (70%) were men, mean age 62.45 years; and most caregivers (70%) were women, mean age 59.55 years. Caregivers were more concerned about the patient's illness than the patients themselves; although they had similar scores for beliefs about CR. Patients had poorer physical health than caregivers, but their level of mental health was similar. Caregivers' poorer mental health at 6 months was predicted by the patient's perceptions of timeline and illness concern (i.e. partner effects). Patient's and caregiver's illness perceptions and beliefs about CR were associated with their own physical and mental health at 6 months (i.e. actor effects).

Interventions for Caregivers of Heart Disease Patients in Rehabilitation: Scoping Review

“…Myocardial infarction is a common kind of heart illness that significantly negatively influences an individual’s and family’s overall quality of life. These caregivers are integrated into the care response and the health system, contributing to disease management [ 32 ], increasing, for example, the use of eHealth with improved adherence to medication, which may reduce the number of re-hospitalizations usual for these patients [ 33 ].…”

“…Concerning the finding related to families/caregivers of patients integrated into cardiac rehabilitation programs (S2, S4, S6, S8), Thomson and colleagues [ 32 ] also refer to the benefit of the involvement of the dyad to enhance health gains for both, especially psychological changes.…”

Psycho-Social Factors in Patients with Cardiovascular Disease Attending a Family-Centred Prevention and Rehabilitation Programme: EUROACTION Model in Spain

“…Patients' beliefs at the start of CVPR are especially important for medication adherence. Physical and mental health at six months is negatively associated with baseline beliefs about CVPR [15].…”

Cross Validation of the Post Event-Cardiovascular Risk Perception Survey Instrument among Cardiac Rehabilitation Patients

“…Robinson and colleagues (2018) indicate significant discrepancy in African American women when it comes to the association between CVD risk factors and risk estimation [14]. Others indicate there is a difference in perception of symptoms for myocardial infarction; [15] recognizing a heart attack; [16] and how family members perceive risk during an out-ofhospital cardiac arrest and general health [17][18]. Education about how to decrease cardiac risk factors is often the priority for staying heart healthy [1][2][3][19][20][21].…”