Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease
Background: Adaptive-style coping strategies are associated with favourable mental health and quality of life outcomes among individuals with chronic disease. The Optimal Health Program (OHP) is a psychosocial self-efficacy program that empowers individuals to be active leaders in their health and w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | SSM - Mental Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666560323000051 |
| _version_ | 1797797961619472384 |
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| author | Maya S. Sheth David J. Castle Wei Wang Alina Lee Zoe M. Jenkins Lisa D. Hawke |
| author_facet | Maya S. Sheth David J. Castle Wei Wang Alina Lee Zoe M. Jenkins Lisa D. Hawke |
| author_sort | Maya S. Sheth |
| collection | DOAJ |
| description | Background: Adaptive-style coping strategies are associated with favourable mental health and quality of life outcomes among individuals with chronic disease. The Optimal Health Program (OHP) is a psychosocial self-efficacy program that empowers individuals to be active leaders in their health and wellness management. This study aimed to evaluate the impact of the OHP on coping styles. Methods: Adults with Type 1 or Type 2 diabetes, chronic kidney disease, stroke survivors, and stroke carers were recruited from St. Vincent's Hospital, Australia, to participate in one of three trials evaluating the efficacy of the OHP compared to usual care for the management of these chronic conditions. Coping was assessed at baseline, then at 3, 6- and 12-months post baseline. To examine changes in coping in association with OHP participation, we conducted a linear mixed-effects model, using the repeated measures approach. Results: The sample was comprised of 411 participants, with 76 (18.5%) stroke survivors, 69 (16.8%) stroke carers, 151 (36.7%) chronic kidney disease patients, and 115 (28.0%) diabetes mellitus patients. There were significant group by time interactions for problem-focused coping, instrumental support, positive reframing, and self-blame, indicating that participants in the OHP arm improved significantly more than those in the control group with regard to coping styles. Many interactions were significant at 3 and 6 months, but not 12 months. Conclusion: The OHP was successful in improving adaptive coping behaviours and decreasing maladaptive coping behaviours in the short-term, but the effects were not maintained at 12 months. Additional booster sessions may be helpful in sustaining intervention effects. This study serves as support for the importance of interventions targeting the psychosocial and physical health aspects of chronic disease to improve individuals’ overall wellbeing. |
| first_indexed | 2024-03-13T03:56:14Z |
| format | Article |
| id | doaj.art-b78422bf8f804fdfbdec9ee99d0495b6 |
| institution | Directory Open Access Journal |
| issn | 2666-5603 |
| language | English |
| last_indexed | 2024-03-13T03:56:14Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM - Mental Health |
| spelling | doaj.art-b78422bf8f804fdfbdec9ee99d0495b62023-06-22T05:05:31ZengElsevierSSM - Mental Health2666-56032023-12-013100190Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic diseaseMaya S. Sheth0David J. Castle1Wei Wang2Alina Lee3Zoe M. Jenkins4Lisa D. Hawke5Centre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, CanadaCentre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, CanadaCentre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, CanadaCentre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, CanadaDepartment of Psychiatry, University of Melbourne, Melbourne, AustraliaCentre for Complex Interventions, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Corresponding author. Centre for Complex Interventions, Centre for Addiction and Mental Health, 60 White Squirrel Way, Toronto, ON, M6J 1H4, Canada.Background: Adaptive-style coping strategies are associated with favourable mental health and quality of life outcomes among individuals with chronic disease. The Optimal Health Program (OHP) is a psychosocial self-efficacy program that empowers individuals to be active leaders in their health and wellness management. This study aimed to evaluate the impact of the OHP on coping styles. Methods: Adults with Type 1 or Type 2 diabetes, chronic kidney disease, stroke survivors, and stroke carers were recruited from St. Vincent's Hospital, Australia, to participate in one of three trials evaluating the efficacy of the OHP compared to usual care for the management of these chronic conditions. Coping was assessed at baseline, then at 3, 6- and 12-months post baseline. To examine changes in coping in association with OHP participation, we conducted a linear mixed-effects model, using the repeated measures approach. Results: The sample was comprised of 411 participants, with 76 (18.5%) stroke survivors, 69 (16.8%) stroke carers, 151 (36.7%) chronic kidney disease patients, and 115 (28.0%) diabetes mellitus patients. There were significant group by time interactions for problem-focused coping, instrumental support, positive reframing, and self-blame, indicating that participants in the OHP arm improved significantly more than those in the control group with regard to coping styles. Many interactions were significant at 3 and 6 months, but not 12 months. Conclusion: The OHP was successful in improving adaptive coping behaviours and decreasing maladaptive coping behaviours in the short-term, but the effects were not maintained at 12 months. Additional booster sessions may be helpful in sustaining intervention effects. This study serves as support for the importance of interventions targeting the psychosocial and physical health aspects of chronic disease to improve individuals’ overall wellbeing.http://www.sciencedirect.com/science/article/pii/S2666560323000051CopingChronic diseaseMental healthPsychosocialInterventions |
| spellingShingle | Maya S. Sheth David J. Castle Wei Wang Alina Lee Zoe M. Jenkins Lisa D. Hawke Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease SSM - Mental Health Coping Chronic disease Mental health Psychosocial Interventions |
| title | Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| title_full | Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| title_fullStr | Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| title_full_unstemmed | Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| title_short | Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| title_sort | changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease |
| topic | Coping Chronic disease Mental health Psychosocial Interventions |
| url | http://www.sciencedirect.com/science/article/pii/S2666560323000051 |
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