Chronic IllnessPub Date : 2023-10-26DOI: 10.1177/17423953231210121
Abigail Kukay, Cliff McKinney
{"title":"Chronic illness and psychological problems in emerging adults: Moderation by perceived parental distress.","authors":"Abigail Kukay, Cliff McKinney","doi":"10.1177/17423953231210121","DOIUrl":"https://doi.org/10.1177/17423953231210121","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the current study was to better understand if perceived parental distress moderates the effects of having a chronic illness and poor physical quality of life on psychological problems reported by emerging adults.</p><p><strong>Methods: </strong>Participants consisted of 538 college-attending emerging adults (53.5% women; 46.5% men). Participants completed an online study that was composed of questions regarding chronic illness, the World Health Organization Quality of Life - Brief, the Adult Self-Report scale, and the Adult Behavior Checklist.</p><p><strong>Results: </strong>In both emerging adult women and men, endorsing a chronic illness is significantly associated with psychological problems. Psychological problems in both emerging adult women and men were significantly predicted by the three-way interaction between endorsing a chronic illness, physical quality of life, and perceived maternal distress. Specifically, increased perceived maternal distress was associated with higher psychological problems in both emerging adult women and men with chronic illnesses and low physical quality of life.</p><p><strong>Discussion: </strong>For emerging adult women and men with a chronic illness, higher perceived maternal distress was associated with poorer psychological adjustment, while lower perceived maternal distress was associated with better psychological adjustment.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231210121"},"PeriodicalIF":1.3,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-10-23DOI: 10.1177/17423953231209462
Nizar B Said, Mohammed Hayek, Aseel E Alsayed
{"title":"The perceived social support, life events, and depressive features among patients with diabetes mellitus.","authors":"Nizar B Said, Mohammed Hayek, Aseel E Alsayed","doi":"10.1177/17423953231209462","DOIUrl":"https://doi.org/10.1177/17423953231209462","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the relationship between life events, perceived social support, and depressive features among people with diabetes.</p><p><strong>Methods: </strong>This study was a cross-sectional design using convenience sampling. Questionnaires were distributed to targeted patients in primary health care services in the Nablus district.</p><p><strong>Questionnaires used were: </strong>The Holmes-Rahe Stress Inventory Scale, The Beck Depression Inventory, and The Multidimensional Scale of Perceived Social Support.</p><p><strong>Results: </strong>About 120 diabetic patients participated in this study. Findings revealed that higher diabetes mellitus prevalence was among older ages (39.2% are 60 years or older). More than half of the participants were smokers. Regarding life events, 53.3% of the patients have a 50% chance of developing major breakdowns in the next two years. Depression was found to be normal among 32.5% of participants, while 22.5% were moderately depressed. More patients had a disagreement that they could find social support from their friends than their family members.</p><p><strong>Discussion: </strong>People with diabetes are affected significantly by life events, depressive features, and perceived social support, hence, further attention is needed accompanied by frequent assessment for such factors for effective diabetes management.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231209462"},"PeriodicalIF":1.3,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-10-16DOI: 10.1177/17423953231209461
Serdar Ceylan, Merve Guner Oytun, Arzu Okyar Baş, Cafer Balci, Meltem Gulhan Halil, Mustafa Cankurtaran, Burcu Balam Doğu
{"title":"How does hospitalization affect the frailty status of geriatric patients? Prospective study from internal medicine wards of a university hospital.","authors":"Serdar Ceylan, Merve Guner Oytun, Arzu Okyar Baş, Cafer Balci, Meltem Gulhan Halil, Mustafa Cankurtaran, Burcu Balam Doğu","doi":"10.1177/17423953231209461","DOIUrl":"https://doi.org/10.1177/17423953231209461","url":null,"abstract":"<p><strong>Objectives: </strong>Frailty is a dynamic process. Frailty in the baseline, discharge, and post-discharge are important in the management of patients. We aimed to see how hospitalization affects frailty and to evaluate its effects on health outcomes.</p><p><strong>Methods: </strong>It was conducted with patients aged 65 and over who were hospitalized in the internal medicine wards of a university hospital. Frailty was evaluated by Clinical Frailty Scale within the first 24 h of hospitalization, within 24 h before discharge, and at third months after discharge.