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Mamman R, Grewal J, Garrone JN, Schmidt J. Biopsychosocial factors of quality of life in individuals with moderate to severe traumatic brain injury: a scoping review. Qual Life Res 2024; 33:877-901. [PMID: 37925675 PMCID: PMC10972932 DOI: 10.1007/s11136-023-03511-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/24/2023] [Indexed: 11/07/2023]
Abstract
PURPOSE Individuals with moderate to severe traumatic brain injury (TBI) experience changes in their quality-of-life (QOL) post-injury. Given the vast literature that exists about QOL after TBI, a scoping review was performed to identify the different biopsychosocial factors that affect a person's QOL after a moderate to severe TBI. METHODS A scoping review was conducted using the following electronic databases: MEDLINE, CINAHL, Embase, and PsycINFO. Terms relating to TBI and QOL were used. RESULTS There were 7576 articles obtained from the databases, resulting in 535 full-text articles. Ultimately, 52 articles were extracted, which consisted of biopsychosocial QOL factors after TBI. The biopsychosocial factors of QOL after TBI included 19 biological factors (i.e., sex, TBI severity, cognition), 16 psychological factors (i.e., depression, self-efficacy, coping styles), and 19 social factors (i.e., employment, social participation, social support). Factors such as fatigue, self-awareness, transition, and discharge from hospitals are known issues in TBI literature but were minimally reported in studies in this review, identifying them as potential gaps in research. CONCLUSION Identifying biopsychosocial factors relating to QOL after TBI can enable health services to develop targeted rehabilitation programs for individuals with TBI.
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Affiliation(s)
- Rinni Mamman
- Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada
- Rehabilitation Research Program, Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, Canada
| | - Jasleen Grewal
- Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada
- Rehabilitation Research Program, Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, Canada
| | | | - Julia Schmidt
- Rehabilitation Research Program, Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, Canada.
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
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Swift SL, Leyva Y, Wang S, Chang CCH, Dew MA, Shapiro R, Unruh M, Kendall K, Croswell E, Peipert JD, Myaskovsky L. Are cultural or psychosocial factors associated with patient-reported outcomes at the conclusion of kidney transplant evaluation? Clin Transplant 2022; 36:e14796. [PMID: 35988025 PMCID: PMC9772103 DOI: 10.1111/ctr.14796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/30/2022] [Accepted: 07/08/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND Kidney transplant evaluation (KTE) is a period marked by many stressors for patients, which may lead to poorer patient-reported outcomes (PROs). Research on the association of cultural and psychosocial factors with PROs during KTE is lacking, even though cultural and psychosocial variables may mitigate the relationship between acceptance status and PROs. METHODS Using a prospective cohort study of 955 adults referred for KTE, we examined whether cultural factors and psychosocial characteristics, assessed at the initiation of KTE, are associated with PROs at KTE completion, controlling for demographics and medical factors. Also, we analyzed whether these factors moderate the relationship between transplant acceptance status and PROs. RESULTS In multivariable regression models, a stronger sense of mastery was associated with higher physical and mental QOL. A stronger sense of self-esteem was associated with higher kidney-specific QOL. Depression was associated with a lower mental QOL, but only in those who were accepted for transplant. Having low levels of external locus of control was associated with better mental QOL in those who were not accepted for transplant. Higher anxiety was associated with poorer kidney-specific QOL among those who were not accepted for KT, but trust in physician was only associated with greater satisfaction in transplant clinic service for those who were accepted for KT. CONCLUSIONS Targeting interventions to increase patient mastery and external locus of control, and reduce depression and anxiety in patients undergoing kidney transplant evaluation may be useful approaches to improve their experience during this stressful period.
