scholarly journals The relationship between medication adherence, health literacy and social support network in the hypertensive emergency department patient

2020 ◽  
Author(s):  
◽  
Benjamin L. Coe
Keyword(s):  
Social Support ◽  
Emergency Department ◽  
Medication Adherence ◽  
Health Literacy ◽  
Chronic Health Conditions ◽  
Support Network ◽  
Health Conditions ◽  
Social Support Network ◽  
Chronic Health ◽  
Ed Visits

Hypertension (HTN) is a major risk factor for the development of heart disease, which is the number one cause of death in the United States (U.S.). The Affordable Care Act of 2010 (ACA) led to a significant increase in emergency department (ED) visits: up to 20 [percent] of visits are considered as avoidable. Many patients present to EDs with uncontrolled chronic health conditions, such as HTN, which can be successfully managed in the outpatient setting. Factors contributing to the large volume of patients that present to the ED with uncontrolled HTN has been understudied. This cross-sectional study examined relationships between selected demographic and health variables, medication adherence, health literacy and social support network among adults (n=50) with HTN that presented to the ED. Participants were predominantly male (56 [percent]), 41-60 years old (46 [percent]), and Caucasian (60 [percent]). Only 36 [percent] of participants were adherent to their HTN medications, 42 [percent] had adequate health literacy, and 38 [percent] perceived high levels of social support. The variable with the strongest correlation to medication adherence was last primary care provider (PCP) visit (-0.473, p [less than] 0.001). However only 54 [percent] of participants had seen a PCP over the last 6 months. Increasing PCP visits and reducing avoidable ED visits has the potential to improve chronic disease health outcomes and reduce health care costs. This study has provided evidence that it is both acceptable and feasible to perform research in the ED setting that addresses chronic health conditions, such as HTN. Findings from this study may be used to inform novel ED interventions that can help adults to better manage their chronic health conditions, such as HTN, outside of the acute care setting.

Psychometric evaluation of the Multi-Dimensional Scale of Perceived Social Support in young adults with chronic health conditions

2019 ◽  
pp. 1-5
Author(s):  
F. Nearchou ◽  
A. Davies ◽  
E. Hennessy
Keyword(s):  
Social Support ◽  
Young Adults ◽  
Convergent Validity ◽  
Perceived Social Support ◽  
Short Form ◽  
Well Being ◽  
Further Education ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health

Introduction. The Multi-Dimensional Scale of Perceived Social Support (MSPSS) is one of the most widely employed tools for measuring perceived social support from three sources: family, friends and a significant other. This study aimed to establish the factor structure of the MSPSS in young adults living with chronic health conditions (CHCs). It also aimed to examine the reliability and convergent validity of the tool. Methods. A cross-sectional quantitative design was applied. Participants (n = 123, 90 females) were students aged 18–25 years recruited from Colleges of Further Education in Ireland (mean age of 20.1 years, s.d. = 2.43). Participants completed the MSPSS and two subscales of the Medical Outcomes Study 36-item Short Form Health Survey that assessed social functioning and emotional well-being. Results. Exploratory factor analysis yielded a three-factor solution of the MSPSS in young adults living with CHCs. The three factors together explained 83% of the variance in MSPSS scores. All the items had high loadings on the factors (0.72–0.94). The MSPSS showed satisfactory reliability and convergent validity. Conclusions. These findings suggest that the MSPSS is a valid and reliable tool for measuring perceived social support from three sources in young adults living with CHCs. Social support has been associated with positive outcomes in young adults living with CHCs, thus it is imperative for researchers and clinicians to have access to psychometrically sound instruments to evaluate the construct.

scholarly journals Impact of comorbidities and treatment burden on general well-being among women’s cancer survivors

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
R. T. Anderson ◽  
D. T. Eton ◽  
F. T. Camacho ◽  
E. M. Kennedy ◽  
C. M. Brenin ◽  
...  
Keyword(s):  
Health Literacy ◽  
Cancer Survivors ◽  
Cancer Treatment ◽  
Uterine Cancer ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Self Management ◽  
Financial Security ◽  
Chronic Health ◽  
General Physical

