The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs

2019 ◽  
Vol 36 (4) ◽  
pp. 233-251 ◽  
Author(s):  
Sepideh Jahandideh ◽  
Elizabeth Kendall ◽  
Samantha Low-Choy ◽  
Kenneth Donald ◽  
Rohan Jayasinghe ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Patient Engagement ◽  
Structural Equation ◽  
Causal Structure ◽  
Healthcare Providers ◽  
Equation Model ◽  
University Hospital ◽  
Rehabilitation Programs ◽  
Therapeutic Engagement ◽  
New Information

AbstractThe primary aim of this study was to test the causal structure of the model of therapeutic engagement (MTE) for the first time, to examine whether the model assists in understanding the process of patient engagement in cardiac rehabilitation (CR) programs. This study used a prospective design, following up patients from the Gold Coast University Hospital Cardiology ward who attended Robina Cardiac Rehabilitation Clinic. A structural equation model of the interactions among the proposed variables within the three stages of the MTE (intention to engage in CR programs, CR initiation, and sustained engagement) revealed significant relationships among these variables in a dataset of 101 patients who attended a CR program. However, no relationship was discerned between outcome expectancies and patient intention to engage in CR. Patients’ willingness to consider the treatment also mediated the relationship between perceived self-efficacy and patient intention to engage in CR. These findings help clarify the process proposed by Lequerica and Kortte (2010) in the context of patient engagement in CR programs. The findings also reveal information on how patients engage in CR programs. Importantly, this provides new information for healthcare providers, enabling them to more effectively engage patients according to their stage of engagement.

The Impact of Socio-environmental Barriers on the Process of Engagement in Cardiac Rehabilitation Programs

2020 ◽  
Vol 37 (3) ◽  
pp. 130-150
Author(s):  
Sepideh Jahandideh ◽  
Elizabeth Kendall ◽  
Samantha Low-Choy ◽  
Kenneth Donald ◽  
Rohan Jayasinghe ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Cardiac Rehabilitation ◽  
Structural Equation ◽  
Equation Model ◽  
University Hospital ◽  
Rehabilitation Centre ◽  
Environmental Barriers ◽  
Actual Attendance ◽  
The Impact

AbstractCardiac rehabilitation (CR) is a multi-disciplinary intervention designed to stabilise, slow, or reverse CVD, restore health following a cardiac event and facilitate the prevention of further events. The Model of Therapeutic Engagement (MTE) is a comprehensive conceptual model for explaining the process of engagement in rehabilitation. Of concern is that the role of socio-environmental factors is absent from explaining individual engagement in the MTE. There is also a lack of prospective studies investigating the impact of socio-environmental barriers on engagement in CR programs over time. This study aimed to expand the MTE, by illuminating the role of socio-environmental barriers in a three-stage process of engagement in CR programs. A prospective study was conducted, with 217 individuals recruited from the Cardiology Ward in the Gold Coast University Hospital (GCUH) and the Robina Cardiac Rehabilitation Centre. The collected data were examined using a structural equation model that added socio-environmental factors into the MTE, using multi-group analyses. In this study, we found that socio-environmental factors were not associated with intention to engage in the CR program, but were related to actual attendance and maintenance of participation in CR programs. Knowing how these socio-environmental barriers affect the process of engagement at different stages may help to tailor more accessible CR programs for the population.

scholarly journals Patient Engagement in Health Management as a Mediator Between Perceived Risk and COVID-19 Related Distress in Patients With IBD: A Structural Equation Model

2021 ◽  
Vol 12 ◽  
Author(s):  
Greta Castellini ◽  
Lorenzo Palamenghi ◽  
Mariarosaria Savarese ◽  
Serena Barello ◽  
Salvatore Leone ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Perceived Stress ◽  
Patient Engagement ◽  
Perceived Risk ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Health Management ◽  
Equation Model ◽  
Online Questionnaire ◽  
The Impact

Objective: This study aimed to evaluate the impact of the COVID-19 emergency on patients with IBD's psychological distress, understanding the role of patient engagement as a mediator.Methods: An online questionnaire was created, measuring perceived risk susceptibility toward COVID-19, perceived stress, and patient engagement. The questionnaire was distributed to a purposive sample of IBD patients who belonged to the Italian Association for patients with IBD (AMICI Onlus) in April 2020. Structural equation models were implemented.Results: The effect of the perceived risk susceptibility toward COVID-19 contagion on the perceived stress is fully mediated by patient engagement (β = 0.306, p < 0.001). Moreover, the patient engagement mitigates the perceived stress (β = −0.748, p < 0.001) in our sample of IBD patients, and it is negatively influenced by the perceived risk susceptibility toward COVID-19 (β = −0.410, p < 0.001).Conclusion: Patient engagement is the key factor that explains how the perceived risk susceptibility toward COVID-19 affects the perceived psychological distress in patients with IBD, underlining that the perceived risk of contagion increases their perceived level of stress through a decrease of patient engagement.

