PMID- 31420775 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2509-8020 (Electronic) IS - 2509-8020 (Linking) VI - 3 IP - 1 DP - 2019 Aug 16 TI - Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. PG - 55 LID - 10.1186/s41687-019-0142-1 [doi] LID - 55 AB - PURPOSE: To explore the relationship between illness perceptions and self-reported general health of patients with chronic heart disease, using some core elements from the Common Sense Model. METHODS: Patients with heart failure (New York Heart Association [NYHA] Functional Class I-III) from five outpatient clinics in Eastern Norway were invited to participate in this cross-sectional study. Two research nurses collected socio-demographic data (age, sex, education and work status) and standardized questionnaires in structured interviews. Patients' self-reported general health was measured with the Euro-Qual Visual Analogue Scale (EQ-VAS), illness perceptions were measured with the 8-item Brief Illness Perception Questionnaire (BIPQ), and mood was assessed using the Hospital Anxiety and Depression Scale. RESULTS: Among the 220 patients who were recruited into this study (98% response rate), the mean age was 67.5 years (SD +/- 12.5), and 65.9% were men. Patients were classified as NYHA Class I (8.7% with no activity limitations), Class II (47.6% with slight limitations), or Class III (43.8% with marked limitations). Mean EQ-VAS score was 58.8 (SD +/- 21.0). Three of the eight perception of illness items (consequences, personal control and identity) were associated with the patients' general health rating, controlling for their NYHA Class, mood and other BIPQ items. CONCLUSIONS: Our findings suggest that patients' perceptions of their illness have an independent and substantial relationship to the self-rated general health of patients with chronic heart failure. Peoples' illness perceptions are beliefs that have been shown to be modifiable in clinical interventions. Thus, targeted interventions aimed to modify these, such as patient education courses, ought to be developed and tested, as they may be helpful for improving perceived health status. FAU - Lerdal, Anners AU - Lerdal A AUID- ORCID: 0000-0002-7144-5096 AD - Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, P.O. Box. 1130, N-0318, Oslo, Blindern, Norway. anners.lerdal@medisin.uio.no. AD - Department for Patient Safety and Research, Lovisenberg Diaconal Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway. anners.lerdal@medisin.uio.no. FAU - Hofoss, Dag AU - Hofoss D AUID- ORCID: 0000-0002-6888-6333 AD - Lovisenberg Diaconal University College, Lovisenberggata 15b, N-0456, Oslo, Norway. AD - Department of Health Management and Health Economics, Faculty of Medicine, Institute of Health and Society, University of Oslo, P.O. Box. 1130, Blindern, N-0318, Oslo, Norway. FAU - Gay, Caryl L AU - Gay CL AUID- ORCID: 0000-0002-6865-6335 AD - Department for Patient Safety and Research, Lovisenberg Diaconal Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway. AD - Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, San Francisco, CA, 94143, USA. FAU - Fagermoen, May Solveig AU - Fagermoen MS AD - Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, P.O. Box. 1130, N-0318, Oslo, Blindern, Norway. LA - eng PT - Journal Article DEP - 20190816 PL - Germany TA - J Patient Rep Outcomes JT - Journal of patient-reported outcomes JID - 101722688 PMC - PMC6702592 OTO - NOTNLM OT - Anxiety OT - Depression OT - Functioning OT - Heart failure OT - Illness perception OT - Quality of life COIS- The authors declare that they have no competing interests. EDAT- 2019/08/20 06:00 MHDA- 2019/08/20 06:01 PMCR- 2019/08/16 CRDT- 2019/08/18 06:00 PHST- 2019/03/09 00:00 [received] PHST- 2019/07/25 00:00 [accepted] PHST- 2019/08/18 06:00 [entrez] PHST- 2019/08/20 06:00 [pubmed] PHST- 2019/08/20 06:01 [medline] PHST- 2019/08/16 00:00 [pmc-release] AID - 10.1186/s41687-019-0142-1 [pii] AID - 142 [pii] AID - 10.1186/s41687-019-0142-1 [doi] PST - epublish SO - J Patient Rep Outcomes. 2019 Aug 16;3(1):55. doi: 10.1186/s41687-019-0142-1.