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Affiliation(s)
- Samuel L. Swift
- Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Sciences Center
- SS now at New Mexico Department of Health, Epidemiology
| | - Yuri Leyva
- Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Sciences Center
| | - Shu Wang
- Department of Biostatistics, University of Florida
| | - Chung-Chou H. Chang
- Department of Biostatistics, University of Pittsburgh, Graduate School of Public Health
- Department of Medicine, University of Pittsburgh, School of Medicine
| | - Mary Amanda Dew
- Department of Psychiatry, University of Pittsburgh, School of Medicine
| | - Ron Shapiro
- Mount Sinai Recanati/Miller Transplantation Institute, Icahn School of Medicine
| | - Mark Unruh
- Department of Internal Medicine, University of New Mexico, School of Medicine
| | | | - Emilee Croswell
- Department of Psychiatry, University of Pittsburgh, School of Medicine
| | - John Devin Peipert
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University
- Northwestern University Transplant Outcomes Research Collaboration (NUTORC), Feinberg School of Medicine, Northwestern University
| | - Larissa Myaskovsky
- Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Sciences Center
- Department of Internal Medicine, University of New Mexico, School of Medicine
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Fishere M, Bartoli E. COVID-19 and risk of retraumatization in adults with a past exposure to potentially traumatic events: A cross-cultural exploration across Egypt, Germany, and Italy. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2578-2596. [PMID: 35143056 PMCID: PMC9088242 DOI: 10.1002/jcop.22815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 01/28/2022] [Accepted: 01/30/2022] [Indexed: 05/30/2023]
Abstract
AIMS This study aims to: (1) explore the links between past exposure to potentially traumatic events, fear of contracting COVID-19 and perceived stress; (2) investigate how the exposure to traumagenic experiences affects one's locus of control over their health; and (3) examine fear, stress reactions and differences in health locus of control across three different sociocultural contexts. METHODS A total of 524 adult participants were recruited from Egypt, Germany, and Italy through online channels. Self-reporting instruments were used to assess previous exposure to potentially traumatic events, PTSD symptoms, fear of COVID-19, perceived stress, and health locus of control. RESULTS Our findings highlight differences in reaction to COVID-19 in relation to past exposure to potentially traumatic events and country of residence, both of which may inform tailored community-based intervention practices. CONCLUSION The impact of COVID-19 might be particularly disruptive for people who survived potentially traumatic experiences. Nevertheless, the mass mental health impact of the COVID-19 pandemic varies across different sociocultural contexts.
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Affiliation(s)
- Mariam Fishere
- Department of PsychologyGoethe UniversityFrankfurtGermany
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Aghvinian M, Morris EP, Savin MJ, Summers AC, Crook CL, Stiver J, Gonzalez J, Byrd D, Rivera Mindt M. Health Locus of Control and Neurocognitive Function in Latinx and Non-Latinx White People Living With HIV: A Cross-sectional Study. J Assoc Nurses AIDS Care 2022; 33:248-258. [PMID: 34265825 PMCID: PMC8741820 DOI: 10.1097/jnc.0000000000000286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
ABSTRACT Research suggests that health locus of control (HLOC) is related to important health and neurocognitive outcomes in people living with HIV. However, the role of ethnicity in these relationships remains poorly understood. This study explored the role of HLOC on neurocognition in a diverse sample of 134 people living with HIV (Latinx: n = 96; non-Latinx White: n = 38) who completed comprehensive neurocognitive evaluations and the Multidimensional HLOC Scale-Form C. Results indicate no ethnocultural differences in HLOC beliefs (ps > .05). External HLOC (i.e., chance and powerful others) related to worse neurocognition in the Latinx group and contributed to significant variance in global neurocognition and learning, memory, and verbal fluency, underscoring the role of external HLOC beliefs on neurocognition, particularly for Latinx individuals. Additional research is needed to better characterize the mechanistic relationship between HLOC beliefs and neurocognitive function and to further explore this relationship among other underrepresented populations also disproportionately affected by HIV.