</p><p><strong>Results: </strong>Ninety-six (57.8%) of patients at baseline, 79 (50.6%) at discharge, and 68 (47.9%) at 3 months were frail. According to baseline, 12 (7.7%) patients changed from frail to non-frail at discharge, while 4 (2.6%) patients became frail (<i>p</i> = 0.08). According to the baseline, 18 (12.5%) patients went from frail to non-frail at 3 months, while 7 (4.9%) patients turned frail (<i>p</i> = 0.04). In regression analysis, living with frailty at discharge and low education level increased re-hospitalization. Five or more are considered living with frailty.</p><p><strong>Discussion: </strong>Hospitalization may have positive effects on frailty in older adult patients hospitalized in internal medicine wards, the main effect is seen to be more significant in the post-discharge follow-up.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231209461"},"PeriodicalIF":1.3,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic illness adjustment scale (CIAS): Development and validation.","authors":"Meera Padhy, Meena Hariharan, Prachi Pandey, Riswana Maryam, Varsha Anand","doi":"10.1177/17423953231205911","DOIUrl":"https://doi.org/10.1177/17423953231205911","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study were to (i) develop a self-report instrument to measure adjustment to chronic illness, (ii) evaluate its core structure and (iii) study various psychometric properties in the development of this instrument.</p><p><strong>Method: </strong>The entire process of developing and validating the instrument is conducted in different phases: item writing and content validation; exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to extract dimensions of the instrument; reliability and validity testing. A total of 1095 participants were included in the study. The EFA was run using IBM SPSS 23 and CFA was done by AMOS 21.</p><p><strong>Results: </strong>The Cronbach alpha of the chronic illness adjustment scale was found to be .70. The instrument correlates positively with illness perception and well-being which supports the notion that the chronic illness adjustment scale has satisfactory convergent validity.</p><p><strong>Discussion: </strong>The multifaceted nature of the chronic illness adjustment scale can serve as a global indicator of adjustment to chronic illness, allowing various interventions to flow toward the healthcare arena.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231205911"},"PeriodicalIF":1.3,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-10-06DOI: 10.1177/17423953231205918
Katya Sacco, Lorna M Bonnici West, Lauren M Grech, Janet Krska, Maria Cordina
{"title":"Assessing medication-related burden of community-dwelling individuals with chronic conditions in a small island state.","authors":"Katya Sacco, Lorna M Bonnici West, Lauren M Grech, Janet Krska, Maria Cordina","doi":"10.1177/17423953231205918","DOIUrl":"https://doi.org/10.1177/17423953231205918","url":null,"abstract":"<p><strong>Objectives: </strong>Medication taking in the management of chronic conditions causes a significant burden on individuals. The aim of this study was to explore the medication-related burden in ambulatory adult patients with chronic conditions in Malta.</p><p><strong>Methods: </strong>A cross-sectional survey utilising the living with medicines questionnaire V3 (LMQ V3) was conducted in Maltese residents over the age of 18 years, taking at least 1 medication for a chronic condition and recruited through community events. The overall LMQ score, the domain scores and the visual analog scale data were analysed to determine relationships with the demographic factors.</p><p><strong>Results: </strong>A total of 337 responses were analysed revealing a moderate (42.4%) to high medication (36.8%) related burden. The drivers of medication-related burden were primarily: 'side-effects of prescribed medication' (r = -0.843, <i>p</i> < 0.001), 'attitudes/concerns about medicine use' (r = -0.830, <i>p</i> < 0.001) and 'impact/interferences to day-to-day life' (r = -0.820, <i>p</i> < 0.001). Lack of autonomy to vary the dosage regimen resulted in a higher burden (r = -0.260, <i>p</i> < 0.001). Males experienced an overall higher burden (<i>p</i> = 0.046) especially related to practical difficulties (<i>p</i> = 0.04), cost-related burden (<i>p</i> = 0.04) and side-effects of prescribed medication (<i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>Medication-related burden is complex and multi-faceted as demonstrated by the findings of this study. Healthcare professionals should seek to identify and address factors causing this burden to improve patient outcomes.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231205918"},"PeriodicalIF":1.3,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-10-04DOI: 10.1177/17423953231203906
Amir Jalali, Mohammad Mehdi Mohammadi, Hooman Ghasemi, Niloufar Darvishi, Mahbod Khodamorovati, Khalil Moradi
