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Contributors to disease‐specific health knowledge in adults with congenital heart disease: A correlational study

Joshua Saef1, Sandeep Sodhi1, Kristen M. Tecson2, Vanessa al Rashida1, Jong Mi Ko2, Kamila S. White3, Philip A. Ludbrook1, Ari M. Cedars4

1 Department of Cardiology, Washington University School of Medicine, St Louis, Missouri
2 Baylor Heart and Vascular Institute, Baylor Scott & White Research Institute, Dallas, Texas
3 Department of Psychology, University of Missouri, St Louis, Missouri
4 Department of Cardiology, Baylor Scott & White Health Care, Dallas, Texas

* Corresponding Author: Dr Ari Cedars MD, 621 N Hall St, Ste 120, Dallas, TX 75226. Email: email

Congenital Heart Disease 2018, 13(6), 967-977. https://doi.org/10.1111/chd.12668

Abstract

Objective: Growth in the adults with congenital heart disease (ACHD) population represents a challenge to the health care infrastructure. As patients with chronic disease are increasingly held accountable for their own care, contributors to disease‐ specific health knowledge, which are known to correlate with patients’ participation in care, merit investigation to design patient‐focused interventions.
Design: We conducted a single‐site, cross‐sectional study of ACHD patients. Investigators retrospectively gathered clinical data as well as psychometric and health status assessments completed at the time of enrollment.
Outcome Measures: We investigated the impact of clinical and psychological varia‐ bles on Leuven Knowledge Questionnaire for Congenital Heart Diseases health knowledge composite scores (HKCS). Variables with significant associations were considered in a stepwise multivariable regression model to determine which combi‐ nation of variables jointly explained variability in HKCS.
Results: Overall HKCS was associated with the number of prior cardiac surgeries (r = 0.273; 95% CI: 0.050‐0.467; P = .016), perceived stress (r = 0.260; 95% CI: 0.033‐0.458; P = .024), SF‐36 emotional well‐being (r = −0.251; 95% CI: −0.451, −0.024; P = .030), history of noncardiac surgery (P = .037), cirrhosis (P = .048), and presence of implantable cardioverter‐defibrillator (P = .028). On multivariable mod‐ eling, only the number of cardiac surgeries was found to correlate with HKCS.
Conclusions: While univariate correlations were found between HCKS and several other clinical and psychological variables, only number of prior cardiac surgeries inde‐ pendently correlated with disease‐specific health knowledge in ACHD patients. These results suggest that clinical and psychological variables are not impediments to disease‐specific health knowledge.

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APA Style
Saef, J., Sodhi, S., Tecson, K.M., Rashida, V.A., Ko, J.M. et al. (2018). Contributors to disease‐specific health knowledge in adults with congenital heart disease: A correlational study. Congenital Heart Disease, 13(6), 967-977. https://doi.org/10.1111/chd.12668
Vancouver Style
Saef J, Sodhi S, Tecson KM, Rashida VA, Ko JM, White KS, et al. Contributors to disease‐specific health knowledge in adults with congenital heart disease: A correlational study. Congeni Heart Dis. 2018;13(6):967-977 https://doi.org/10.1111/chd.12668
IEEE Style
J. Saef et al., "Contributors to disease‐specific health knowledge in adults with congenital heart disease: A correlational study," Congeni. Heart Dis., vol. 13, no. 6, pp. 967-977. 2018. https://doi.org/10.1111/chd.12668



cc This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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