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Affiliation(s)
- Maral Aghvinian
- Maral Aghvinian, MA, is a Doctoral Student, Clinical Psychology Program, Fordham University, Bronx, New York, USA. Emily P. Morris, MS, is a Doctoral Student, Clinical Science Program, University of Michigan, Detroit, Michigan, USA. Micah J. Savin, MA, Angela C. Summers, MA, Cara L. Crook, MA, and Jordan Stiver, MA, are Doctoral Students, Clinical Psychology Program, Fordham University, Bronx, New York, USA. Jairo Gonzalez, PsyD, is a Clinical Psychologist, Icahn School of Medicine at Mount Sinai, New York City, New York, USA. Desiree Byrd, PhD, ABPP, is a Board-Certified Clinical Neuropsychologist, Icahn School of Medicine at Mount Sinai, New York City, New York, USA, and is an Associate Professor, Queens College, Queens, New York, USA. Monica Rivera Mindt, PhD, ABPP, is a Board-Certified Clinical Neuropsychologist, Icahn School of Medicine at Mount Sinai, New York City, New York, USA, and is a Professor of Psychology, Fordham University, Bronx, New York, USA
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Ghahremani L, Shirdel T, Nazari M, Kaveh MH. Association between parents and peer attachment with health locus of control: a cross-sectional study among Iranian adolescents. Int J Adolesc Med Health 2020; 33:533-537. [PMID: 34898138 DOI: 10.1515/ijamh-2019-0238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 02/13/2020] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Evidence suggests that the quality of family relationships is associated with health locus of control in family members. The present study aimed to determine the correlation between the health locus of control and adolescent-parent attachment. MATERIALS AND METHODS In this descriptive, analytical cross-sectional study, at each of these 10 schools, 40 students aged 14 and 15, will be randomly selected among Behbahan middle schools. 400 students were selected. Rotters Locus of Control Scale and the Inventory of Parent and Peer Attachment (IPPA) were used for data collection. Data were analyzed using SPSS software and Pearson correlation coefficient, t-test and ANOVA statistical techniques. RESULTS Findings showed that the mean and standard deviation of attachment level to father (95.97±19.66), mother (99.62±15.60) friends (93.78±17.59) were all high. Between source of health control (intrinsic, affective, and luck), parental attachment and peers have predictive power (beta=0.263, p≤0.001). CONCLUSION According to the findings, to increase attachment to parents, it is better that Intervention should also be carried out on the father and the mother and health Locus control will be increased.
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Affiliation(s)
| | - Tiam Shirdel
- Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahin Nazari
- Shiraz University of Medical Sciences, Shiraz, Iran
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Ambridge J, Fleming P, Henshall L. The influence of self-compassion on perceived responsibility and shame following acquired brain injury. Brain Inj 2020; 34:945-957. [PMID: 32500754 DOI: 10.1080/02699052.2020.1763466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
PRIMARY OBJECTIVE The purpose of this study was to investigate the influence of perceived personal responsibility for an acquired ABI (ABI) on shame, and whether self-compassion moderates this relationship. We hypothesized that people who perceived themselves to be responsible for their injury would have high levels of shame and poorer recovery outcomes. RESEARCH DESIGN A mixed-methods design was employed using both standardized measures and a series of open questions. METHODS AND PROCEDURES 66 participants with ABI were included in the analysis. Data were analyzed using descriptive statistics, correlations, multiple regression, and thematic analysis. MAIN OUTCOMES AND RESULTS Significant relationships were found between self-compassion, shame, anxiety, and depression, but perceived responsibility for ABI was not correlated with any examined variables. Due to issues with the measurement of responsibility, it was not possible to complete all proposed forms of analysis. The thematic analysis revealed the ways participants' injuries affected their perceived level of functioning, its consequences for sense of self, shame, and self-compassion. CONCLUSIONS This study concluded that people with ABI might experience shame with respect to the injury's impact on functioning. Study limitations and implications for providing therapeutic interventions such as Compassion Focused Therapy and Acceptance and Commitment Therapy are discussed.
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Affiliation(s)
- Jade Ambridge
- Clinical Psychology Doctorate Programme, Faculty of Health Sciences, University of Hull , Hull, UK
| | - Peter Fleming
- Clinical Psychology Doctorate Programme, Faculty of Health Sciences, University of Hull , Hull, UK
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Hunt C, Zahid S, Ennis N, Michalak A, Masanic C, Vaidyanath C, Bhalerao S, Cusimano MD, Baker A. Quality of life measures in older adults after traumatic brain injury: a systematic review. Qual Life Res 2019; 28:3137-3151. [PMID: 31522371 PMCID: PMC6864113 DOI: 10.1007/s11136-019-02297-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2019] [Indexed: 12/31/2022]
Abstract
BACKGROUND On average older adults experiencing TBI are hospitalized four times as often, have longer hospital stays, and experience slower recovery trajectories and worse functional outcomes compared to younger populations with the same injury severity. A standard measure of Qol for older adults with TBI would facilitate accurate and reliable data across the individual patient care continuum and across clinical care settings, as well as support more rigorous research studies of metadata. PURPOSE The aim of this systematic review was to investigate patient reported Qol measures in studies with older adults post TBI. METHOD A systematic review was carried out focusing on the various tools to measure Qol in older adults, ≥ 65 years of age with a diagnosis of TBI. Data bases searched included Medline, Embase, PubMed, CINAHL, and PsychInfo from date of inception to September 25, 2017. RESULTS A total of 20 articles met the inclusion criteria. Nine different tools were identified. CONCLUSIONS Findings based on the comparison of reliability and construct validity of the Qol measures reported in this review suggest that no single instrument is superior to all others for our study population. Future research in this field should include the enrollment of larger study samples of older adults. Without these future efforts, the ability to detect an optimal Qol measure will be hindered.