{"title":"General medication adherence scale in patients with chronic illnesses: Persian translation and psychometric evaluation.","authors":"Amir Jalali, Mohammad Mehdi Mohammadi, Hooman Ghasemi, Niloufar Darvishi, Mahbod Khodamorovati, Khalil Moradi","doi":"10.1177/17423953231203906","DOIUrl":"https://doi.org/10.1177/17423953231203906","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted with the aim of determining the validity and reliability of the Persian version of \"General Medication Adherence Scale (GMAS)\" in chronic patients in Iran.</p><p><strong>Methodology: </strong>The study was conducted among patients with chronic diseases in five hospitals of Iran. In this study, after cultural validation, using the steps of Content, Response Reaction, and Internal structure evaluations, the research sample was increased to 150 individuals for exploratory factor analysis (EFA) and 313 chronic patients for confirmatory factor analysis (CFA) to confirm the construct validity. Cronbach's alpha coefficient was used to assess internal consistency, and test-retest method was used to evaluate the reliability of the tool.</p><p><strong>Findings: </strong>The results of EFA and CFA confirmed the tool with three factors and 11 items. The <i>R</i><sup>2</sup> index in the above model was estimated at 0.99, indicating that 99% of the variation in medication adherence scores in research units was explained by GMAS with 11 items. The main indices of the model in factor analysis were all above 0.9, indicating a good fit for the model.</p><p><strong>Discussion: </strong>Overall, the study results showed that the Persian version of GMAS has acceptable and practical characteristics for evaluating medication adherence, and it can be used as a valid tool in various related fields.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231203906"},"PeriodicalIF":1.3,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-09-26DOI: 10.1177/17423953231203731
Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema
{"title":"Role of self-efficacy on functional limitations among persons with spinal cord injury.","authors":"Muna Bhattarai, Yuki Shigemoto, Susan Miller Smedema","doi":"10.1177/17423953231203731","DOIUrl":"https://doi.org/10.1177/17423953231203731","url":null,"abstract":"<p><strong>Objectives: </strong>Spinal cord injury (SCI) results in mild to severe functional limitations, decreasing a person's ability to perform activities of daily living. This study aims to identify the influence of SCI characteristics and self-efficacy on functional limitations, controlling for sociodemographic factors.</p><p><strong>Methods: </strong>Participants for this cross-sectional descriptive study included 272 persons with SCI. The participants completed questionnaires on sociodemographic information, secondary physical conditions, self-efficacy, and functional limitations, using an online Qualtrics Survey. Multiple hierarchical regression analysis was performed to test the hypothesis.</p><p><strong>Results: </strong>Participants reported higher functional limitations on dressing the lower body and managing their bowels compared to other activities of daily living. The sociodemographics, injury characteristics, and self-efficacy collectively accounted for 66% variance in functional limitations. A higher level of secondary physical conditions and tetraplegia injury contributed to higher functional limitations. As hypothesized, greater self-efficacy significantly contributed to low functional limitations above and beyond sociodemographic and SCI-related variables.</p><p><strong>Discussion: </strong>Functional limitations following SCI are a pervasive challange in persons with SCI. Early recognition and management of secondary conditions and implementation of psychological interventions to strengthen self-efficacy in performing activities and managing secondary complications could potentially enhance functional independence and, ultimately, quality of life in this population.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231203731"},"PeriodicalIF":1.3,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-09-26DOI: 10.1177/17423953231203734
McKenzie K Roddy, Merna El-Rifai, Lauren LeStourgeon, James E Aikens, Ruth Q Wolever, Robert A Greevy, Lindsay S Mayberry
{"title":"Prerandomization withdrawals from a Type 2 diabetes self-care support intervention trial are associated with lack of available support person coparticipant.","authors":"McKenzie K Roddy, Merna El-Rifai, Lauren LeStourgeon, James E Aikens, Ruth Q Wolever, Robert A Greevy, Lindsay S Mayberry","doi":"10.1177/17423953231203734","DOIUrl":"10.1177/17423953231203734","url":null,"abstract":"<p><strong>Objectives: </strong>Dyadic interventions, involving two persons with a preexisting close relationship, offer the opportunity to activate support persons (SPs) to improve health for adults with chronic conditions. Requiring SP coparticipation can challenge recruitment and bias samples; however, the associations between voluntary SP coparticipation and recruitment outcomes across patient characteristics are unknown.</p><p><strong>Methods: </strong>The Family/Friend Activation to Motivate Self-care 2.0 randomized controlled trial (RCT) enrolled adults with Type 2 diabetes (T2D) from an academic health system. Participants were asked-but not required-to invite an SP to coenroll. Using data from the electronic health record we sought to describe RCT enrollment in the setting of voluntary SP coparticipation.