Self-efficacy and depression predicting the health-related quality of life of outpatients with chronic heart failure in Singapore

Loo, Desmond Wai Yang; Jiang, Ying; Koh, Karen Wei Ling; Lim, Fui Ping; Wang, Wenru

doi:10.1016/j.apnr.2016.07.007

Cited by 33 publications

(39 citation statements)

References 53 publications

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“…The study sample’s trend for HU by sex was the same as that for the general population [ 21 ]. This result is also in accordance with the studies by Wai Yang Loo et al [ 34 ] and Scirè et al [ 35 ], although their populations and HRQoL measurements were different. These two studies showed that female participants perceived a greater degree of physical impairment and poorer overall HRQoL than male participants.…”

Section: Discussionsupporting

confidence: 93%

Comparing the self-perceived quality of life of multimorbid patients and the general population using the EQ-5D-3L

et al. 2017

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ObjectivesTo assess and compare the self-perceived Health Related Quality of Life (HRQoL) of multimorbid patients and the general population using health utilities (HU) and visual analogue scale (VAS) methods.MethodsWe analyzed data (n = 888) from a national, cross-sectional Swiss study of multimorbid patients recruited in primary care settings. Self-perceived HRQoL was assessed using the EQ-5D-3L instrument, composed of 1) a questionnaire on the five dimensions of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression (EQ-5D dimensions), and 2) a 0–100 (0 = worst- and 100 = best-imaginable health status) VAS. We described the EQ-5D dimensions and VAS and computed HU using a standard pan-European value set. HU and VAS are the two components of the overall HRQoL assessment. We examined the proportions of multimorbid patients reporting problems (moderate/severe) in each EQ-5D dimension, corresponding proportions without problems, and mean HU and VAS values across patient characteristics. To test differences between subgroups, we used chi-square tests for dichotomous outcomes and T-tests (ANOVA if more than two groups) for continuous outcomes. Finally, we compared observed and predicted HU and VAS values.ResultsAll 888 participants answered every EQ-5D item. Mean (SD) HU and VAS values were 0.70 (0.18) and 63.2 (19.2), respectively. HU and VAS were considerably and significantly lower in multimorbid patients than in the general population and were also lower in multimorbid patients below 60 years old and in women. Differences between observed and predicted means (SD) were -0.07 (0.18) for HU and -11.8 (20.3) for VAS.ConclusionsSelf-perceived HRQoL is considerably and significantly affected by multimorbidity. More attention should be given to developing interventions that improve the HRQoL of multimorbid patients, particularly women and those aged below 60 years old.

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Section: Discussionsupporting

confidence: 93%

Comparing the self-perceived quality of life of multimorbid patients and the general population using the EQ-5D-3L

et al. 2017

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“…Depression leads to a lack of motivation and enthusiasm, and compromises adherence to self-care behaviors. Inadequate self-care behaviors and depression are predictors of poor quality of life and are associated with readmission and high mortality rates [ 22 , 31 ]. The results of the present study also showed that quality of life positively correlated with the self-care behaviors and symptoms of depression in the elderly patients with CHF.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

Wang

Dong

Jian

et al. 2017

BMC Cardiovasc Disord

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BackgroundOne of the most important challenges in public health is to improve the quality of life in patients with chronic heart failure (CHF). Depression, self-care capacity, and quality of life interact each other in these patients. It’s difficult to treat with general education programs and conventional therapy. PRECEDE model is a comprehensive and exclusive theory-based education programs. Its effectiveness for reducing depression and increasing quality of life has been demonstrated in patients with coronary artery bypass grafting, type 2 diabetes, and the elderly. It has not been used in elderly patients with CHF. Thus, this study aims to investigate the effects of this model on self-care behaviors, depression, and quality of life in these patients.MethodsPatients who met the inclusion criteria were randomly assigned to the intervention or control group. All the patients received conventional medical care. The patients in the intervention group also received 9 sessions of education intervention based on the PRECEDE model and then followed up for 3 months after the intervention. Data were collected before and 3 months after the intervention using 4 questionnaires, namely a PRECEDE-based questionnaire to evaluate predisposing, reinforcing, and enabling factors; the 9-item European Heart Failure Self-care Behavior Scale (EHFScBS-9); the 9-item Personal Health Questionnaire (PHQ-9); and the Minnesota Living with Heart Failure Questionnaire (MLHFQ).ResultsNo significant differences were found in the mean scores for the predisposing, enabling, and reinforcing factors, and the mean total scores in EHFScBS-9, PHQ-9, and MLHFQ before the intervention between the intervention and control groups. After the intervention, the scores for the predisposing, reinforcing, and enabling factors increased significantly, and the mean total scores in EHFScBS-9, PHQ-9, and MLHFQ decreased significantly in the intervention group. In addition, these scores significantly differed from those of the control group. Furthermore, the MLHFQ score significantly correlated with the EHFScBS-9 and PHQ-9 scores.ConclusionThis study demonstrates a trend that PRECEDE model of health education promotion is effective in relieving depression symptoms, enhancing self-monitoring, and improving the quality of life of elderly patients with CHF.Trial registrationTrial registration number: ChiCTR-IOR-17012779; Trial registry: Chinese Clinical Trial Registry; Date registered: 22 Sep 2017; Retrospectively registered.

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“…The HADS consists of two subscales of anxiety and depression with seven items included in each subscale (Zigmond & Snaith 1983). All these instruments have been widely used, including in the local context and they have been demonstrated to have good reliability and validity (Loo, Jiang, Koh, Lim, & Wang, 2016;Luo et al, 2003).…”

Section: Data Collection and Outcome Measuresmentioning

confidence: 99%

The effect of a self‐help psychoeducation programme for people with coronary heart disease: A randomized controlled trial

Wang

Lim

Lopez

et al. 2018

Journal of Advanced Nursing

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Self-efficacy and depression predicting the health-related quality of life of outpatients with chronic heart failure in Singapore

Cited by 33 publications

References 53 publications

Comparing the self-perceived quality of life of multimorbid patients and the general population using the EQ-5D-3L

Comparing the self-perceived quality of life of multimorbid patients and the general population using the EQ-5D-3L

Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure

The effect of a self‐help psychoeducation programme for people with coronary heart disease: A randomized controlled trial

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