المؤلفون: Fia'Ali'i, Jessee¹, Law, Mikaela¹, O'Donovan, Claire¹, Skinner, Jonathan R.², Broadbent, Elizabeth¹ e.broadbent@auckland.ac.nz

المصدر: Psychology & Health. Jun2024, Vol. 39 Issue 6, p728-748. 21p.

مصطلحات موضوعية: *PSYCHOLOGY of cardiac patients, *CARDIOVASCULAR diseases, *QUALITATIVE research, *INDIGENOUS peoples, *PACIFIC Islanders, *INTERVIEWING, *CULTURE, *PRIVACY, *FAMILY history (Medicine), *MAORI (New Zealand people), *EXPERIENCE, *THEMATIC analysis, *RESEARCH methodology, *SPIRITUALITY, *PHENOMENOLOGY, *HEALTH equity, *PSYCHOSOCIAL factors, *PATIENTS' attitudes, *MEDICAL ethics, *SYMPTOMS

مستخلص: Cardiac inherited diseases can have considerable psychosocial effects, including lifestyle limitations, anxiety and depression. Most research to date on patient experiences of CID has been conducted with people from Western cultures, yet culture can shape patient views and experiences of health. The aim of this research was to explore the experiences and perspectives of Māori and Pasifika living with a cardiac inherited disease (CID). Semi-structured interviews were conducted with 14 Māori and 14 Pasifika patients living with a cardiac inherited disease and seven of their family members, using Talanoa and Kaupapa Māori methodologies. Themes from the interviews were identified using interpretative phenomenological analysis. Three common themes were identified as important in shaping participants' perceptions and experiences of CID: (1) difficulty in understanding the disease as separate from symptoms, (2) considering ancestors and future generations and (3) the role of spirituality and religion. This study highlights a gap between indigenous patients' understanding of CID and the western biomedical approach. Patients' understanding and treatment behaviours depend on symptoms, familial ties and spirituality. The findings support the need for transparency and culturally appropriate practices in healthcare. Considering these aspects may help to reduce health inequities for these populations. [ABSTRACT FROM AUTHOR]

المؤلفون: Hamborg, Trine Grønbek¹ (AUTHOR) trgh@regionsjaelland.dk, Tang, Lars Hermann^1,2 (AUTHOR), Andersen, Rune Martens^1,2 (AUTHOR), Skou, Søren T.^1,3 (AUTHOR), Simonÿ, Charlotte^1,2 (AUTHOR)

المصدر: Disability & Rehabilitation: Assistive Technology. May2024, Vol. 19 Issue 4, p1718-1728. 11p.

مصطلحات موضوعية: *CARDIOVASCULAR disease prevention, *PSYCHOLOGY of cardiac patients, *QUALITATIVE research, *RESEARCH funding, *DIGITAL health, *PHILOSOPHY, *EXPERIENCE, *PHENOMENOLOGY, *INTERPERSONAL relations, *PHYSICAL activity, *CARDIAC rehabilitation, *PATIENTS' attitudes

مستخلص: To explore patients with cardiovascular diseases' lived experiences of the support given by a text message intervention focusing on the maintenance of physical activity after supervised cardiac rehabilitation. In a qualitative study, participants from the feasibility trial FAIR were interviewed individually twice to disclose their lived experiences during and after the trial. Transcribed interviews were analysed based on a phenomenological-hermeneutic method, inspired by Paul Ricoeur's philosophy on narrative and interpretation. Interviews of eight patients with cardiovascular disease (3 females, median age 57 years (range 37 to 74 years)) revealed two themes, The FAIR intervention as a bridge builder in the transition to being physically active in everyday life and Meaningful conditions for maintaining physical activity. Action plans guided physical activity, while text messages facilitated actions and left an impression of still being under supervision. A frame of reference with physical activity, family, being monitored, having to report back, and getting feedback, were incentives for being physically active. From a patient perspective, the text message intervention in the feasibility trial FAIR was valuable to support the maintenance of physical activity in the transition from a supervised exercise-based cardiac rehabilitation programme to everyday life on an individual basis. Participants experienced the intervention to hold their hands in changing behaviour and redefining themselves. Yet, there is an extended need for belonging and personal interactions in future interventions. Patients with cardiovascular disease experience a need for support to maintain physical activity after completing a supervised rehabilitation programme, which is not a part of standard practice In a sample of patients with cardiovascular disease, a text message intervention was experienced to provide useful support in the transition from supervised cardiac rehabilitation to being physically active in everyday life Changing behaviour is challenging, and digital health interventions give the advantage of influencing health behaviour in real-time with the potential to reach a vast population [ABSTRACT FROM AUTHOR]

المؤلفون: Hutchens, Jane, Frawley, Jane, Sullivan, Elizabeth A.

