Multi-level correlates of received social support among heart transplant recipients in the international BRIGHT Study: a secondary analysis.
- Publisher:
- OXFORD UNIV PRESS
- Publication Type:
- Journal Article
- Citation:
- Eur J Cardiovasc Nurs, 2022, 21, (8), pp. 857-867
- Issue Date:
- 2022-11-23
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20927768_10956049000005671.pdf | Published version | 971.35 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Abshire Saylor, M | |
dc.contributor.author | Denhaerynck, K | |
dc.contributor.author | Mielke, J | |
dc.contributor.author | Davidson, PM | |
dc.contributor.author | Dobbels, F | |
dc.contributor.author | Russell, CL | |
dc.contributor.author | De Geest, S | |
dc.date.accessioned | 2023-06-23T22:44:16Z | |
dc.date.available | 2022-04-20 | |
dc.date.available | 2023-06-23T22:44:16Z | |
dc.date.issued | 2022-11-23 | |
dc.identifier.citation | Eur J Cardiovasc Nurs, 2022, 21, (8), pp. 857-867 | |
dc.identifier.issn | 1474-5151 | |
dc.identifier.issn | 1873-1953 | |
dc.identifier.uri | http://hdl.handle.net/10453/170847 | |
dc.description.abstract | AIMS: Social support is critical in follow-up of patients after heart transplant (HTx) and positively influences well-being and clinical outcomes such as medication adherence. The purpose of this study was to (i) explore received social support variation (emotional and practical) in HTx recipients at country and centre level and (ii) to assess multi-level correlates. METHODS AND RESULTS: Secondary data analysis of the multi-level cross-sectional BRIGHT study was conducted in 36 HTx centres in 11 countries. Received social support related to medication adherence was measured with emotional and practical sub-scales. The Conceptual Model of Social Networks and Health guided selection of patient, micro (interpersonal and psychosocial), meso (HTx centre) and macro-level (country health system) factors. Descriptive statistics, intraclass correlations, and sequential multiple ordinal mixed logistic regression analysis were used. A total of 1379 adult HTx recipients were included. Patient level correlates (female sex, living alone, and fewer depressive symptoms) and micro-level correlates (higher level of chronic disease management and trust in the healthcare team) were associated with better emotional social support. Similarly, patient level (living alone, younger age, and male sex), micro-level and meso-level (patient and clinician-rated higher level of chronic disease management) were associated with better practical social support. Social support varied at country and centre levels for emotional and practical dimensions. CONCLUSIONS: Social support in HTx recipients varies by country, centre, and was associated with multi-level correlates. Qualitative and longitudinal studies are needed to understand influencing factors of social support for intervention development, improvement of social support, and clinical outcomes. | |
dc.format | ||
dc.language | eng | |
dc.publisher | OXFORD UNIV PRESS | |
dc.relation.ispartof | Eur J Cardiovasc Nurs | |
dc.relation.isbasedon | 10.1093/eurjcn/zvac041 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1102 Cardiorespiratory Medicine and Haematology, 1110 Nursing, 1117 Public Health and Health Services | |
dc.subject.classification | Nursing | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Heart Transplantation | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Chronic Disease | |
dc.subject.mesh | Social Support | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Chronic Disease | |
dc.subject.mesh | Heart Transplantation | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Social Support | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Heart Transplantation | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Chronic Disease | |
dc.subject.mesh | Social Support | |
dc.title | Multi-level correlates of received social support among heart transplant recipients in the international BRIGHT Study: a secondary analysis. | |
dc.type | Journal Article | |
utslib.citation.volume | 21 | |
utslib.location.activity | England | |
utslib.for | 1102 Cardiorespiratory Medicine and Haematology | |
utslib.for | 1110 Nursing | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/IMPACCT | |
utslib.copyright.status | closed_access | * |
dc.date.updated | 2023-06-23T22:44:14Z | |
pubs.issue | 8 | |
pubs.publication-status | Published | |
pubs.volume | 21 | |
utslib.citation.issue | 8 |
Abstract:
AIMS: Social support is critical in follow-up of patients after heart transplant (HTx) and positively influences well-being and clinical outcomes such as medication adherence. The purpose of this study was to (i) explore received social support variation (emotional and practical) in HTx recipients at country and centre level and (ii) to assess multi-level correlates. METHODS AND RESULTS: Secondary data analysis of the multi-level cross-sectional BRIGHT study was conducted in 36 HTx centres in 11 countries. Received social support related to medication adherence was measured with emotional and practical sub-scales. The Conceptual Model of Social Networks and Health guided selection of patient, micro (interpersonal and psychosocial), meso (HTx centre) and macro-level (country health system) factors. Descriptive statistics, intraclass correlations, and sequential multiple ordinal mixed logistic regression analysis were used. A total of 1379 adult HTx recipients were included. Patient level correlates (female sex, living alone, and fewer depressive symptoms) and micro-level correlates (higher level of chronic disease management and trust in the healthcare team) were associated with better emotional social support. Similarly, patient level (living alone, younger age, and male sex), micro-level and meso-level (patient and clinician-rated higher level of chronic disease management) were associated with better practical social support. Social support varied at country and centre levels for emotional and practical dimensions. CONCLUSIONS: Social support in HTx recipients varies by country, centre, and was associated with multi-level correlates. Qualitative and longitudinal studies are needed to understand influencing factors of social support for intervention development, improvement of social support, and clinical outcomes.
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