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Affiliation(s)
- Cindy Hunt
- Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael’s Hospital, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada
| | | | - Naomi Ennis
- Department of Psychology, Ryerson University, Toronto, ON Canada
| | - Alicja Michalak
- Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael’s Hospital, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada
| | - Cheryl Masanic
- St. Michael’s Head Injury Clinic and UHN Toronto Rehabilitation Clinic Toronto, Toronto, ON Canada
| | - Chantal Vaidyanath
- St. Michael’s Head Injury Clinic and UHN Toronto Rehabilitation Clinic Toronto, Toronto, ON Canada
| | | | - Michael D. Cusimano
- Department of Surgery, Division of Neurosurgery, Injury Prevention Research Office, Keenan Research Centre, St. Michael’s Hospital, University of Toronto, Toronto, ON Canada
| | - Andrew Baker
- Departments of Anesthesia and Critical Care, Keenan Research Centre for Biomedical Science, St. Michael’s Hospital Toronto, University of Toronto, Toronto, ON Canada
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Lee J, Kim Y, Kim S, Kim Y, Lee YJ, Sohn YH. Unmet needs of people with Parkinson's disease: A cross-sectional study. J Adv Nurs 2019; 75:3504-3514. [PMID: 31287176 DOI: 10.1111/jan.14147] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Revised: 05/04/2019] [Accepted: 06/25/2019] [Indexed: 12/28/2022]
Abstract
AIMS To identify the type and extent of unmet needs in people with Parkinson's disease and to examine the impact of health locus of control and family support on these needs. DESIGN A cross-sectional study. METHODS This study was conducted from October 2015 - February 2016 in Korea. Data were collected through questionnaires focusing on unmet needs, health locus of control, family support and clinical features. RESULTS Therapeutic needs represented the highest percentage of unmet needs in people with Parkinson's disease (85.05%), followed by social/spiritual/emotional needs (82.72%). Physical needs were the lowest reported score (75.01%). Unmet needs were more frequent in those with more severe non-motor symptoms. Also, higher family support, internal locus of control and doctor locus of control were correlated with more unmet needs. CONCLUSION Understanding factors that determine the type and degree of unmet needs in people with PD is important to provide appropriate nursing care. The findings of this study can be used for providing nursing interventions reflecting unmet needs and reducing their unmet needs to improve the overall well-being of people with PD. IMPACT This study addressed unmet needs unmet needs specific to Parkinson's disease with respect to their nursing needs. Therapeutic needs were the highest unmet needs in people with PD, followed by social/spiritual/emotional needs, need for certainty and physical needs. The findings may be useful for nurses to identify the unmet needs of people with PD which need to be addressed. By reflecting on unmet needs, nurses can give personally tailored nursing care.
