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Nahlen Bose, C., Persson, H., Björling, G., Ljunggren, G., Elfström, M. & Saboonchi, F. (2016). Evaluation of a Coping Effectiveness Training intervention in patients with chronic heart failure: a randomized controlled trial. European Journal of Cardiovascular Nursing, 15(7), 537-548, Article ID S1-S1.
Open this publication in new window or tab >>Evaluation of a Coping Effectiveness Training intervention in patients with chronic heart failure: a randomized controlled trial
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2016 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 15, no 7, p. 537-548, article id S1-S1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Impaired emotional well-being has detrimental effects on health outcomes in patients with chronic heart failure (CHF).

AIMS:

To evaluate a nurse-led Coping Effectiveness Training (CET) group intervention for patients with CHF. It was hypothesized that CET would increase emotional well-being (primary outcome) and health-related quality (HRQoL) of life and improve clinical outcomes. Furthermore, changes in appraisal and coping as mediators of the intervention effect were examined.

METHODS:

Participants were randomized to either control group (n=51) receiving standard health care or CET intervention group (n=52). Self-assessments of positive affect, negative affect, depression, anxiety, HRQoL, illness perception, coping strategies and social support were performed pre- and post-intervention and after six weeks, six months and 12 months. Time to death and hospitalizations were measured during the entire follow-up (median 35 months, interquartile range 11 months).

RESULTS:

No significant improvements for emotional well-being and HRQoL in the intervention group compared with the control group were found. After excluding patients with clinical anxiety and depression at baseline the intervention group had significantly lower negative affect (p = 0.022). There were no significant differences regarding cardiovascular events between the groups. The intervention group had greater sense of control over their illness in the short-term (p = 0.036).

CONCLUSION:

CET intervention was found to increase sense of control over the illness in the short term. Psychosocial support programmes, like CET, for patients with CHF is currently lacking evidence for implementing in clinical practice. However, the results provide a basis for future studies with a modified CET intervention design and increased study size.

Keywords
Heart failure, intervention, randomized controlled trial, follow-up, sense of control, affect
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:mdh:diva-30702 (URN)10.1177/1474515115625033 (DOI)000389893500009 ()26733462 (PubMedID)2-s2.0-85001022114 (Scopus ID)
Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2018-02-05Bibliographically approved
Nahlen Bose, C., Björling, G., Elfström, M., Persson, H. & Saboonchi, F. (2015). Assessment of Coping Strategies and Their Associations With Health Related Quality of Life in Patients With Chronic Heart Failure: the Brief COPE Restructured. Cardiology Research, 6(2), 239-248
Open this publication in new window or tab >>Assessment of Coping Strategies and Their Associations With Health Related Quality of Life in Patients With Chronic Heart Failure: the Brief COPE Restructured
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2015 (English)In: Cardiology Research, ISSN 1923-2829, E-ISSN 1923-2837, Vol. 6, no 2, p. 239-248Article in journal (Refereed) Published
Abstract [en]

Background: Individuals with chronic heart failure (CHF) need to cope with both the physical limitations and the psychological impacts of the disease. Since some coping strategies are beneficial and others are linked to increased mortality and worse health-related quality of life (HRQoL), it is important to have a reliable and valid instrument to detect different coping styles. Brief COPE, a self-reporting questionnaire, has been previously used in the context of CHF. There is, however, currently a lack of consensus about the theoretical or empirical foundations for grouping the multiple coping strategies assessed by Brief COPE into higher order categories of coping. The main purpose of this study was to examine the structure of Brief COPE, founded on the higher order grouping of its subscales in order to establish an assessment model supported by theoretical considerations. Furthermore, the associations between these higher order categories of coping and HRQoL were examined to establish the predictive validity of the selected model in the context of CHF.

Method: One hundred eighty-three patients diagnosed with CHF were recruited at a heart failure outpatient clinic or at a cardiac ward. Self-reported questionnaires were filled in to measure coping strategies and HRQoL. Confirmatory factor analyses were performed to investigate different hierarchical structures of Brief COPE found in the literature to assess coping strategies in patients with CHF. Regression analyses explored associations of aggregated coping strategies with HRQoL.

Results: A four factorial structure of Brief COPE displayed the most adequate psychometric properties, consisting of problem focused coping, avoidant coping, socially supported coping and emotion focused coping. Avoidant coping was associated with worse HRQoL in CHF.

Conclusions: This study provides support for a four-factor model of coping strategies in patients with CHF. This could facilitate assessment of coping both in clinical and research settings.

Keywords
Heart failure; Factor analysis; Statistical; Adaption; Psychological; Quality of life; Self-report
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:mdh:diva-30701 (URN)10.14740/cr385w (DOI)000359639600001 ()28197233 (PubMedID)
Available from: 2015-05-13 Created: 2016-01-12 Last updated: 2019-01-10Bibliographically approved
Nahlen Bose, C., Elfström, M. L., Björling, G., Persson, H. & Saboonchi, F.Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure.
Open this publication in new window or tab >>Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure
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(English)Manuscript (preprint) (Other academic)
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-30703 (URN)
Note

As manuscript in dissertation

Available from: 2015-09-02 Created: 2016-01-12 Last updated: 2016-01-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5376-5048

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