Cargando…

Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest

BACKGROUND: The role of multidisciplinary clinics for psychosocial care is increasingly recognized for those living with inherited cardiac conditions (ICC). In Canada, access to healthcare providers differ between clinics. Little is known about the relationship between access to specialty care and a...

Descripción completa

Detalles Bibliográficos
Autores principales: Davies, Brianna, Allan, Katherine S., Carroll, Sandra L., Gibbs, Karen, Roberts, Jason D., MacIntyre, Ciorsti, Steinberg, Christian, Tadros, Rafik, Dorian, Paul, Healey, Jeff S., Gardner, Martin, Laksman, Zachary W. M., Krahn, Andrew D., Fournier, Anne, Seifer, Colette, Lauck, Sandra B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225561/
https://www.ncbi.nlm.nih.gov/pubmed/37255708
http://dx.doi.org/10.3389/fcvm.2023.955060
_version_ 1785050400306495488
author Davies, Brianna
Allan, Katherine S.
Carroll, Sandra L.
Gibbs, Karen
Roberts, Jason D.
MacIntyre, Ciorsti
Steinberg, Christian
Tadros, Rafik
Dorian, Paul
Healey, Jeff S.
Gardner, Martin
Laksman, Zachary W. M.
Krahn, Andrew D.
Fournier, Anne
Seifer, Colette
Lauck, Sandra B.
author_facet Davies, Brianna
Allan, Katherine S.
Carroll, Sandra L.
Gibbs, Karen
Roberts, Jason D.
MacIntyre, Ciorsti
Steinberg, Christian
Tadros, Rafik
Dorian, Paul
Healey, Jeff S.
Gardner, Martin
Laksman, Zachary W. M.
Krahn, Andrew D.
Fournier, Anne
Seifer, Colette
Lauck, Sandra B.
author_sort Davies, Brianna
collection PubMed
description BACKGROUND: The role of multidisciplinary clinics for psychosocial care is increasingly recognized for those living with inherited cardiac conditions (ICC). In Canada, access to healthcare providers differ between clinics. Little is known about the relationship between access to specialty care and a patient's ability to cope with, and manage their condition. METHODS: We leveraged the Hearts in Rhythm Organization (HiRO) to conduct a cross-sectional, community-based survey of individuals with ICC and their family members. We aimed to describe access to services, and explore the relationships between participants’ characteristics, cardiac history and self-reported health status and self-efficacy (GSE: General Self-Efficacy Scale) and empowerment (GCOS-24: Genetic Counseling Outcome Scale). RESULTS: We collected 235 responses from Canadian participants in 10 provinces and territories. Overall, 63% of participants reported involvement of a genetic counsellor in their care. Access to genetic testing was associated with greater empowerment [mean GCOS-24: 121.14 (SD = 20.53) vs. 105.68 (SD = 21.69); p = 0.004]. Uncertain genetic test results were associated with lower perceived self-efficacy (mean GSE: uncertain = 28.85 vs. positive = 33.16, negative = 34.13; p = 0.01). Low global mental health scores correlated with both lower perceived self-efficacy and empowerment scores, with only 11% of affected participants reporting involvement of psychology services in their care. CONCLUSION: Differences in resource accessibility, clinical history and self-reported health status impact the perceived self-efficacy and empowerment of patients with ICC. Future research evaluating interventions to improve patient outcomes is recommended.
format Online
Article
Text
id pubmed-10225561
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-102255612023-05-30 Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest Davies, Brianna Allan, Katherine S. Carroll, Sandra L. Gibbs, Karen Roberts, Jason D. MacIntyre, Ciorsti Steinberg, Christian Tadros, Rafik Dorian, Paul Healey, Jeff S. Gardner, Martin Laksman, Zachary W. M. Krahn, Andrew D. Fournier, Anne Seifer, Colette Lauck, Sandra B. Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: The role of multidisciplinary clinics for psychosocial care is increasingly recognized for those living with inherited cardiac conditions (ICC). In Canada, access to healthcare providers differ between clinics. Little is known about the relationship between access to specialty care and a patient's ability to cope with, and manage their condition. METHODS: We leveraged the Hearts in Rhythm Organization (HiRO) to conduct a cross-sectional, community-based survey of individuals with ICC and their family members. We aimed to describe access to services, and explore the relationships between participants’ characteristics, cardiac history and self-reported health status and self-efficacy (GSE: General Self-Efficacy Scale) and empowerment (GCOS-24: Genetic Counseling Outcome Scale). RESULTS: We collected 235 responses from Canadian participants in 10 provinces and territories. Overall, 63% of participants reported involvement of a genetic counsellor in their care. Access to genetic testing was associated with greater empowerment [mean GCOS-24: 121.14 (SD = 20.53) vs. 105.68 (SD = 21.69); p = 0.004]. Uncertain genetic test results were associated with lower perceived self-efficacy (mean GSE: uncertain = 28.85 vs. positive = 33.16, negative = 34.13; p = 0.01). Low global mental health scores correlated with both lower perceived self-efficacy and empowerment scores, with only 11% of affected participants reporting involvement of psychology services in their care. CONCLUSION: Differences in resource accessibility, clinical history and self-reported health status impact the perceived self-efficacy and empowerment of patients with ICC. Future research evaluating interventions to improve patient outcomes is recommended. Frontiers Media S.A. 2023-05-15 /pmc/articles/PMC10225561/ /pubmed/37255708 http://dx.doi.org/10.3389/fcvm.2023.955060 Text en © 2023 Davies, Allan, Carroll, Gibbs, Roberts, MacIntyre, Steinberg, Tadros, Dorian, Healey, Gardner, Laksman, Krahn, Fournier, Seifer and Lauck. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Davies, Brianna
Allan, Katherine S.
Carroll, Sandra L.
Gibbs, Karen
Roberts, Jason D.
MacIntyre, Ciorsti
Steinberg, Christian
Tadros, Rafik
Dorian, Paul
Healey, Jeff S.
Gardner, Martin
Laksman, Zachary W. M.
Krahn, Andrew D.
Fournier, Anne
Seifer, Colette
Lauck, Sandra B.
Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title_full Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title_fullStr Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title_full_unstemmed Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title_short Perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
title_sort perceived self-efficacy and empowerment in patients at increased risk of sudden cardiac arrest
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225561/
https://www.ncbi.nlm.nih.gov/pubmed/37255708
http://dx.doi.org/10.3389/fcvm.2023.955060
work_keys_str_mv AT daviesbrianna perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT allankatherines perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT carrollsandral perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT gibbskaren perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT robertsjasond perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT macintyreciorsti perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT steinbergchristian perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT tadrosrafik perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT dorianpaul perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT healeyjeffs perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT gardnermartin perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT laksmanzacharywm perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT krahnandrewd perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT fournieranne perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT seifercolette perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest
AT laucksandrab perceivedselfefficacyandempowermentinpatientsatincreasedriskofsuddencardiacarrest