Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment
Autor(a) principal: | |
---|---|
Data de Publicação: | 2013 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/26907 https://doi.org/10.1016/j.pec.2013.08.015 |
Resumo: | Objective To investigate whether different dimensions of patient centred care (PCC) were directly associated with wellbeing or indirectly, via lower concerns about medical procedures and/or increased tolerability of treatment. Methods Cross-sectional study with 322 women and 111 men undergoing fertility diagnosis or treatment recruited online and in clinical setting. Participants completed questionnaires that assess PCC (PCQ-Infertility), individual (BSI Anxiety and Depression subscales) and relational wellbeing (FertiQoL Relational Domain), treatment concerns (CART Procedural Concerns scale) and tolerability (FertiQoL Tolerability Domain) and they filled a socio-demographic and fertility data file. Results All dimensions of PCC were positively associated with better wellbeing except for organization of care. Information provision and continuity of care were indirectly associated with better individual wellbeing, the first via lower treatment concerns and the second via higher treatment tolerability. Competence, accessibility, continuity and communication were indirectly associated with better relational wellbeing via higher treatment tolerability. Conclusions Patient centred care promotes wellbeing during treatment. PCC is directly associated to wellbeing but also indirectly. The mode of action of the different PCC dimensions on wellbeing varies. Practical implications To promote patients’ wellbeing during treatment clinics should provide treatment related information and allow patients to establish a stable clinical relationship with a trustworthy and competent physician. |
id |
RCAP_ceda7616ed4f841c6edaa7ba1f2d1b48 |
---|---|
oai_identifier_str |
oai:estudogeral.uc.pt:10316/26907 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatmentInfertilityPatient centered careAnxietyDepressionFertiQoLQuality of lifeObjective To investigate whether different dimensions of patient centred care (PCC) were directly associated with wellbeing or indirectly, via lower concerns about medical procedures and/or increased tolerability of treatment. Methods Cross-sectional study with 322 women and 111 men undergoing fertility diagnosis or treatment recruited online and in clinical setting. Participants completed questionnaires that assess PCC (PCQ-Infertility), individual (BSI Anxiety and Depression subscales) and relational wellbeing (FertiQoL Relational Domain), treatment concerns (CART Procedural Concerns scale) and tolerability (FertiQoL Tolerability Domain) and they filled a socio-demographic and fertility data file. Results All dimensions of PCC were positively associated with better wellbeing except for organization of care. Information provision and continuity of care were indirectly associated with better individual wellbeing, the first via lower treatment concerns and the second via higher treatment tolerability. Competence, accessibility, continuity and communication were indirectly associated with better relational wellbeing via higher treatment tolerability. Conclusions Patient centred care promotes wellbeing during treatment. PCC is directly associated to wellbeing but also indirectly. The mode of action of the different PCC dimensions on wellbeing varies. Practical implications To promote patients’ wellbeing during treatment clinics should provide treatment related information and allow patients to establish a stable clinical relationship with a trustworthy and competent physician.Elsevier2013-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/26907http://hdl.handle.net/10316/26907https://doi.org/10.1016/j.pec.2013.08.015engGAMEIRO, Sofia; CANAVARRO, Maria Cristina; BOIVIN, Jacky - Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment. "Patient Education and Counseling". ISSN 0738-3991. Vol. 93 Nº. 3 (2013) p. 646-6540738-3991http://www.sciencedirect.com/science/article/pii/S0738399113003224Gameiro, SofiaCanavarro, Maria CristinaBoivin, Jackyinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2020-05-25T02:08:50Zoai:estudogeral.uc.pt:10316/26907Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:48:29.436556Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
title |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
spellingShingle |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment Gameiro, Sofia Infertility Patient centered care Anxiety Depression FertiQoL Quality of life |
title_short |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
title_full |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
title_fullStr |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
title_full_unstemmed |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
title_sort |
Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment |
author |
Gameiro, Sofia |
author_facet |
Gameiro, Sofia Canavarro, Maria Cristina Boivin, Jacky |
author_role |
author |
author2 |
Canavarro, Maria Cristina Boivin, Jacky |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Gameiro, Sofia Canavarro, Maria Cristina Boivin, Jacky |
dc.subject.por.fl_str_mv |
Infertility Patient centered care Anxiety Depression FertiQoL Quality of life |
topic |
Infertility Patient centered care Anxiety Depression FertiQoL Quality of life |
description |
Objective To investigate whether different dimensions of patient centred care (PCC) were directly associated with wellbeing or indirectly, via lower concerns about medical procedures and/or increased tolerability of treatment. Methods Cross-sectional study with 322 women and 111 men undergoing fertility diagnosis or treatment recruited online and in clinical setting. Participants completed questionnaires that assess PCC (PCQ-Infertility), individual (BSI Anxiety and Depression subscales) and relational wellbeing (FertiQoL Relational Domain), treatment concerns (CART Procedural Concerns scale) and tolerability (FertiQoL Tolerability Domain) and they filled a socio-demographic and fertility data file. Results All dimensions of PCC were positively associated with better wellbeing except for organization of care. Information provision and continuity of care were indirectly associated with better individual wellbeing, the first via lower treatment concerns and the second via higher treatment tolerability. Competence, accessibility, continuity and communication were indirectly associated with better relational wellbeing via higher treatment tolerability. Conclusions Patient centred care promotes wellbeing during treatment. PCC is directly associated to wellbeing but also indirectly. The mode of action of the different PCC dimensions on wellbeing varies. Practical implications To promote patients’ wellbeing during treatment clinics should provide treatment related information and allow patients to establish a stable clinical relationship with a trustworthy and competent physician. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/26907 http://hdl.handle.net/10316/26907 https://doi.org/10.1016/j.pec.2013.08.015 |
url |
http://hdl.handle.net/10316/26907 https://doi.org/10.1016/j.pec.2013.08.015 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
GAMEIRO, Sofia; CANAVARRO, Maria Cristina; BOIVIN, Jacky - Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment. "Patient Education and Counseling". ISSN 0738-3991. Vol. 93 Nº. 3 (2013) p. 646-654 0738-3991 http://www.sciencedirect.com/science/article/pii/S0738399113003224 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799133763727261696 |