Perceived control and quality of life among recipients of implantable cardioverter defibrillator

Muna Hammash; Samantha M. McEvedy; Jesse Wright; Jan Cameron; Jennifer Miller; Chantal F. Ski; David R. Thompson; Martha J. Biddle; Amy Wimsatt; Melanie Schrader; Rachel Vickers Smith; Misook L. Chung; Debra K. Moser

doi:10.1016/j.aucc.2018.08.005

Perceived control and quality of life among recipients of implantable cardioverter defibrillator

Muna Hammash, Samantha M. McEvedy, Jesse Wright, Jan Cameron, Jennifer Miller, Chantal F. Ski, David R. Thompson, Martha J. Biddle, Amy Wimsatt, Melanie Schrader, Rachel Vickers Smith, Misook L. Chung, Debra K. Moser

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.

Original language	English
Pages (from-to)	383-390
Number of pages	8
Journal	Australian Critical Care
Volume	32
Issue number	5
DOIs	https://doi.org/10.1016/j.aucc.2018.08.005
State	Published - Sep 2019

Bibliographical note

Publisher Copyright:
© 2018 Australian College of Critical Care Nurses Ltd

Funding

The authors disclosed receipt of the following financial support for this work. In the United States, the study was funded by the University of Louisville Internal Research Grant and the University of Kentucky Research Professor Award. In Australia, this study received funding from the Australian Catholic University. The authors disclosed receipt of the following financial support for this work. In the United States, the study was funded by the University of Louisville Internal Research Grant and the University of Kentucky Research Professor Award . In Australia, this study received funding from the Australian Catholic University . Appendix A

Funders	Funder number
University of Kentucky
University of Kentucky, University of Louisville
Northern Kentucky University Research Foundation
Australian Catholic University

Keywords

Depressive symptoms
Implantable cardioverter defibrillator
Perceived control
Quality of life

ASJC Scopus subject areas

Emergency
Critical Care

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10.1016/j.aucc.2018.08.005

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Hammash, M., McEvedy, S. M., Wright, J., Cameron, J., Miller, J., Ski, C. F., Thompson, D. R., Biddle, M. J., Wimsatt, A., Schrader, M., Smith, R. V., Chung, M. L., & Moser, D. K. (2019). Perceived control and quality of life among recipients of implantable cardioverter defibrillator. Australian Critical Care, 32(5), 383-390. https://doi.org/10.1016/j.aucc.2018.08.005

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title = "Perceived control and quality of life among recipients of implantable cardioverter defibrillator",

abstract = "Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.",

keywords = "Depressive symptoms, Implantable cardioverter defibrillator, Perceived control, Quality of life",

author = "Muna Hammash and McEvedy, {Samantha M.} and Jesse Wright and Jan Cameron and Jennifer Miller and Ski, {Chantal F.} and Thompson, {David R.} and Biddle, {Martha J.} and Amy Wimsatt and Melanie Schrader and Smith, {Rachel Vickers} and Chung, {Misook L.} and Moser, {Debra K.}",

note = "Publisher Copyright: {\textcopyright} 2018 Australian College of Critical Care Nurses Ltd",

year = "2019",

month = sep,

doi = "10.1016/j.aucc.2018.08.005",

language = "English",

volume = "32",

pages = "383--390",

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T1 - Perceived control and quality of life among recipients of implantable cardioverter defibrillator

AU - Hammash, Muna

AU - McEvedy, Samantha M.

AU - Wright, Jesse

AU - Cameron, Jan

AU - Miller, Jennifer

AU - Ski, Chantal F.

AU - Thompson, David R.

AU - Biddle, Martha J.

AU - Wimsatt, Amy

AU - Schrader, Melanie

AU - Smith, Rachel Vickers

AU - Chung, Misook L.

AU - Moser, Debra K.

PY - 2019/9

Y1 - 2019/9

N2 - Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.

AB - Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.

KW - Depressive symptoms

KW - Implantable cardioverter defibrillator

KW - Perceived control

KW - Quality of life

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SN - 1036-7314

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EP - 390

JO - Australian Critical Care

JF - Australian Critical Care

IS - 5

ER -

Perceived control and quality of life among recipients of implantable cardioverter defibrillator

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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