scholarly journals The Impact of Research and Development and Professional New Hiring on Organizational Innovation

2020 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Dankyi Alex Boadi ◽  
Dankyi Joyce Kwakyewaa ◽  
Abban Joseph Olivier ◽  
Asabea Addo Antoinette
Keyword(s):  
Research And Development ◽  
Employee Engagement ◽  
Structural Equation ◽  
Social Connectedness ◽  
Organizational Innovation ◽  
Relevant Information ◽  
Equation Model ◽  
New Information ◽  
Operational Processes ◽  
The Impact

Organizational innovation is highly dependent on the inflow of relevant information and proper integration of this information in the operational processes for a process, product and service innovation. Employee engagement and social connectedness of employees have been cited as key methodologies of integrating new information from research and development and professional new hiring. The study investigated the impact of research and development and professional new hiring on organizational innovation jointly mediated by employee engagement and social connectedness. A structural equation model was adopted for the study. The estimator adopted in testing the hypothetical model and the hypothesis was a maximum likelihood. A comparative analysis of the single mediating and the joint mediating of employee engagement and social connectedness was conducted. The results indicated that professional new hiring and research and development activities have a statistically significant indirect effect on organizational innovation through a joint mediation of social connectedness and employee engagement. The threshold for the model fitness was satisfied. The study, based on the findings on both the decomposed and final model, concludes that employee engagement and social connectedness jointly influence the relationship between the research and development and professional new hiring on organizational innovation better than the single mediation.

Positive Parasocial Relationships with Drivers Affect Suspense in Racing Sport Spectators

2008 ◽  
Vol 20 (1) ◽  
pp. 24-34 ◽  
Author(s):  
Tilo Hartmann ◽  
Daniela Stuke ◽  
Gregor Daschmann
Keyword(s):  
Significant Influence ◽  
Structural Equation ◽  
Causal Structure ◽  
Positive Outcome ◽  
Equation Model ◽  
Survey Study ◽  
Parasocial Relationships ◽  
Empirical Survey ◽  
Disposition Theory ◽  
Affective Disposition Theory

Abstract. The present study examines determinants of suspense on viewers observing sports on television. As an explanatory framework, an integrated model is proposed, linking the concept of (positive and negative) parasocial relationships (PSR) to the concept of affective dispositions as used in the affective disposition theory of drama. In the context of the popular sport of “Formula 1” racing, the hypothesized causal structure of the formation of suspense was tested in an empirical survey study. A structural equation model was calculated. Results show a significant influence of positive forms of PSR toward a favorite driver, either mediated by viewers' hopes for a positive outcome or influenced directly by the experienced level of suspense. While negative forms of PSR toward a disliked driver affect viewers' hopes for a negative outcome, they do not add to the level of suspense.

scholarly journals On causal discovery with an equal-variance assumption

Biometrika ◽  
2019 ◽  
Vol 106 (4) ◽  
pp. 973-980 ◽  
Author(s):  
Wenyu Chen ◽  
Mathias Drton ◽  
Y Samuel Wang
Keyword(s):  
Structural Equation ◽  
Structure Learning ◽  
State Of The Art ◽  
Causal Structure ◽  
Equation Model ◽  
Causal Discovery ◽  
High Dimensional ◽  
Prior Work ◽  
Equal Variance ◽  
Error Terms

Summary Prior work has shown that causal structure can be uniquely identified from observational data when these follow a structural equation model whose error terms have equal variance. We show that this fact is implied by an ordering among conditional variances. We demonstrate that ordering estimates of these variances yields a simple yet state-of-the-art method for causal structure learning that is readily extendable to high-dimensional problems.

Healthy 3.0

2020 ◽  
pp. 1193-1221
Author(s):  
Maria Teresa Borges Tiago ◽  
Flávio Tiago ◽  
Francisco Emanuel Batista Amaral ◽  
Sandra Silva
Keyword(s):  
Information And Communication Technologies ◽  
Structural Equation ◽  
Healthcare Providers ◽  
Communication Technologies ◽  
Equation Model ◽  
Future Research ◽  
Financial Benefits ◽  
Starting Point ◽  
Information And Communication ◽  
Ict Tools

