Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients

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Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients. / Pozza, Andrea; Osborne, Richard H.; Elsworth, Gerald R.; Gualtieri, Giacomo; Ferretti, Fabio; Coluccia, Anna.

I: Psychology Research and Behavior Management, Bind 13, 2020, s. 459-471.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Pozza, A, Osborne, RH, Elsworth, GR, Gualtieri, G, Ferretti, F & Coluccia, A 2020, 'Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients', Psychology Research and Behavior Management, bind 13, s. 459-471. https://doi.org/10.2147/PRBM.S245063

APA

Pozza, A., Osborne, R. H., Elsworth, G. R., Gualtieri, G., Ferretti, F., & Coluccia, A. (2020). Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients. Psychology Research and Behavior Management, 13, 459-471. https://doi.org/10.2147/PRBM.S245063

Vancouver

Pozza A, Osborne RH, Elsworth GR, Gualtieri G, Ferretti F, Coluccia A. Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients. Psychology Research and Behavior Management. 2020;13:459-471. https://doi.org/10.2147/PRBM.S245063

Author

Pozza, Andrea ; Osborne, Richard H. ; Elsworth, Gerald R. ; Gualtieri, Giacomo ; Ferretti, Fabio ; Coluccia, Anna. / Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients. I: Psychology Research and Behavior Management. 2020 ; Bind 13. s. 459-471.

Bibtex

@article{f51ef46c0854486b926f5ba3964d67b8,
title = "Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients",
abstract = "Background: The Health Education Impact Questionnaire (heiQ) aims to evaluate eight self-management skills in people with chronic conditions. Knowledge about the relations between these self-management skills and different quality of life (QoL) outcomes has received little attention. It is also important to provide further evidence on its properties in non-English healthcare contexts, as the questionnaire is being used in cross-cultural research. Furthermore, in the Italian healthcare context, the relationship between the medical staff and the patients remains asymmetrical, with the latter having the role of passive recipients of medical prescriptions and services. The current study provided further evidence about the psychometric properties of the heiQ among Italian people with chronic conditions, specifically by assessing the factor structure, reliability, convergent/divergent and criterion validity (ie, the specific contribution of each of the self-management skills to QoL outcomes). Methods: Two hundred ninety-nine individuals with a chronic condition (mean age = 61.4 years, 50{\%} females) completed the heiQ and the Medical Outcomes Study-Short Form (MOS SF-36). Confirmatory factor analyses, Composite Reliability Indices (CRI), bivariate correlations and linear regression analyses were computed. Results: A model with 8 correlated factors showed good fit, in a similar way to previous studies. CRI values were acceptable to good for all the subscales. Associations between some of the heiQ subscales and some of theMOS SF-36 subscales supported criterion validity. In particular, it was confirmed by the moderate associations between the constructive attitudes and approaches subscale and the MOS SF-36 vitality and perceived mental health and by the moderate correlations between the health directed activities subscale and the MOS SF-36 Vitality. In linear regressions, higher emotional distress predicted higher physical and mental QoL, while higher mental QoL was also associated with stronger constructive attitudes and approaches. Conclusion: The heiQ has robust properties across translations and it can also be used routinely in Italian healthcare contexts. The evidence that all the other self-management skills did not predict either physical or mental QoL could suggest that the self-management model of chronic diseases is still not sufficiently developed in the Italian context, where patients are passive recipients of medical instructions.",
keywords = "Cardiovascular diseases, Chronic diseases, Diabetes, Health education, Health status, Psychometric properties, Quality of life, Self-management",
author = "Andrea Pozza and Osborne, {Richard H.} and Elsworth, {Gerald R.} and Giacomo Gualtieri and Fabio Ferretti and Anna Coluccia",
year = "2020",
doi = "10.2147/PRBM.S245063",
language = "English",
volume = "13",
pages = "459--471",
journal = "Psychology Research and Behavior Management",
issn = "1179-1578",
publisher = "Dove Medical Press Ltd",

}

RIS

TY - JOUR

T1 - Evaluation of the health education impact questionnaire (heiQ), a self-management skill assessment tool, in Italian chronic patients

AU - Pozza, Andrea

AU - Osborne, Richard H.

AU - Elsworth, Gerald R.