Abstract Background Gains in cancer detection and treatment have meant that more patients are now living with both cancer and other chronic health conditions, which may become burdensome. We used the Patient Experience with Treatment and Self-Management (PETS) framework to study challenges in self-management and its impact on health among survivors of women’s cancers who are caring for other chronic health conditions. Methods Applicability of the PETS domains among survivors of women’s cancers with comorbidities was assessed in focus groups to create the study survey. Women surviving primary breast, cervical, ovarian, or endometrial/uterine cancer treated between 6 months and 3 years prior at two large healthcare systems in Virginia were mailed study invitation letters to complete a telephone-based survey. The survey included questions on cancer treatment history, comorbid conditions prior to cancer, treatment and self-management experiences, health literacy, financial security, and items on self-management activities, self-management difficulties and self-management impact (i.e., role/social activity limitations and physical/mental exhaustion). Additionally, general health was assessed with items from the Patient-Reported Outcomes Measurement Information System (PROMIS). Hierarchical regression models and path analysis were used to examine correlates of self-management impact on general physical health (GPH) and mental health (GMH). Results Of 1448 patients contacted by mail, 274 (26%) returned an interest form providing their consent to be contacted. Of these, 183 completed the survey. Reasons for non-completion included ineligibility (42), unable to be reached (33) and refusal (6). The majority were survivors of breast (58%) or endometrial/uterine cancer (28%), and 45% resided in non-urban locations. After adjusting for age, race, and cancer type, survivors with higher self-management difficulty reported higher self-management impact, which was associated with lower perceived general health. Reports of higher self-management impact was associated with being single or unmarried, white race, fulltime employed, higher financial insecurity, lower health literacy and more comorbidities. In path analysis, self-management impact was a significant mediator in the association of comorbidity and financial insecurity on GPH and GMH. Conclusions Among survivors of women’s cancer, pre-diagnosis comorbidity, health literacy, and financial security are associated with psychosocial impact of self-management and general physical and mental health in the 6 month to 3-year period after cancer treatment has ended. The impact of self-management on psychosocial functioning is an important factor among cancer survivors caring for multiple chronic health conditions. This study provides evidence on the importance of assessing cancer survivors’ self-management difficulties such as in future interventions to promote health and wellness.

An examination of social support influences on participation for older adults with chronic health conditions

2013 ◽  
Vol 36 (17) ◽  
pp. 1439-1444 ◽  
Author(s):  
Carri Hand ◽  
Mary Law ◽  
Mary Ann McColl ◽  
Steven Hanna ◽  
Susan Elliott
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health

scholarly journals SOCIAL NETWORK INFLUENCES ON SENSE OF CONTROL AND ATTRIBUTED DIGNITY IN OLDER AGE: RESEARCH RESULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S887-S887
Author(s):  
Raeann G LeBlanc ◽  
Cynthia Jacelon
Keyword(s):  
Social Support ◽  
Social Networks ◽  
Social Network ◽  
Older People ◽  
Thematic Analysis ◽  
Community Dwelling ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Sense Of Control ◽  
Chronic Health

Abstract The purpose of this study was to explore the relationship between the functions of individual social networks, defined here as social support, and the outcomes of sense of control and attributed dignity among a sample of older people living with multiple chronic conditions. This study integrated an explanatory sequential (Quan/Qual) mixed methods design. Descriptive statistics were used to describe social networks. Bivariate correlations and regression statistics were used to examine the relationships of social network support (MOS-Social Support Scale) with the dependent variables of sense of control (Wallhagen Revised PCQ Questionnaire) and attributed dignity (Jacelon Attributed Dignity Scale). Open-ended interviews and thematic analysis were used to expand understanding of the quantitative findings. A cross-sectional sample of eighty-nine community dwelling older people living with multiple chronic health conditions participated. Social support, as a function of one’s social network, predicted the outcome of sense of control (β = .33, p ≤ .01) and attributed dignity (β = .44, p ≤ .001). Correlation statistics and regression models substantiated positive relationships of social supports’ influence on perceived sense of control and attributed dignity. Thematic analysis, based on open-ended interviews (n=12), expanded on the nuances of social influences on sense of control and attributed dignity in managing chronic health conditions through the themes “learning to ask for help”, “only a phone call away” and “smaller circles”. This research proposes new ways of understanding the relationships between perceptions of social support, sense of control and attributed dignity in later life in managing health.

scholarly journals Medication Adherence and Technology-Based Interventions for Adolescents With Chronic Health Conditions: A Few Key Considerations (Preprint)

2017 ◽  
Author(s):  
Sherif M Badawy ◽  
Alexis A Thompson ◽  
Lisa M Kuhns
Keyword(s):  
Medication Adherence ◽  
Health Outcomes ◽  
Text Messaging ◽  
Critical Time ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Transition To Adult Care ◽  
Adherence Behavior ◽  
Adult Care ◽  
Chronic Health

UNSTRUCTURED The number of children and adolescents with chronic health conditions (CHCs) has doubled over the past two decades. Medication adherence is a key component of disease management within these groups. Low adherence to prescribed medications is a known problem in adolescents with CHCs and is related to health outcomes, including quality of life, disease complications, and mortality. Adolescence is a critical time to create routines and health behaviors that optimize disease self-management and transition to adult care. The mounting interest in the development and use of mobile health tools provides novel opportunities to connect patients, particularly adolescents, with their providers outside of the clinic and to improve health outcomes. There is growing evidence to support the efficacy of technology-based approaches, in particular text-messaging and mobile apps, to improve adherence behavior in adolescents, although cost-effectiveness and long-term health benefits remain unclear. In this short viewpoint article, we review some important considerations for promoting medication adherence in adolescents with CHCs using technology-based approaches.

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