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Affiliation(s)
- JuHee Lee
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
| | - YonJi Kim
- Graduate School, College of Nursing, Yonsei University, Seoul, South Korea
| | - SungHae Kim
- Graduate School, College of Nursing, Yonsei University, Seoul, South Korea
| | - Yielin Kim
- Graduate School, College of Nursing, Yonsei University, Seoul, South Korea
| | - Young Joo Lee
- College of Nursing, Daegu Catholic University, Gyeongsan, South Korea
| | - Young Ho Sohn
- Department of Neurology, Yonsei University College of Medicine, Seoul, South Korea
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Abstract
Quality of life (QoL) following a physical trauma is still insufficiently known from a patient perspective. The aim of this study was to qualitatively report perceived changes in QoL after trauma. Focus groups were conducted. Patients admitted to the hospital were eligible for inclusion if they had a lower extremity trauma, severe injuries, or severe traumatic brain injury (TBI). Patients 75 years or older were invited. To analyze the perceived changes in QoL, open coding was used. Patients (n = 20, M = 55 years) reported comparable consequences. In the first month posttrauma, physical limitations, independency, pain, and anxiety predominated. Later, patients experienced problems with acceptance. The patients' feelings of the need to have control over their own situation, their own expectations, and a social network were related to QoL. Compared with the other patient groups, TBI patients reported more psychosocial consequences, and elderly patients reported more difficulties in performing (social) activities. Quality of health care was considered an important aspect in the patients' perceived QoL, and adequate aftercare was missed according to the patients. The impact of a trauma influences QoL in different health domains. Further improving the quality of aftercare may positively influence trauma patients' perceived QoL. These results indicated that TBI patients and elderly patients deserve specific attention regarding QoL.
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Abstract
Traumatic brain injuries (TBIs) are clinically grouped by severity: mild, moderate and severe. Mild TBI (the least severe form) is synonymous with concussion and is typically caused by blunt non-penetrating head trauma. The trauma causes stretching and tearing of axons, which leads to diffuse axonal injury - the best-studied pathogenetic mechanism of this disorder. However, mild TBI is defined on clinical grounds and no well-validated imaging or fluid biomarkers to determine the presence of neuronal damage in patients with mild TBI is available. Most patients with mild TBI will recover quickly, but others report persistent symptoms, called post-concussive syndrome, the underlying pathophysiology of which is largely unknown. Repeated concussive and subconcussive head injuries have been linked to the neurodegenerative condition chronic traumatic encephalopathy (CTE), which has been reported post-mortem in contact sports athletes and soldiers exposed to blasts. Insights from severe injuries and CTE plausibly shed light on the underlying cellular and molecular processes involved in mild TBI. MRI techniques and blood tests for axonal proteins to identify and grade axonal injury, in addition to PET for tau pathology, show promise as tools to explore CTE pathophysiology in longitudinal clinical studies, and might be developed into diagnostic tools for CTE. Given that CTE is attributed to repeated head trauma, prevention might be possible through rule changes by sports organizations and legislators.
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Rideout A, Tolmie E, Lindsay G. Health locus of control in patients undergoing coronary artery surgery - changes and associated outcomes: a seven-year cohort study. Eur J Cardiovasc Nurs 2016; 16:46-56. [PMID: 26957513 DOI: 10.1177/1474515116636501] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
INTRODUCTION Health locus of control is a measure of an individual's beliefs in factors that are thought to determine health experiences. Scores are generated and form a graduated linear scale from external to internal control, with respect to their views on health causality. Health locus of control has been considered to be a relatively stable entity. However, it is not clear if this status changes in the advent of serious health challenges, such as coronary artery bypass graft surgery. The aim of this study is to explore the variability of health locus of control and its association with postoperative health in this context. METHODS In a longitudinal cohort study of patients undergoing coronary artery bypass graft surgery, a purposive sample ( n=215) were recruited from the waiting list and followed up postoperatively, at approximately one year and seven years later. RESULTS Patients undergoing coronary artery bypass graft surgery demonstrated marked fluctuations in health locus of control in their peri-operative and rehabilitative phases. Mean health locus of control became more external (often associated with poorer outcomes) peri-operatively, and more internal (generally associated with better health outcomes) in the rehabilitative period. CONCLUSIONS Health locus of control scores were shown to be changeable during a major health care intervention, with possible consequences for patient outcomes and care needs. The significant health belief upheaval demonstrated in this cohort should be considered in assessing patients preoperatively, and managed as part of the patients' clinical journey by both acute and rehabilitation staff. It is likely to have particular importance in individualised assessment and management of future prevention advice for patients.
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Affiliation(s)
- Andrew Rideout
- 1 NHS Dumfries & Galloway, UK.,2 School of Health & Life Sciences, Glasgow Caledonian University, UK
| | | | - Grace Lindsay
- 2 School of Health & Life Sciences, Glasgow Caledonian University, UK.,4 Umm Al-Qura University, Saudi Arabia
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