An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study.
<h4>Objective</h4>To explore associations among twenty formal and informal, societal and individual-level factors and quality of life (QOL) among people living with congestive heart failure (CHF) in two settings with different healthcare and social care systems and sociocultural contexts...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0231346 |
| _version_ | 1818919559832272896 |
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| author | Brita Roy Judith R L M Wolf Michelle D Carlson Reinier Akkermans Bradley Bart Paul Batalden Julie K Johnson Hub Wollersheim Gijs Hesselink |
| author_facet | Brita Roy Judith R L M Wolf Michelle D Carlson Reinier Akkermans Bradley Bart Paul Batalden Julie K Johnson Hub Wollersheim Gijs Hesselink |
| author_sort | Brita Roy |
| collection | DOAJ |
| description | <h4>Objective</h4>To explore associations among twenty formal and informal, societal and individual-level factors and quality of life (QOL) among people living with congestive heart failure (CHF) in two settings with different healthcare and social care systems and sociocultural contexts.<h4>Setting and participants</h4>We recruited 367 adult patients with CHF from a single heart failure clinic within two countries with different national social to healthcare spending ratios: Minneapolis, Minnesota, United States (US), and Nijmegen, Netherlands (NL).<h4>Design</h4>Cross-sectional survey study. We adapted the Social Quality Model (SQM) to organize twenty diverse factors into four categories: Living Conditions (formal-societal: e.g., housing, education), Social Embeddedness (informal-societal: e.g., social support, trust), Societal Embeddedness (formal-individual: e.g., access to care, legal aid), and Self-Regulation (informal-individual: e.g., physical health, resilience). We developed a survey comprising validated instruments to assess each factor. We administered the survey in-person or by mail between March 2017 and August 2018.<h4>Outcomes</h4>We used Cantril's Self-Anchoring Scale to assess overall QOL. We used backwards stepwise regression to identify factors within each SQM category that were independently associated with QOL among US and NL participants (p<0.05). We then identified factors independently associated with QOL across all categories (p<0.05).<h4>Results</h4>367 CHF patients from the US (32%) and NL (68%) participated. Among US participants, financial status, receiving legal aid or housing assistance, and resilience were associated with QOL, and together explained 49% of the variance in QOL; among NL participants, financial status, perceived physical health, independence in activities of daily living, and resilience were associated with QOL, and explained 53% of the variance in QOL.<h4>Conclusions</h4>Four formal and informal factors explained approximately half of the variance in QOL among patients with CHF in the US and NL. |
| first_indexed | 2024-12-20T01:07:47Z |
| format | Article |
| id | doaj.art-cbfb4c4b727a41ce9c6a3dc13ac32e7a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-20T01:07:47Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-cbfb4c4b727a41ce9c6a3dc13ac32e7a2022-12-21T19:58:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01154e023134610.1371/journal.pone.0231346An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study.Brita RoyJudith R L M WolfMichelle D CarlsonReinier AkkermansBradley BartPaul BataldenJulie K JohnsonHub WollersheimGijs Hesselink<h4>Objective</h4>To explore associations among twenty formal and informal, societal and individual-level factors and quality of life (QOL) among people living with congestive heart failure (CHF) in two settings with different healthcare and social care systems and sociocultural contexts.<h4>Setting and participants</h4>We recruited 367 adult patients with CHF from a single heart failure clinic within two countries with different national social to healthcare spending ratios: Minneapolis, Minnesota, United States (US), and Nijmegen, Netherlands (NL).<h4>Design</h4>Cross-sectional survey study. We adapted the Social Quality Model (SQM) to organize twenty diverse factors into four categories: Living Conditions (formal-societal: e.g., housing, education), Social Embeddedness (informal-societal: e.g., social support, trust), Societal Embeddedness (formal-individual: e.g., access to care, legal aid), and Self-Regulation (informal-individual: e.g., physical health, resilience). We developed a survey comprising validated instruments to assess each factor. We administered the survey in-person or by mail between March 2017 and August 2018.<h4>Outcomes</h4>We used Cantril's Self-Anchoring Scale to assess overall QOL. We used backwards stepwise regression to identify factors within each SQM category that were independently associated with QOL among US and NL participants (p<0.05). We then identified factors independently associated with QOL across all categories (p<0.05).<h4>Results</h4>367 CHF patients from the US (32%) and NL (68%) participated. Among US participants, financial status, receiving legal aid or housing assistance, and resilience were associated with QOL, and together explained 49% of the variance in QOL; among NL participants, financial status, perceived physical health, independence in activities of daily living, and resilience were associated with QOL, and explained 53% of the variance in QOL.<h4>Conclusions</h4>Four formal and informal factors explained approximately half of the variance in QOL among patients with CHF in the US and NL.https://doi.org/10.1371/journal.pone.0231346 |
| spellingShingle | Brita Roy Judith R L M Wolf Michelle D Carlson Reinier Akkermans Bradley Bart Paul Batalden Julie K Johnson Hub Wollersheim Gijs Hesselink An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. PLoS ONE |
| title | An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. |
| title_full | An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. |
| title_fullStr | An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. |
| title_full_unstemmed | An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. |
| title_short | An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study. |
| title_sort | international comparison of factors affecting quality of life among patients with congestive heart failure a cross sectional study |
| url | https://doi.org/10.1371/journal.pone.0231346 |
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