Over the past few years, healthcare practice has evolved to include new forms of information and communication technologies, and healthcare providers have begun to leverage IT solutions and the internet to reach consumers in transformative ways. There is a common thought both in business and academia that the technology adoption process is a key component of success and allows firms to achieve and sustain competitive advantages. Therefore, this research attempts to reinforce the assessment of ICT impacts on healthcare, analyzing it from two different perspectives: 1) firm performance, which is measured as a combination of induced and intangible benefits beyond the traditional financial benefits; and 2) healthcare providers' acceptance and adoption of ICT tools. To assess the first perspective, a structural equation model was applied to a large database sample covering firms from 17 European countries. The results reinforce the importance of induced and structural benefits in firms' overall performance. The second perspective was analyzed only for the Portuguese healthcare providers sample. These results can be a starting point for rethinking the healthcare models emphasizing the perspectives of Healthy 2.0 and considering that patients' technological pattern evolution will lead to Healthy 3.0 in the short term. Nevertheless, some questions remain unanswered regarding the impacts of the ICT acceptance process on overall benefits; therefore, future research will focus on this domain.

Healthy 3.0

2016 ◽  
pp. 287-322 ◽  
Author(s):  
Maria Teresa Borges Tiago ◽  
Flávio Tiago ◽  
Francisco Emanuel Batista Amaral ◽  
Sandra Silva
Keyword(s):  
Information And Communication Technologies ◽  
Structural Equation ◽  
Healthcare Providers ◽  
Communication Technologies ◽  
Equation Model ◽  
Future Research ◽  
Financial Benefits ◽  
Starting Point ◽  
Information And Communication ◽  
Ict Tools

Over the past few years, healthcare practice has evolved to include new forms of information and communication technologies, and healthcare providers have begun to leverage IT solutions and the internet to reach consumers in transformative ways. There is a common thought both in business and academia that the technology adoption process is a key component of success and allows firms to achieve and sustain competitive advantages. Therefore, this research attempts to reinforce the assessment of ICT impacts on healthcare, analyzing it from two different perspectives: 1) firm performance, which is measured as a combination of induced and intangible benefits beyond the traditional financial benefits; and 2) healthcare providers' acceptance and adoption of ICT tools. To assess the first perspective, a structural equation model was applied to a large database sample covering firms from 17 European countries. The results reinforce the importance of induced and structural benefits in firms' overall performance. The second perspective was analyzed only for the Portuguese healthcare providers sample. These results can be a starting point for rethinking the healthcare models emphasizing the perspectives of Healthy 2.0 and considering that patients' technological pattern evolution will lead to Healthy 3.0 in the short term. Nevertheless, some questions remain unanswered regarding the impacts of the ICT acceptance process on overall benefits; therefore, future research will focus on this domain.

scholarly journals State-Level Policy Stigma and Non-Prescribed Hormones Use among Trans Populations in the United States: A Mediational Analysis of Insurance and Anticipated Stigma

2021 ◽  
Author(s):  
Landon D Hughes ◽  
Kristi E Gamarel ◽  
Wesley M King ◽  
Tamar Goldenberg ◽  
James Jaccard ◽  
...  
Keyword(s):  
Structural Equation ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
State Level ◽  
The United States ◽  
Equation Model ◽  
Healthcare Policy ◽  
Healthcare Settings ◽  
Trans People ◽  
Anticipated Stigma

Abstract Background Medical gender affirmation (i.e., hormone use) is one-way transgender (trans) people affirm their gender and has been associated with health benefits. However, trans people face stigmatization when accessing gender-affirming healthcare, which leads some to use non-prescribed hormones (NPHs) that increase their risk for poor health. Purpose We examined whether healthcare policy stigma, as measured by state-level trans-specific policies, was associated with NPHs use and tested mediational paths that might explain these associations. Because stigmatizing healthcare policies prevent trans people from participation in healthcare systems and allow for discrimination by healthcare providers, we hypothesized that healthcare policy stigma would be associated with NPHs use by operating through three main pathways: skipping care due to anticipated stigma in healthcare settings, skipping care due to cost, and being uninsured. Methods We conducted analyses using data from the 2015 U.S. Transgender Survey. The analytic sample included trans adults using hormones (N = 11,994). We fit a multinomial structural equation model to examine associations. Results Among trans adults using hormones, we found that healthcare policy stigma was positively associated with NPHs use and operated through insurance coverage and anticipating stigma in healthcare settings. The effect sizes on key predictor variables varied significantly between those who use supplemental NPHs and those who only use NPHs suggesting the need to treat NPHs use as distinct from those who use supplemental NPHs. Conclusions Our work highlights the importance of healthcare policy stigma in understanding health inequities among trans people in the USA, specifically NPHs use.

Sign in / Sign up

Export Citation Format

Share Document