المصدر: International Journal of Qualitative Studies on Health & Well-Being; Dec2023, Vol. 18 Issue 1, p1-15, 15p

مصطلحات موضوعية: HEART disease prognosis, SELF advocacy, ATTITUDES of mothers, PSYCHOLOGY of mothers, PSYCHOLOGY of cardiac patients, RESEARCH methodology, PREGNANT women, INTERVIEWING, PATIENTS' attitudes, QUALITATIVE research, PUERPERIUM, RESEARCH funding, EMPIRICAL research, THEMATIC analysis, HEART diseases, WOMEN'S health, PREGNANCY

مصطلحات جغرافية: AUSTRALIA

مستخلص: Purpose: Patient self-advocacy is valued and promoted; however, it may not be readily accessible to all. This analysis examines the experiences of women in Australia who had cardiac disease in pregnancy or the first year postpartum through the lenses of self-advocacy and gender, specifically seeking to elaborate on the contexts, impacts, barriers, and women's responses to the barriers to self-advocacy. Method: A qualitative study design was used. Twenty-five women participated in semistructured in-depth interviews. Data were analysed using thematic analysis. Results: Analysis of findings generated the following themes: 1) Silent dream scream, 2) Easier said than done, 3) Crazy-making, and 4) Concentric circles of advocacy. Regardless of women's personal attributes, knowledge and experience, self-advocating for their health was complex and difficult and had negative cardiac and psychological outcomes. Conclusion: While the women encountered significant barriers to self-advocating, they were resilient and ultimately developed strategies to be heard and to advocate on their own behalf and that of other women. Findings can be used to identify ways to support women to selfadvocate and to provide adequately resourced and culturally safe environments to enable healthcare professionals to provide person-centred care. [ABSTRACT FROM AUTHOR]

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المؤلفون: Birkhoff, Susan D.^1,2 Susan.Birkhoff@ChristianaCare.org, McCulloh Nair, Julie^1,3, Bald, Kelly⁴, Frankum, Tracey⁵, Sanchez, Sophie R.⁶, Salvatore, Alicia L.⁷

المصدر: Home Health Care Services Quarterly. Apr-Jun2021, Vol. 40 Issue 2, p105-120. 16p.

مصطلحات موضوعية: *HOME care services, *PSYCHOLOGY of cardiac patients, *RESEARCH methodology, *INTERVIEWING, *PATIENT satisfaction, *PATIENTS' attitudes, *DESCRIPTIVE statistics, *RESEARCH funding, *DATA analysis software, *THEMATIC analysis, *TELENURSING, *HEART failure

مستخلص: The COVID-19 pandemic created an opportunity to incorporate nurse-led virtual home care visits into heart failure patients' plan of care. As a supplemental nurse visit to traditional in-person home visits, the Virtual Nurse Visit (VNV) service was deployed using Zoom teleconferencing technology enabling telehealth nurses to remotely communicate, assess, and educate their patients. This mixed methods study explored heart failure patients' abilities, experience, and satisfaction to use and adopt a virtual nurse visit. Sociodemographic, semi-structured interview questions, and the System Usability Scale data were collected. Thirty-four participants completed the study. Over half of participants perceived the VNV usable and four qualitative themes emerged: perceived safety during COVID-19, preferences for care delivery, user experiences and challenges, and satisfaction with the VNV service. Findings from this study builds the science around telehealth that will inform future studies examining this type of nurse-led virtual visit and subsequent patient outcomes. [ABSTRACT FROM AUTHOR]

المؤلفون: Scholz, Kathrin, van Oorsouw, Roel, Hermsen, Sander, Hoogeboom, Thomas J.

