scholarly journals Structural Equation Model for Evaluating Factors Affecting Health-related Quality of Life in Adolescents With Moyamoya Disease: Based on Salutogenesis Theory

Author(s):  
Won-oak Oh ◽  
Insun Yeom ◽  
Sung-Hyun Lim

Abstract BackgroundMoyamoya disease is a cerebrovascular disorder and a significant chronic health concern requiring regular monitoring to control the disease and its related complications.ObjectiveTo develop a structural model based on the salutogenesis theory, and to identify how social support, sense of coherence, and stress contribute to health behaviors, subjective health status, and quality of life in adolescents with moyamoya disease.MethodsWe examined a hypothetical model by integrating the concepts of a structural health-related quality-of-life model based on the salutogenesis theory among 239 adolescents with moyamoya disease in Korea. Data on health-related quality of life of adolescents with moyamoya disease were collected using the following scales: social support rating scale, sense of coherence scale, stress scale, health behavior scale, subjective health status scale, and quality-of-life scale. A structural equation model was used to analyze the data.ResultsThe final model demonstrated goodness-of-fit. A sense of coherence directly influenced quality of life (β = 0.504, p < 0.01) and indirectly influenced quality of life (β = 0.299, p < 0.05) through health behavior. Stress (β = -0.414, p < 0.001) and health behavior (β = -0.085, p < 0.01) directly influenced quality of life. Social support directly influenced health behavior (β = 0.321, p < 0.01) and subjective health status (β = 0.112, p < 0.01).DiscussionSince moyamoya disease, a chronic disease, is progressive, it is very important to identify factors for health promotion.This study found that sense of coherence and social support were significant factors contributing to lower stress, improved health, and quality of life in adolescents with moyamoya disease. This paper is intended to help health experts to develop an intervention strategy based on theory as an approach for chronic disease management.

2013 ◽  
Vol 24 (1) ◽  
pp. 126-133 ◽  
Author(s):  
QiFeng Wang ◽  
Margaret Hay ◽  
David Clarke ◽  
Samuel Menahem

AbstractIntroductionAdvances in overall management have led to an increasing number of adolescents with congenital heart disease reaching adulthood. This study aimed to evaluate the health-related quality of life in adolescents with heart disease, and examine its relationship with the adolescents’ knowledge and understanding of their congenital heart disease, its severity, and its relationship to the degree of anxiety and depression, feeling of optimism and sense of coherence experienced by the adolescents together with their social support.Methods and resultsAdolescents with heart disease were recruited from an ambulatory setting at a tertiary centre. Patients completed self-report questionnaires including the Paediatric Quality of Life Inventory 3.0-Cardiac Module, a questionnaire assessing the adolescents’ knowledge of their cardiac condition, the Hospital Anxiety and Depression Scale, Multidimensional Scale of Perceived Social Support, Life Orientation Test-Revised, and Sense of Coherence-13, supplemented by clinical information provided by the attending cardiologists. A total of 114 patients aged 12–20 years were recruited over 15 months. In all, 98% of patients were in New York Heart Association class I. Their health-related quality of life was found to positively correlate with a low level of anxiety and depression (Pearson correlation, r = −0.57, p < 0.001), a good knowledge of their cardiac condition (r = 0.31, p < 0.01), feelings of optimism (r = 0.39, p < 0.001), adequate social support (r = 0.27, p < 0.01), and a strong sense of coherence (r = 0.24, p < 0.01).ConclusionsAdolescents’ knowledge and understanding of their cardiac abnormality together with an improved sense of well-being had a positive influence on their health-related quality of life.


2019 ◽  
Author(s):  
Olufolake Olabode ◽  
Timothy Omoluru ◽  
Olawunmi Olagundoye ◽  
Akinyele Akinlade ◽  
Henry Akujobi ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Stephen K. Trapp ◽  
Paul B. Perrin ◽  
Richa Aggarwal ◽  
Silvina Victoria Peralta ◽  
Miriam E. Stolfi ◽  
...  

The research literature has begun to demonstrate associations between personal strengths and enhanced psychosocial functioning of dementia caregivers, but these relationships have not been examined in the context of dementia caregivers in Latin America. The present study examined whether personal strengths, including resilience, optimism, and sense of coherence, were associated with mental and physical health related quality of life (HRQOL) in 130 dementia caregivers in Mexico and Argentina. Structural equation modeling found that the personal strengths collectively accounted for 58.4% of the variance in caregiver mental HRQOL, and resilience, sense of coherence, and optimism each had unique effects. In comparison, the personal strengths together accounted for 8.9% of the variance in caregiver physical HRQOL, and only sense of coherence yielded a unique effect. These results underscore the need to construct and disseminate empirically supported interventions based in part on important personal strengths, particularly sense of coherence, for this underrepresented group.


2013 ◽  
Vol 11 (1) ◽  
pp. 118 ◽  
Author(s):  
Solomon J Lubinga ◽  
Gillian A Levine ◽  
Alisa M Jenny ◽  
Joseph Ngonzi ◽  
Peter Mukasa-Kivunike ◽  
...  

2012 ◽  
Vol 21 (10) ◽  
pp. 1863-1871 ◽  
Author(s):  
Barbora Silarova ◽  
Iveta Nagyova ◽  
Jaroslav Rosenberger ◽  
Martin Studencan ◽  
Daniela Ondusova ◽  
...  

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