An international comparison of factors affecting quality of life among patients with congestive heart failure: A cross-sectional study

Brita Roy, Judith R L M Wolf, Michelle D Carlson, Reinier Akkermans, Bradley Bart, Paul Batalden, Julie K Johnson, Hub Wollersheim and Gijs Hesselink

PLOS ONE, 2020, vol. 15, issue 4, 1-15

Abstract: Objective: To explore associations among twenty formal and informal, societal and individual-level factors and quality of life (QOL) among people living with congestive heart failure (CHF) in two settings with different healthcare and social care systems and sociocultural contexts. Setting and participants: We recruited 367 adult patients with CHF from a single heart failure clinic within two countries with different national social to healthcare spending ratios: Minneapolis, Minnesota, United States (US), and Nijmegen, Netherlands (NL). Design: Cross-sectional survey study. We adapted the Social Quality Model (SQM) to organize twenty diverse factors into four categories: Living Conditions (formal-societal: e.g., housing, education), Social Embeddedness (informal-societal: e.g., social support, trust), Societal Embeddedness (formal-individual: e.g., access to care, legal aid), and Self-Regulation (informal-individual: e.g., physical health, resilience). We developed a survey comprising validated instruments to assess each factor. We administered the survey in-person or by mail between March 2017 and August 2018. Outcomes: We used Cantril’s Self-Anchoring Scale to assess overall QOL. We used backwards stepwise regression to identify factors within each SQM category that were independently associated with QOL among US and NL participants (p

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0231346

DOI: 10.1371/journal.pone.0231346

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