المصدر: European Journal of Physiotherapy; Feb2023, Vol. 25 Issue 1, p13-19, 7p

مصطلحات موضوعية: CARDIOVASCULAR disease treatment, CARDIOLOGY, PILOT projects, NURSES' attitudes, FOCUS groups, CONFIDENCE intervals, PATIENT autonomy, RESEARCH methodology, PSYCHOLOGY of cardiac patients, MEDICAL care, INTERVIEWING, CARDIOVASCULAR system, PHYSICAL activity, HUMAN services programs, PATIENTS' attitudes, SELF-efficacy, QUESTIONNAIRES, DESCRIPTIVE statistics, HEALTH behavior, THEMATIC analysis, DATA analysis software, HEALTH promotion, BEHAVIOR modification, PHYSICAL therapists' attitudes, LONGITUDINAL method, SOCIAL psychology

مستخلص: To examine the feasibility and potential effectiveness of a behavioural intervention to increase physical activity in patients admitted to the cardiology ward. In this proof-of concept study, we developed an intervention supporting self-efficacy and diminishing inertia by means of autonomy support and action planning. Data collection took place from April till July 2018, including a three-week intervention period. Feasibility was assessed with a semi-structured interview among patients (n = 34), a survey among nurses (n = 20), and a focus group among physical therapists (n = 4). Potential effectiveness was assessed as change in action planning, autonomy support and self-efficacy (determined using psychological questionnaires) in 30 patients, and change in physical activity (determined using behavioural mapping) before (n = 90) and after (n = 83) implementation. Feasibility of the behavioural intervention was deemed adequate by patients, nurses and physical therapists. Potential effectiveness was demonstrated by an increase in action planning (mean difference: 1.76; 95%-CI: 0.92–2.60), autonomy support (0.84; 0.35–1.34) and self-efficacy (0.57; 0.11–1.03). Patients in the after-group spent less time lying down (-5.96; −8.86 to −2.86) and more time standing/walking (3.34; 1.82–4.87). The developed behavioural intervention appears to be feasible in daily clinical practice and may enhance relevant psychological determinants and physical activity in patients admitted to the cardiology ward. [ABSTRACT FROM AUTHOR]

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المؤلفون: Nwosu, Winifred Onyinyechi, Rajani, Ronak, McDonaugh, Theresa, Driscoll, Elizabeth, Hughes, Lyndsay D.

المصدر: Psychology, Health & Medicine; Jul2022, Vol. 27 Issue 6, p1381-1396, 16p, 1 Diagram, 4 Charts

مصطلحات موضوعية: CAREGIVER attitudes, SOCIAL participation, PSYCHOLOGY of cardiac patients, CROSS-sectional method, RESEARCH methodology, INTERVIEWING, DIET, MENTAL health, PATIENTS' attitudes, QUALITATIVE research, QUALITY of life, HEALTH behavior, MENTAL depression, THEMATIC analysis, SMOKING, ANXIETY, HEART failure, BEHAVIOR modification

مستخلص: Heart failure (HF) is a syndrome associated with high mortality and morbidity. HF patients tend to be at a high risk of poor clinical and psychosocial outcomes. This study aimed to capture patients' and carers perspectives of HF, the impact on their health reported QoL, and the factors associated with their poor health outcomes. To explore HF patients' and carers' views on their QoL since diagnosis. This study used a cross-sectional, qualitative design with semi-structured interviews conducted with participating patients and carers. Thirteen adults (> 18 years) with HF and 21 carers were interviewed over the telephone, following a semi-structured interview schedule. Interviews were transcribed verbatim and analysed using inductive thematic analysis. Three main themes were identified, with an overarching theme. Themes included impact on patients' lifestyle including diet, smoking and inability to part-take in social activities, adjusting to HF diagnosis and co-morbidity management, and psychological/mental health issues such as anxiety and depression. Patients with HF are at high-risk of various issues which can negatively impact their QoL. Additionally, Carers play a vital role in the management of HF patients. Effective patient centred care and better communication between patients, carers and healthcare professionals is vital in HF management. [ABSTRACT FROM AUTHOR]

: Copyright of Psychology, Health & Medicine is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Lee, Leanna S., Banks, Laura, Oh, Paul I., Brooks, Dina, Colella, Tracey J. F.