AU - Gualtieri, Giacomo

AU - Ferretti, Fabio

AU - Coluccia, Anna

PY - 2020

Y1 - 2020

N2 - Background: The Health Education Impact Questionnaire (heiQ) aims to evaluate eight self-management skills in people with chronic conditions. Knowledge about the relations between these self-management skills and different quality of life (QoL) outcomes has received little attention. It is also important to provide further evidence on its properties in non-English healthcare contexts, as the questionnaire is being used in cross-cultural research. Furthermore, in the Italian healthcare context, the relationship between the medical staff and the patients remains asymmetrical, with the latter having the role of passive recipients of medical prescriptions and services. The current study provided further evidence about the psychometric properties of the heiQ among Italian people with chronic conditions, specifically by assessing the factor structure, reliability, convergent/divergent and criterion validity (ie, the specific contribution of each of the self-management skills to QoL outcomes). Methods: Two hundred ninety-nine individuals with a chronic condition (mean age = 61.4 years, 50% females) completed the heiQ and the Medical Outcomes Study-Short Form (MOS SF-36). Confirmatory factor analyses, Composite Reliability Indices (CRI), bivariate correlations and linear regression analyses were computed. Results: A model with 8 correlated factors showed good fit, in a similar way to previous studies. CRI values were acceptable to good for all the subscales. Associations between some of the heiQ subscales and some of theMOS SF-36 subscales supported criterion validity. In particular, it was confirmed by the moderate associations between the constructive attitudes and approaches subscale and the MOS SF-36 vitality and perceived mental health and by the moderate correlations between the health directed activities subscale and the MOS SF-36 Vitality. In linear regressions, higher emotional distress predicted higher physical and mental QoL, while higher mental QoL was also associated with stronger constructive attitudes and approaches. Conclusion: The heiQ has robust properties across translations and it can also be used routinely in Italian healthcare contexts. The evidence that all the other self-management skills did not predict either physical or mental QoL could suggest that the self-management model of chronic diseases is still not sufficiently developed in the Italian context, where patients are passive recipients of medical instructions.

AB - Background: The Health Education Impact Questionnaire (heiQ) aims to evaluate eight self-management skills in people with chronic conditions. Knowledge about the relations between these self-management skills and different quality of life (QoL) outcomes has received little attention. It is also important to provide further evidence on its properties in non-English healthcare contexts, as the questionnaire is being used in cross-cultural research. Furthermore, in the Italian healthcare context, the relationship between the medical staff and the patients remains asymmetrical, with the latter having the role of passive recipients of medical prescriptions and services. The current study provided further evidence about the psychometric properties of the heiQ among Italian people with chronic conditions, specifically by assessing the factor structure, reliability, convergent/divergent and criterion validity (ie, the specific contribution of each of the self-management skills to QoL outcomes). Methods: Two hundred ninety-nine individuals with a chronic condition (mean age = 61.4 years, 50% females) completed the heiQ and the Medical Outcomes Study-Short Form (MOS SF-36). Confirmatory factor analyses, Composite Reliability Indices (CRI), bivariate correlations and linear regression analyses were computed. Results: A model with 8 correlated factors showed good fit, in a similar way to previous studies. CRI values were acceptable to good for all the subscales. Associations between some of the heiQ subscales and some of theMOS SF-36 subscales supported criterion validity. In particular, it was confirmed by the moderate associations between the constructive attitudes and approaches subscale and the MOS SF-36 vitality and perceived mental health and by the moderate correlations between the health directed activities subscale and the MOS SF-36 Vitality. In linear regressions, higher emotional distress predicted higher physical and mental QoL, while higher mental QoL was also associated with stronger constructive attitudes and approaches. Conclusion: The heiQ has robust properties across translations and it can also be used routinely in Italian healthcare contexts. The evidence that all the other self-management skills did not predict either physical or mental QoL could suggest that the self-management model of chronic diseases is still not sufficiently developed in the Italian context, where patients are passive recipients of medical instructions.

KW - Cardiovascular diseases

KW - Chronic diseases

KW - Diabetes

KW - Health education

KW - Health status

KW - Psychometric properties

KW - Quality of life

KW - Self-management

U2 - 10.2147/PRBM.S245063

DO - 10.2147/PRBM.S245063

M3 - Journal article

C2 - 32547268

AN - SCOPUS:85085492949

VL - 13

SP - 459

EP - 471

JO - Psychology Research and Behavior Management

JF - Psychology Research and Behavior Management

SN - 1179-1578

ER -

ID: 243377381