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  • 1
    Online-Ressource
    Online-Ressource
    Reliability and Validity of the State-Trait Hopelessness Scale in Patients With Heart Disease and Moderate to Severe Hopelessness
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Cardiovascular Nursing Vol. 35, No. 2 ( 2020-3), p. 126-130
    Details
    In: Journal of Cardiovascular Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 35, No. 2 ( 2020-3), p. 126-130
    Kurzfassung: The aim of this study was to evaluate the reliability and validity of the State-Trait Hopelessness Scale (STHS) in patients with heart disease who report moderate to severe state hopelessness. Methods Reliability, concurrent validity, and convergent validity were evaluated for 20 patients. Results Cronbach's α for the State and Trait subscales were .81 and .79, respectively. Strong correlations between the State Hopelessness Subscale and Patient Health Questionnaire-9 ( r = 0.77, P 〈 .001), State Hope Scale ( r = −0.75, P 〈 .001), EQ-5D-5L ( r = 0.59, P 〈 .005), and PROMIS-29 domains of depression ( P = .72, P 〈 .001), fatigue ( P = .61, P 〈 .001), and social roles ( P = .45, P = .047) were found. There were strong correlations between the Trait Hopelessness Subscale and Trait Hope Scale ( r = −0.58, P 〈 .005), State Hope Scale ( r = −0.49, P = .03), and PROMIS-29 fatigue domain ( r = 0.54, P = .015). Conclusions Findings support the reliability and validity of the STHS for evaluation of hopelessness in patients with heart disease.
    Materialart: Online-Ressource
    ISSN: 1550-5049 , 0889-4655
    URL: Article
    DOI: 10.1097/JCN.0000000000000647
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2020
    ZDB Id: 2053461-9
    ZDB Id: 639335-4
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 2
    Online-Ressource
    Online-Ressource
    Impact of Home- and Hospital-Based Exercise in Cardiac Rehabilitation on Hopelessness in Patients With Coronary Heart Disease
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  Journal of Cardiopulmonary Rehabilitation and Prevention Vol. 37, No. 1 ( 2017-01), p. 39-48
    Details
    In: Journal of Cardiopulmonary Rehabilitation and Prevention, Ovid Technologies (Wolters Kluwer Health), Vol. 37, No. 1 ( 2017-01), p. 39-48
    Kurzfassung: Hopelessness is associated with increased adverse events and decreased survival in patients with coronary heart disease (CHD). The purpose of this research was to examine the effect of regular home- and hospital-based cardiac rehabilitation (CR) exercise on hopelessness levels in patients with CHD, hypothesizing that increased exercise in either setting would lead to decreased state hopelessness. METHODS: A descriptive longitudinal design was used at a large teaching hospital in Michigan. A total of 324 patients provided data during hospitalization and at least 1 followup time point (3, 8, and 12 months). RESULTS: The patients had persistent, modest levels of state and trait hopelessness across all time points. Among home exercisers with moderate to severe state hopelessness at baseline, both mean state ( P = .002) and trait ( P = .02) hopelessness were reduced at later time points compared with those who quit or did not start exercise. Multivariable models showed that when individuals had moderate to severe baseline state hopelessness, home exercise remained associated with decreases in state hopelessness compared with no exercise, even after adjusting for hospital exercise, depression, and demographic variables. CONCLUSIONS: Exercise may be effective in reducing moderate to severe hopelessness in patients with CHD. Moderate to severe baseline state hopelessness was a predictor of attrition in this cohort, especially for home exercisers, but this was mediated in hospital-based programs. Further research is needed to determine how hopeless individuals can be encouraged to exercise and whether home- or a hospital-based CR exercise is superior in impacting hopelessness.
    Materialart: Online-Ressource
    ISSN: 1932-7501
    URL: Article
    DOI: 10.1097/HCR.0000000000000205
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2017
    ZDB Id: 2272063-7
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 3
    Online-Ressource
    Online-Ressource
    The State–Trait Hopelessness Scale : Development and Testing
    SAGE Publications ; 2014
    In:  Western Journal of Nursing Research Vol. 36, No. 4 ( 2014-04), p. 552-570
    Details
    In: Western Journal of Nursing Research, SAGE Publications, Vol. 36, No. 4 ( 2014-04), p. 552-570
    Kurzfassung: Hopelessness is predictive in the development of coronary heart disease (CHD) and can persist in patients after a CHD event, adversely affecting recovery. Hopelessness may represent a temporary response (state) or a chronic outlook (trait). Common hopelessness measures fail to differentiate state from trait hopelessness, a potentially important differentiation for treatment. The State–Trait Hopelessness Scale (STHS) was developed and pilot tested with two groups of college students ( n = 39 and 190) and patients with CHD ( n = 44). The instrument was then used with 520 patients, confirming reliability (Cronbach’s α) for the State (.88) and Trait (.91) subscales and concurrent and predictive validity. Separate exploratory factor analyses showed two factors (hopelessness present or hopelessness absent) for the State and Trait subscales, accounting for 58.9% and 57.3% of variance, respectively. These findings support future use of the tool in clinical settings and in intervention studies focused on hopelessness.