المصدر: Disability & Rehabilitation; Jan 2022, Vol. 44 Issue 1, p68-78, 11p

مصطلحات موضوعية: FOCUS groups, AEROBIC exercises, PSYCHOLOGY of cardiac patients, MOTIVATION (Psychology), SOCIAL learning theory, PATIENTS' attitudes, QUALITATIVE research, CONCEPTUAL structures, PSYCHOLOGY of women, CORONARY artery disease, CARDIAC rehabilitation, DESCRIPTIVE statistics, THEMATIC analysis, JUDGMENT sampling, EXERCISE therapy, WOMEN'S health

مستخلص: Motivators and barriers to exercise participation in women with coronary artery disease remain poorly understood. With evidence suggesting that women with coronary artery disease are less likely to adhere to exercise during cardiac rehabilitation and are more likely to drop out, it is important to understand these factors in order to optimize cardiac rehabilitation programs for women. We contribute to the discussion by presenting findings from a qualitative study using two focus groups with nine women with coronary artery disease sharing their experiences with attending cardiac rehabilitation and exercising in this setting, in addition to their perceived motivators and barriers to performing aerobic interval training. Focus group transcripts were analysed using a deductive thematic approach with Bandura's Social Cognitive Theory as the guiding conceptual framework. Four themes were identified regarding the attitudes and experiences of attending and exercising at cardiac rehabilitation, while five themes capturing the motivators and barriers for these women to perform aerobic interval training were identified for the first time. These novel themes encompassed the daunting nature of it, the physical discomfort associated with it, and conversely, the potential sense of enjoyment and accomplishment that it could bring. This study demonstrates the complexity of implementation of aerobic interval training into clinical practice, and suggests that further research is warranted to explore this domain. Despite challenges in feasibility of conducting a randomised controlled trial in female patients with coronary artery disease examining the effects of aerobic interval training versus moderate-intensity continuous exercise on aerobic exercise capacity, there was a significant per protocol treatment effect of 0.95 ml·kg⁻¹·min⁻¹ in favour of aerobic interval training. The cardiac rehabilitation environment provides key facilitators and perceived benefits for exercising and attending cardiac rehabilitation for women, and thus emphasises the need for improving referral and enrolment processes specifically for women into cardiac rehabilitation programs. Aerobic interval training may elicit feelings of fear and physical discomfort, or may be precluded by comorbid conditions, therefore, judicious consideration must be taken in examining the suitability of implementation into clinical practice for each female patient. [ABSTRACT FROM AUTHOR]

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المؤلفون: Peleg, Shira¹ (AUTHOR), Drori, Erga¹ (AUTHOR), Banai, Shmuel^2,3 (AUTHOR), Finkelstein, Ariel^2,3 (AUTHOR), Shiloh, Shoshana¹ (AUTHOR) shoshi@post.tau.ac.il

المصدر: Psychology & Health. May2016, Vol. 31 Issue 5, p509-523. 15p.

مصطلحات موضوعية: *DISEASE relapse, *CARDIAC patients, *LONGITUDINAL method, *MYOCARDIAL revascularization, *PSYCHOLOGY, *QUESTIONNAIRES, *SCALE analysis (Psychology), *SELF-evaluation, *SELF-management (Psychology), *STATISTICS, *TRANSLUMINAL angioplasty, *THEORY, *DATA analysis, *ACUTE coronary syndrome, *PATIENTS' attitudes, *DESCRIPTIVE statistics, *ATTITUDES toward illness

مستخلص: Objectives:Previous research suggested that illness perceptions provide the basis for illness risk perceptions through an inductive reasoning process. This study aimed to assess the direction of relationships between illness and recurrence risk perceptions over time, among cardiac patients. Design:A longitudinal study was conducted among 138 patients undergoing coronary angioplasty. Self-report questionnaires measured perceived recurrence risk and illness perceptions one day and one month after catheterisation. Results:Cross-lagged Panel Model Analyses revealed that higher perceptions of timeline, consequences and emotional representations of illness at hospitalisation were associated with higher recurrence risk perceptions one month later. Perceived personal control was the only illness perception with bi-directional associations: higher perceived personal control at hospitalisation was associated with higher recurrence risk perceptions one month later; and higher recurrence risk perceptions at hospitalisation was associated with lower personal control one month later. Conclusions:The findings suggest that the associations between recurrence risk and illness perceptions can only partly be explained by inductive reasoning. Halo effects and defensive processes are suggested as complementary explanations for the observed associations between risk and illness perceptions. [ABSTRACT FROM PUBLISHER]

