Wippold GM, Roncoroni J. Hope and health-related quality of life among chronically ill uninsured/underinsured adults.
JOURNAL OF COMMUNITY PSYCHOLOGY 2020;
48:576-589. [PMID:
31705823 DOI:
10.1002/jcop.22270]
[Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 09/26/2019] [Accepted: 10/13/2019] [Indexed: 06/10/2023]
Abstract
AIMS
Uninsured/underinsured individuals with chronic health conditions report low health-related quality of life. Empowerment-based strategies (e.g., hope) may improve the health-related quality of life of uninsured/underinsured individuals with chronic health conditions by enabling them to take charge of their health.
METHODS
The present study used structural equation modeling to examine the relationships among number of chronic health conditions, the components of hope (i.e., agency and pathways), and the health-related quality of life of 197 uninsured/underinsured adults in the United States living with at least one chronic health condition.
RESULTS
Results indicate that number of chronic health conditions negatively impacted health-related quality of life and that agency significantly mediated that relationship.
CONCLUSIONS
Results from this study can be used to promote health-related quality of life by empowering individuals to take charge of their lives despite their unique contextual circumstances.
Collapse