</p><p><strong>Results: </strong>In a diverse sample of adults with (T2D) (48% female, 44% minoritized race/ethnicity), most participants (91%) invited SPs and (89%) enrolled with SPs. However, prerandomization withdrawal was significantly higher among participants who did not have consenting SPs than those who did. Females were less likely to invite SPs than males and more Black PWD were prerandomization withdrawals than randomized.</p><p><strong>Discussion: </strong>Voluntary SP coenrollment may benefit recruitment for dyadic sampling; however, more research is needed to understand if these methods systematically bias sampling and to prevent these unintended biases.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231203734"},"PeriodicalIF":1.8,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-09-12DOI: 10.1177/17423953231200681
Abigail Kukay, Cliff McKinney
{"title":"Chronic illness and psychopathology in emerging adults: Moderation by parent-child relationship quality.","authors":"Abigail Kukay, Cliff McKinney","doi":"10.1177/17423953231200681","DOIUrl":"https://doi.org/10.1177/17423953231200681","url":null,"abstract":"<p><strong>Objective: </strong>The current study aimed to better understand how parent-child relationships might moderate the effects of the presence and severity (as measured by physical quality of life) of a chronic illness on psychological problems in emerging adulthood.</p><p><strong>Methods: </strong>The participants included 538 emerging adults (53.5% women) with a mean age of 19.04. The participants completed an online study including chronic illness questions, the World Health Organization Quality of Life-Brief, the Parental Environment Questionnaire, and the Adult Self-Report scale.</p><p><strong>Results: </strong>Endorsing a health condition significantly associated with psychological problems in emerging adult men. The three-way interaction between endorsing a health condition, physical quality of life, and maternal parent-child relationship quality significantly predicted psychological problems in emerging adult men and women. Specifically, higher maternal relationship quality was associated with a weaker relation between psychological problems and having a health condition with a low physical quality of life.</p><p><strong>Discussion: </strong>The emerging adults who reported the most psychological problems also reported having a health condition, low physical quality of life, and low maternal relationship quality, highlighting that the combination of these variables predicted the highest rate of psychological problems. A low maternal relationship quality contributes to poor psychological adjustment while a high maternal relationship quality contributes to good psychological adjustment.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231200681"},"PeriodicalIF":1.3,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic IllnessPub Date : 2023-09-07DOI: 10.1177/17423953231200678
Gina C Rowe, Phyllis McShane, Heather Brennan Congdon, Joan Pittman, Judith Rios
{"title":"Impact on diabetes outcomes and team skills of integrating dietetic services into interprofessional education and teamwork in primary care.","authors":"Gina C Rowe, Phyllis McShane, Heather Brennan Congdon, Joan Pittman, Judith Rios","doi":"10.1177/17423953231200678","DOIUrl":"https://doi.org/10.1177/17423953231200678","url":null,"abstract":"<p><strong>Objectives: </strong>Diabetes is a complex disease requiring daily self-management of diet and activity, yet many patients do not receive recommended self-management education, medical nutrition therapy, or team-based care that includes registered dietitian nutritionists (RDNs). Such service deficits contribute to challenges in meeting combined diabetes care goals. We evaluated the impact of adding RDN-supervised dietetic interns to an established primary care interprofessional education/teamwork model on patients' clinical outcomes and health professions students' team skills.</p><p><strong>Methods: </strong>Electronic health records were retrospectively analyzed to evaluate the impact of interprofessional care teams including dietetic practitioners on patient outcomes and compare these changes to outcomes achieved with the previous model without such participation. Pre-test/post-test surveys were used to evaluate health professions students' self-reported changes in team skills.</p><p><strong>Results: </strong>Patient outcomes for glycemic control, systolic blood pressure, triglycerides, and depression improved significantly, and emergency department visits decreased by 79% after interprofessional care. Average hemoglobin A1c levels decreased from 11.6% to 8.3% (<i>p</i> < .001), an additional 1.1% reduction over previous results, following incorporation of dietetic practitioners. Students reported increased team skills after interprofessional care participation.</p><p><strong>Discussion: </strong>Health professions and dietetic program faculty should collaborate to develop interprofessional best practice primary care models for patients with diabetes.</p>","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231200678"},"PeriodicalIF":1.3,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}