المؤلفون: Bernardini, Francesco, Gostoli, Sara, Marchetti, Gabriello, Grazi, Paola, Poci, Maria Grazia, Roncuzzi, Renzo, Rafanelli, Chiara

المصدر: Psychology, Health & Medicine; Sep2020, Vol. 25 Issue 8, p1004-1012, 9p, 1 Diagram, 5 Charts

مصطلحات موضوعية: BEHAVIOR modification, MENTAL depression, PSYCHOLOGICAL distress, HEALTH behavior, PSYCHOLOGY of cardiac patients, HYPERCHOLESTEREMIA, LIFE, PATIENT compliance, STATINS (Cardiovascular agents), WELL-being, LIFESTYLES, PSYCHOSOMATIC disorders, HEALTH literacy, PATIENTS' attitudes, DESCRIPTIVE statistics

مستخلص: Current guidelines highlight the importance of lifestyle modification in the treatment of hypercholesterolemia, in addition to lipid-lowering drugs. However, patients taking statins do not always follow the physician's prescriptions on lifestyle change.. The present research aims to understand the psychological characteristics associated with unhealthy lifestyle change/maintenance among cardiopathic patients treated with statins. 58 patients were enrolled and evaluated by both observer- (clinical distress, psychosomatic syndromes) and self-rated (lifestyle, subclinical distress, well-being) measures. Ad-hoc items were included to evaluate self-perceived lifestyle changes and awareness about cholesterol-lowering effects of statins. 55.4% of the patients had not changed their lifestyle since taking statins and felt less contented (p < 0.05); 10.7% were unaware of the cholesterol-lowering effects of these drugs. Minor depression was the most frequent diagnosis(8.9%). It was significantly associated with the absence of lifestyle modification(p < 0.05), even though all minor depressed patients were aware of the effects of statins. On the contrary, those who were unaware showed significantly lower well-being (positive relations [p <0.05]; purpose in life [p<0.001]). Minor depression and psychological well-being impairments should thus be assessed in patients taking statins in order to recognize potential psychological risk factors associated with maintenance of unhealthy behaviors.. [ABSTRACT FROM AUTHOR]

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المؤلفون: Forestier, Cyril, Sarrazin, Philippe, Sniehotta, Falko, Allenet, Benoît, Heuzé, Jean-Philippe, Gauchet, Aurélie, Chalabaev, Aïna

المصدر: Psychology, Health & Medicine; Jun2020, Vol. 25 Issue 5, p593-600, 8p, 3 Charts

مصطلحات موضوعية: DISEASE relapse prevention, BEHAVIOR modification, CARDIOVASCULAR diseases, HEALTH attitudes, HEALTH behavior, PSYCHOLOGY of cardiac patients, CARDIAC rehabilitation, INTENTION, QUESTIONNAIRES, RISK assessment, SELF-efficacy, PATIENTS' attitudes, HEALTH & social status

مستخلص: Multiple health behaviour change (MHBC) represents one of the best ways to prevent reoccurrence of cardiovascular events. However, few individuals with cardiovascular diseases engage in this process. The present study examined the role of compensatory health beliefs (CHB; i.e., belief that a healthy behaviour compensates an unhealthy one) as a drag to engagement in this process. Some studies have shown that CHBs predict intention to engage in healthy behaviours, but no study has investigated CHBs in individuals who actually need to change multiple health behaviours. The goal was to better understand the role of CHBs in intentions formation process among individuals with cardiac diseases in an MHBC context. One hundred and four patients completed a questionnaire at the beginning of their cardiac rehabilitation program. Results showed that: (1) CHBs negatively predicted intentions (2) but only for participants with high self-efficacy or low risk perception; (3) CHBs predictions differed depending on the nature of the compensating behaviour, and were more predictive when medication intake was the compensating one. Findings only partially confirmed previous research conducted on healthy individuals who were not in an MHBC process, and emphasized the importance of considering CHBs for individuals in this process. [ABSTRACT FROM AUTHOR]

: Copyright of Psychology, Health & Medicine is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)