Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study

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Lin, Chung-YingDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong,Hong Kong Polytech Univ, Peoples R China (författare)

Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure : a longitudinal study

Artikel/kapitelEngelska2020

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2019-09-13
Sage Publications,2020
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LIBRIS-ID:oai:DiVA.org:hj-46418
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-46418URI
https://doi.org/10.1177/1474515119873648DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-161150URI

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Språk:engelska
Sammanfattning på:engelska

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Background:Given the importance of improving health for patients with heart failure, the present study examined the temporal associations between eHealth literacy, insomnia, psychological distress, medication adherence, quality of life and cardiac events among older patients with heart failure.Methods:With a longitudinal design older patients with echocardiography verified heart failure (N=468; 50.4% New York Heart Association class II, mean age 69.3±7.3 years; 238 men) in need of cardiac care at seven Iranian university outpatient clinics went through clinical examinations and completed the following questionnaires at baseline: eHealth literacy scale (eHEALS, assessing eHealth literacy); 5-item medication adherence report scale (MARS-5, assessing medication adherence); Minnesota living with heart failure questionnaire (MLHFQ, assessing quality of life); insomnia severity index (ISI, assessing insomnia); and hospital anxiety and depression scale (HADS, assessing psychological distress). All the patients completed the ISI and HADS again 3 months later; and the MARS-5 6 months later. Also, their cardiac events were collected 18 months later. Three mediation models were then conducted.Results:eHealth literacy had direct and indirect effects (through insomnia and psychological distress) on medication adherence and quality of life. Moreover, eHealth literacy had protecting effects on cardiac events (hazard ratio (HR) 0.53; 95% confidence interval (CI) 0.37, 0.65) through the mediators of insomnia (HR 0.19; 95% CI 0.15, 0.26), psychological distress (HR 0.08; 95% CI 0.05, 0.12) and medication adherence (HR 0.05; 95% CI 0.04, 0.08).Conclusion:As eHealth literacy was a protector for patients with heart failure, healthcare providers may plan effective programmes to improve eHealth literacy for the population. Additional benefits of improving eHealth literacy in heart failure may be decreased insomnia and psychological distress, improved quality of life, as well as decreased cardiovascular events.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Gerontologi, medicinsk/hälsovetenskaplig inriktning hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Cardiac events
eHealth literacy
heart failure
mediation model
quality of life

Biuppslag (personer, institutioner, konferenser, titlar ...)

Ganji, MaryamDepartment of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Iran,Univ Tehran Med Sci, Iran (författare)
Griffiths, Mark D.International Gaming Research Unit, Nottingham Trent University, UK,Nottingham Trent Univ, England (författare)
Ernsth-Bravell, Marie,1973-Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Jonkoping Univ, Sweden(Swepub:hj)Erma (författare)
Broström, AndersJönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysioloy, Linköping University Hospital, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden(Swepub:liu)andbr94 (författare)
Pakpour, Amir H.Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Iran,Jonkoping Univ, Sweden; Qazvin Univ Med Sci, Iran(Swepub:hj)pakami (författare)
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong KongHong Kong Polytech Univ, Peoples R China (creator_code:org_t)

Sammanhörande titlar

Ingår i:European Journal of Cardiovascular Nursing: Sage Publications19:2, s. 155-1641474-51511873-1953

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Av författaren/redakt...: Lin, Chung-Ying; Ganji, Maryam; Griffiths, Mark ...; Ernsth-Bravell, ...; Broström, Anders; Pakpour, Amir H.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Annan medicin oc ...; och Gerontologi medi ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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Av lärosätet: Jönköping University; Linköpings universitet

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