Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease

Abstract

Objective Evaluate the effect of perceived health competence, a patient’s belief in his or her ability to achieve health-related goals, on health behavior and health-related quality of life. Methods We analyzed 2063 patients hospitalized with acute coronary syndrome and/or congestive heart failure at a large academic hospital in the United States. Multivariable linear regression models investigated associations between the two-item perceived health competence scale (PHCS-2) and positive health behaviors such as medication adherence and exercise (Health Behavior Index) as well as health-related quality of life (5-item Patient Reported Outcome Information Measurement System Global Health Scale). Results After multivariable adjustment, perceived health competence was highly associated with health behaviors (p<0.001) and health-related quality of life (p<0.001). Low perceived health competence was associated with a decrease in health-related quality of life between hospitalization and 90 days after discharge (p<0.001). Conclusions Perceived health competence predicts health behavior and health-related quality of life in patients hospitalized with cardiovascular disease as well as change in health-related quality of life after discharge. Practice implications Patients with low perceived health competence may be at risk for a decline in health-related quality of life after hospitalization and thus a potential target for counseling and other behavioral interventions.

Psychosocial factors and self‐reported transitions in oral and general health

“…Perceived health competence and social support have been reported to buffer the negative effects of post‐discharge stress that may occur following hospitalization for cardiac disease . Perceived health competence has also been found to predict health‐related quality of life in patients hospitalized with cardiovascular disease and for individuals with spinal cord injury . As a measure of self‐efficacy, perceived health competence falls between the more highly behaviour‐specific measures of self‐efficacy and the more global measures of perceived competence.…”

Depressed Mood, Perceived Health Competence and Health Behaviors: aCross-Sectional Mediation Study in Outpatients with Coronary Heart Disease

“…27 The PHCS-2 has strong convergent validity with the full PHCS and is associated with health behaviors and quality of life. 15,28 Patients were asked to indicate how much they agreed with the following statements: BI am able to do things for my health as well as most other people^and BIt is difficult for me to find effective solutions for my health problems.^Response options were on a five-point scale ranging from Bstrongly disagree^to Bstrongly agree.^The second question was reversed coded; then the items were summed, with higher scores indicating greater perceived health competence.…”

“…Health behaviors were measured using an index constructed from five domains (diet, physical activity, medication adherence, smoking, and alcohol use), modeling procedures outlined in previous work. 15 Domain scores were rescaled to fit a range of scores from 1 (the least healthy behaviors) to 5 (the most healthy behaviors). The final index score was the sum of the five domain scores and ranged from 5 to 25.…”

“…12 Experiencing depressed mood may dampen self-perceptions of one's ability to manage one's own health, 13,14 lowering perceived health competence, and thereby adversely affecting multiple health behaviors. [15][16][17] The goal of this study is to examine perceived health competence as an explanatory construct for the impact of depressed mood on a Health Behaviors Index representing multiple behaviors known to influence cardiac health (i.e., healthy diet, physical activity, medication adherence, smoking, and alcohol consumption) in CHD outpatients. This line of inquiry could potentially identify a new intervention target for improving a broad range of health behaviors.…”

Prevalência e fatores associados à autopercepção negativa de saúde em adolescentes da região Norte do Brasil

“…Por meio de uma única questão 5 , o entrevistado fornece relevantes informações sobre seu status de salubridade, projetando sua visão de bem-estar, considerando aspectos físicos e psicossociais 3 . Os aspectos comportamentais, no entanto, são levados em consideração com menor frequência e, quando a autopercepção de saúde é relatada de forma negativa, tende a refletir comportamentos de riscos à saúde adotados no estilo de vida [5][6][7][8] .…”