3 research outputs found
Development and initial testing of the selfâcare of chronic illness inventory
Aim
The aim was to develop and psychometrically test the selfâcare of chronic illness Inventory, a generic measure of selfâcare.
Background
Existing measures of selfâcare are diseaseâspecific or behaviourâspecific; no generic measure of selfâcare exists.
Design
Crossâsectional survey.
Methods
We developed a 20âitem selfâreport instrument based on the Middle Range Theory of SelfâCare of Chronic Illness, with three separate scales measuring SelfâCare Maintenance, SelfâCare Monitoring, and SelfâCare Management. Each of the three scales is scored separately and standardized 0â100 with higher scores indicating better selfâcare. After demonstrating content validity, psychometric testing was conducted in a convenience sample of 407 adults (enrolled from inpatient and outpatient settings at five sites in the United States and ResearchMatch.org). Dimensionality testing with confirmatory factor analysis preceded reliability testing.
Results
The SelfâCare Maintenance scale (eight items, two dimensions: illnessârelated and healthâpromoting behaviour) fit well when tested with a twoâfactor confirmatory model. The SelfâCare Monitoring scale (five items, single factor) fitted well. The SelfâCare Management scale (seven items, two factors: autonomous and consulting behaviour), when tested with a twoâfactor confirmatory model, fitted adequately. A simultaneous confirmatory factor analysis on the combined set of items supported the more general model.
Conclusion
The selfâcare of chronic illness inventory is adequate in reliability and validity. We suggest further testing in diverse populations of patients with chronic illnesses
Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review
Background
Activity monitoring devices are currently being used to facilitate and monitor physical activity. No prior review has examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease.
Methods
Literature from June 2012 to October 2017 was evaluated to examine the extent of adherence to any activity monitoring device used to collect objective physical activity data. Randomized control trials comparing usual care against the use of an activity monitoring device, in a community intervention for adults from any cardiovascular diagnostic group, were included. A systematic search of databases and clinical trials registers was conducted using Joanna Briggs Institute methodology.
Results
Of 10 eligible studies, two studies reported pedometer use and eight accelerometer use. Six studies addressed the primary outcome. Mean adherence was 59.1% (range 39.6% to 85.7%) at last follow-up. Studies lacked equal representation by gender (28.6% female) and age (range 42 to 82 years).
Conclusion
This review indicates that current research on activity monitoring devices may be overstated due to the variability in adherence. Results showed that physical activity tracking in women and in young adults have been understudied
Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study
Introduction
Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering.
Methods
Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9.
Results
Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems.
Conclusions
Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men