Illness perception and high readmission health outcomes

Sawyer, Amanda T; Harris, Stephanie; Koenig, Harold G.

doi:10.1177/2055102919844504

Cited by 93 publications

(81 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, we compared the overall study population with a larger cohort of Hispanic/Latino adults with T2D cohort published previously. 30 We confirmed various biological similarities as well as indication of various psychosocial similarities between the two samples.…”

Section: Discussionsupporting

confidence: 72%

“…Perceptions of the meaning of disease are influential in health outcomes, with favorable illness perception associated with better health outcomes, and unfavorable perception associated with worse outcomes. 29,30 To explore this possibility, we went beyond biological descriptors and quantitative psychosocial metrics (e.g., achieved HbA 1c , weight, insulin use, and depression) to explore qualitative perceptions of diabetes. Specifically, two independent bilingual raters conducted thematic analysis of answers to the question, ''In your own words, what is diabetes?''…”

Section: Participant Activitiesmentioning

confidence: 99%

See 1 more Smart Citation

Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes

et al. 2020

View full text Add to dashboard Cite

Purpose: Hispanics/Latinos in the United States bear higher burden of type 2 diabetes (T2D) and associated complications compared with the general population. Health insurance coverage is also lower in this population. We examined the association of health insurance with biological and psychosocial determinants of cardiometabolic risk among U.S. Mexican-origin Hispanic/Latino adults with T2D. Methods: Participants were self-reported Hispanic/Latino adults with T2D diagnosis. Trained bilingual community health workers collected cross-sectional information on biological and psychosocial factors using clinical examinations, laboratory tests, validated questionnaires, and wearable activity monitors. Results: One hundred and seven Hispanic/Latino adults (54-12 years, 65% female, 36% prescribed insulin, 60% uninsured) with T2D were enrolled. While 93% had low language-based acculturation, 88% had high health literacy in Spanish. Forty percent were food insecure and 47% expressed at least one social need. Overall, 35% had an HbA 1c < 7.0% (indicating good control) and 31% had an HbA 1c > 9.0%. Sixty-three percent had blood pressure within target (< 130/80 mmHg), and overall participants were moderately physically active. However, 53% were obese (body mass index ‡ 30 kg/m 2) and 76% had a waist measurement defined as high risk (> 88 cm for women and > 102 cm for men). Participants without health insurance were younger (51.9-10.4 vs. 58.8-10.5 years meanstandard deviation, p = 0.0008) but had higher HbA 1c (8.4-2.2% vs. 7.6-1.6, p = 0.031) and fasting glucose (184.9-86.5 vs. 148.6-61.2 mg/dl, p = 0.008) levels. Conclusions: Health insurance status appears to influence achieved glycemic control for U.S. Hispanic/Latino adults with T2D. However, various psychosocial factors potentially influencing cardiometabolic risk independently of health insurance status may also be implicated in the inequitable burden of T2D. ClinicalTrials.gov Identifier: NCT03736486.

show abstract

Section: Discussionsupporting

confidence: 72%

Section: Participant Activitiesmentioning

confidence: 99%

Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This finding implies that providing accurate, concise, and up-to-date information regarding the transmission, mechanism, symptom severity, and plausible treatment of COVID-19 can help increase public awareness of the hazards and risks of harm from COVID-19. Illness perception, which refers to the cognitive appraisal and personal understanding by people of a novel infectious disease [ 14 ], can largely influence not only their psychological and behavioral responses to the illness condition, but also their health outcomes [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19

Chong

Chien

Cheng

et al. 2020

IJERPH

View full text Add to dashboard Cite

As the novel coronavirus disease 2019 (COVID-19) pandemic continues, engaging the public in adherence to precautionary measures for preventing COVID-19 spread or infection becomes difficult. The present study aims to extend our understanding of how illness perceptions, coping, and self-efficacy affect adherence to precautionary measures among the public. An online survey was administered between April and June 2020 to a sample of 514 Hong Kong citizens. Variables considered were illness perceptions toward COVID-19, problem-solving, avoidance-based coping, self-efficacy, as well as adherence to precautionary measures including physical distancing, limiting unnecessary travelling, and washing hands regularly with soap and water. Adjusted structural equation model showed that illness perceptions toward COVID-19 had significant direct effect on their adherence to precautionary measures (unstandardized β = 0.50, [95% CI, 0.28, 0.80], p = 0.001), and indirect effects through avoidance-based coping (β = −0.10 [95% CI, −0.26, −0.01], p = 0.016) and self-efficacy (β = −0.10, [95% CI, −0.18, −0.01], p = 0.025). These results imply that apart from emphasizing the health hazards of a novel infectious disease, an effective public health intervention and crisis communication should address avoidance-based coping and self-efficacy of the public in adherence to precautionary measures for COVID-19.

show abstract

“…Patients who perceived their disease activity had worsened were more likely to use healthcare services.Meanwhile, patients who perceived their disease activity had improved were more likely to delay their visits. Many researchers have suggested that patient's behavior in healthcare-seeking is driven by perception of illness experience (eg, symptoms, diagnosis, and severity),42,43 which might be triggered by physiological or psychological etiologies 44. However, the fact of the matter is that increased demand for healthcare services during the current pandemic could subsequently threaten to overwhelm the healthcare system.Our findings also demonstrated a significant negative correlation between a patient's perception of disease activity and medication adherence.…”

mentioning

confidence: 99%

Impact of COVID‐19 outbreak on rheumatic patients’ perceptions and behaviors: A cross‐sectional study

et al. 2020

View full text Add to dashboard Cite

Aim: The dynamics of coronavirus disease 2019 (COVID-19) pandemic has become of special concern to the rheumatology community. Rheumatic patients are required to engage in effective health management but their behavior is often influenced by intrinsic and extrinsic factors. This cross-sectional study aims to examine patients' experiences during the current pandemic and its implication on their health perception and behavior. Method: A patient-centered electronic survey was used, randomly sampling rheumatic patients in Saudi Arabia during March and April 2020. Questions included patients' socio-demographics, diseases, medications, COVID-19 knowledge, source of information, fear level, disease activity perception, health care utilization, medication accessibility, and therapeutic compliance (measured using a modified version of Medication Adherence Reporting Scale). Correlation and regression coefficients were used to evaluate associations among the aforementioned variables. Results: A total of 637 respondents were included. The majority were rheumatoid arthritis patients (42.7%). Patients' knowledge about COVID-19 was correlated with social media use (P = .012). Fear of COVID-19 infection correlated with healthcare facility for follow-up visits (P = .024) and fear of disease deterioration if contracting the infection correlated with patients' levels of knowledge (P = .035). Both types of fear did not correlate with patients' perceptions of disease activity. However, patients' perceptions of worsened disease activity were correlated with unplanned healthcare visits (P < .001), medication non-adherence, and difficulty accessing medication (P = .010 and .006, respectively). Conclusion: The COVID-19 pandemic and surrounding public health measures could affect rheumatic patients' health management which might contribute to disease flare-up and subsequently taxing healthcare systems even further.

show abstract

Illness perception and high readmission health outcomes

Cited by 93 publications

References 55 publications

Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes

Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes

The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19

Impact of COVID‐19 outbreak on rheumatic patients’ perceptions and behaviors: A cross‐sectional study

Contact Info

Product

Resources

About