Religion and spirituality as predictors of patient-reported outcomes in adults with congenital heart disease around the globe

APPROACH-IS Consortium, the International Society for Adult Congenital Heart Disease (ISACHD)

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aims: Religion and spirituality can be resources for internal strength and resilience, and may assist with managing life's challenges. Prior studies have been undertaken primarily in countries with high proportions of religious/spiritual people. We investigated (i) whether being religious/spiritual is an independent predictor of patient-reported outcomes (PROs) in a large international sample of adults with congenital heart disease, (ii) whether the individual level of importance of religion/spirituality is an independent predictor for PROs, and (iii) if these relationships are moderated by the degree to which the respective countries are religious or secular. Methods and results: APPROACH-IS was a cross-sectional study, in which 4028 patients from 15 countries were enrolled. Patients completed questionnaires to measure perceived health status; psychological functioning; health behaviors; and quality of life. Religion/spirituality was measured using three questions: Do you consider yourself religious or spiritual?; How important is religion, spirituality, or faith in your life?; and If religious, to what religion do you belong?. The country level of religiosity/secularity was appraised using data from the Gallup Poll 2005–2009. General linear mixed models, adjusting for patient characteristics and country differences were applied. Overall, 49.2% of patients considered themselves to be religious/spiritual. Being religious/spiritual and considering religion/spirituality as important in one's life was positively associated with quality of life, satisfaction with life and health behaviors. However, among patients living in more secular countries, religion/spirituality was negatively associated with physical and mental health. Conclusion: Religiosity/spirituality is an independent predictor for some PROs, but has differential impact across countries.

Original languageEnglish (US)
Pages (from-to)93-99
Number of pages7
JournalInternational Journal of Cardiology
Volume274
DOIs
StatePublished - Jan 1 2019

Fingerprint

Spirituality
Religion
Heart Diseases
Health Behavior
Quality of Life
Patient Reported Outcome Measures
Health Status
Linear Models
Mental Health
Cross-Sectional Studies
Psychology

Keywords

  • Cross-cultural comparison
  • Heart defects, congenital
  • Patient-reported outcomes
  • Religion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Religion and spirituality as predictors of patient-reported outcomes in adults with congenital heart disease around the globe. / APPROACH-IS Consortium; the International Society for Adult Congenital Heart Disease (ISACHD).

In: International Journal of Cardiology, Vol. 274, 01.01.2019, p. 93-99.

Research output: Contribution to journalArticle

APPROACH-IS Consortium ; the International Society for Adult Congenital Heart Disease (ISACHD). / Religion and spirituality as predictors of patient-reported outcomes in adults with congenital heart disease around the globe. In: International Journal of Cardiology. 2019 ; Vol. 274. pp. 93-99.
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abstract = "Aims: Religion and spirituality can be resources for internal strength and resilience, and may assist with managing life's challenges. Prior studies have been undertaken primarily in countries with high proportions of religious/spiritual people. We investigated (i) whether being religious/spiritual is an independent predictor of patient-reported outcomes (PROs) in a large international sample of adults with congenital heart disease, (ii) whether the individual level of importance of religion/spirituality is an independent predictor for PROs, and (iii) if these relationships are moderated by the degree to which the respective countries are religious or secular. Methods and results: APPROACH-IS was a cross-sectional study, in which 4028 patients from 15 countries were enrolled. Patients completed questionnaires to measure perceived health status; psychological functioning; health behaviors; and quality of life. Religion/spirituality was measured using three questions: Do you consider yourself religious or spiritual?; How important is religion, spirituality, or faith in your life?; and If religious, to what religion do you belong?. The country level of religiosity/secularity was appraised using data from the Gallup Poll 2005–2009. General linear mixed models, adjusting for patient characteristics and country differences were applied. Overall, 49.2{\%} of patients considered themselves to be religious/spiritual. Being religious/spiritual and considering religion/spirituality as important in one's life was positively associated with quality of life, satisfaction with life and health behaviors. However, among patients living in more secular countries, religion/spirituality was negatively associated with physical and mental health. Conclusion: Religiosity/spirituality is an independent predictor for some PROs, but has differential impact across countries.",
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AU - APPROACH-IS Consortium

AU - the International Society for Adult Congenital Heart Disease (ISACHD)

AU - Moons, Philip

AU - Luyckx, Koen

AU - Dezutter, Jessie

AU - Kovacs, Adrienne H.

AU - Thomet, Corina

AU - Budts, Werner

AU - Enomoto, Junko

AU - Sluman, Maayke A.

AU - Yang, Hsiao Ling

AU - Jackson, Jamie L.

AU - Khairy, Paul

AU - Subramanyan, Raghavan

AU - Alday, Luis

AU - Eriksen, Katrine

AU - Dellborg, Mikael

AU - Berghammer, Malin

AU - Johansson, Bengt

AU - Mackie, Andrew S.

AU - Menahem, Samuel

AU - Caruana, Maryanne

AU - Veldtman, Gruschen

AU - Soufi, Alexandra

AU - Fernandes, Susan M.

AU - White, Kamila

AU - Callus, Edward

AU - Kutty, Shelby

AU - Apers, Silke

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Aims: Religion and spirituality can be resources for internal strength and resilience, and may assist with managing life's challenges. Prior studies have been undertaken primarily in countries with high proportions of religious/spiritual people. We investigated (i) whether being religious/spiritual is an independent predictor of patient-reported outcomes (PROs) in a large international sample of adults with congenital heart disease, (ii) whether the individual level of importance of religion/spirituality is an independent predictor for PROs, and (iii) if these relationships are moderated by the degree to which the respective countries are religious or secular. Methods and results: APPROACH-IS was a cross-sectional study, in which 4028 patients from 15 countries were enrolled. Patients completed questionnaires to measure perceived health status; psychological functioning; health behaviors; and quality of life. Religion/spirituality was measured using three questions: Do you consider yourself religious or spiritual?; How important is religion, spirituality, or faith in your life?; and If religious, to what religion do you belong?. The country level of religiosity/secularity was appraised using data from the Gallup Poll 2005–2009. General linear mixed models, adjusting for patient characteristics and country differences were applied. Overall, 49.2% of patients considered themselves to be religious/spiritual. Being religious/spiritual and considering religion/spirituality as important in one's life was positively associated with quality of life, satisfaction with life and health behaviors. However, among patients living in more secular countries, religion/spirituality was negatively associated with physical and mental health. Conclusion: Religiosity/spirituality is an independent predictor for some PROs, but has differential impact across countries.

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KW - Cross-cultural comparison

KW - Heart defects, congenital

KW - Patient-reported outcomes

KW - Religion

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