TY - JOUR
T1 - Perceived control and quality of life among recipients of implantable cardioverter defibrillator
AU - Hammash, Muna
AU - McEvedy, Samantha M.
AU - Wright, Jesse
AU - Cameron, Jan
AU - Miller, Jennifer
AU - Ski, Chantal F.
AU - Thompson, David R.
AU - Biddle, Martha J.
AU - Wimsatt, Amy
AU - Schrader, Melanie
AU - Smith, Rachel Vickers
AU - Chung, Misook L.
AU - Moser, Debra K.
PY - 2019/9
Y1 - 2019/9
N2 - Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.
AB - Background: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. Objectives: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population. Methods: A total of 263 ICD recipients (63% male, age 61 ± 14 years) completed the Control Attitude Scale-Revised to measure perceived control and completed self-reported measures on potential correlates of perceived control (i.e., depressive symptoms, anxiety, social support, and ICD concerns). The EuroQol-5D was used to measure HRQOL. Regression analysis was used to determine predictors of perceived control and its relationship to HRQOL, controlling for covariates. Results: Lower perceived control (β = 0.30, p <.01), and higher levels of depression (β = −0.30, p <.01) and anxiety (β = −0.18, p <.05) predicted lower levels of HRQOL. Higher anxiety (β = −0.17, p <.05), higher depression (β = −0.23, p <.05), lower social support (β = 0.26, p <.01), and higher ICD-related concerns (β = −0.16, p <.05) independently predicted lower perceived control. Conclusions: Interventions targeting patients' ICD concerns and psychosocial factors before, and continuing after, ICD insertion are needed to improve ICD recipients' perceived control and, in turn, their HRQOL.
KW - Depressive symptoms
KW - Implantable cardioverter defibrillator
KW - Perceived control
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85054129895&partnerID=8YFLogxK
U2 - 10.1016/j.aucc.2018.08.005
DO - 10.1016/j.aucc.2018.08.005
M3 - Article
AN - SCOPUS:85054129895
SN - 1036-7314
VL - 32
SP - 383
EP - 390
JO - Australian Critical Care
JF - Australian Critical Care
IS - 5
ER -