    Materialart: Online-Ressource
    ISSN: 0193-9459 , 1552-8456
    URL: Article
    DOI: 10.1177/0193945913507634
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2014
    ZDB Id: 632788-6
    ZDB Id: 2067773-X
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 4
    Online-Ressource
    Online-Ressource
    Home- and Hospital-Based Cardiac Rehabilitation Exercise : The Important Role of Physician Recommendation
    SAGE Publications ; 2017
    In:  Western Journal of Nursing Research Vol. 39, No. 2 ( 2017-02), p. 214-233
    Details
    In: Western Journal of Nursing Research, SAGE Publications, Vol. 39, No. 2 ( 2017-02), p. 214-233
    Kurzfassung: Exercise reduces morbidity and mortality for patients with heart disease. Despite clear guidelines and known benefits, most cardiac patients do not meet current exercise recommendations. Physician endorsement positively affects patient participation in hospital-based Phase II cardiac rehabilitation programs, yet the importance of physician recommendation for home-based cardiac rehabilitation exercise is unknown. A prospective observational design was used to examine predictors of both home-based and Phase II rehabilitation exercise in a sample of 251 patients with coronary heart disease. Regression analyses were done to examine demographic and clinical characteristics, physical functioning, and patient’s report of physician recommendation for exercise. Patients with a strong physician referral, who were married and older, were more likely to participate in Phase II exercise. Increased strength of physician recommendation was the unique predictor of home-based exercise. Further research is needed to examine how health professionals can motivate cardiac patients to exercise in home and outpatient settings.
    Materialart: Online-Ressource
    ISSN: 0193-9459 , 1552-8456
    URL: Article
    DOI: 10.1177/0193945916668326
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2017
    ZDB Id: 632788-6
    ZDB Id: 2067773-X
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 5
    Online-Ressource
    Online-Ressource
    Dog Ownership and Dog Walking : The Relationship With Exercise, Depression, and Hopelessness in Patients With Ischemic Heart Disease
    Ovid Technologies (Wolters Kluwer Health) ; 2018
    In:  Journal of Cardiovascular Nursing Vol. 33, No. 2 ( 2018-3), p. E7-E14
    Details
    In: Journal of Cardiovascular Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 33, No. 2 ( 2018-3), p. E7-E14
    Kurzfassung: Dog ownership has been associated with increased physical activity in the general adult population. Objective: The objective of this study was to examine dog ownership and dog walking and their relationship with home-based and phase II cardiac rehabilitation exercise, depression, and hopelessness in patients with ischemic heart disease. Methods: A total of 122 patients with ischemic heart disease were included in this prospective observational study. Patients completed dog ownership/walking questions during their hospitalization. The Cardiac Rehabilitation Exercise Participation Tool, Patient Health Questionnaire-9, and State-Trait Hopelessness Scale were completed by mail at 3, 8, or 12 months later. Regression modeling was used to evaluate the significance of dog ownership/walking on exercise, depression and hopelessness. Results: The sample was 34.4% female and had a mean age of 64.7 ± 9.1 years. Forty-two patients (34.4%) reported owning a dog. Patients who owned but did not walk their dog reported significantly lower levels of home exercise compared with patients who walked their dogs at least 1 day per week (36.8% for non–dog walkers vs 73.9% for dog walkers, P = .019). The odds of participating in home exercise were significantly higher for dog walkers compared with non–dog walkers (odds ratio, 8.1 [1.7, 38.5] vs 1.0). There were no differences in phase II cardiac rehabilitation exercise, depression, or hopelessness between dog owners and non–dog owners or between dog walkers and non–dog walkers. Conclusions: These findings show a beneficial effect on home-based exercise for those who dog-walk at least 1 day per week. Healthcare professionals should encourage dog walking to increase dog owners' physical activity levels.
    Materialart: Online-Ressource
    ISSN: 1550-5049 , 0889-4655
    URL: Article
    DOI: 10.1097/JCN.0000000000000418
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2018
    ZDB Id: 2053461-9
    ZDB Id: 639335-4
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 6
    Online-Ressource
    Online-Ressource
    Health Literacy-based Heart Failure Self-Care Intervention: Usability Study
    Elsevier BV ; 2023
    In:  Heart & Lung Vol. 61 ( 2023-09), p. 167-168
    Details
    In: Heart & Lung, Elsevier BV, Vol. 61 ( 2023-09), p. 167-168
    Materialart: Online-Ressource
    ISSN: 0147-9563
    URL: Article
    DOI: 10.1016/j.hrtlng.2023.06.015
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2023
    ZDB Id: 193129-5
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 7
    Online-Ressource
    Online-Ressource
    Investigating Rurality as a Risk Factor for State and Trait Hopelessness in Hospitalized Patients With Ischemic Heart Disease
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Journal of the American Heart Association Vol. 10, No. 17 ( 2021-09-07)
    Details
    In: Journal of the American Heart Association, Ovid Technologies (Wolters Kluwer Health), Vol. 10, No. 17 ( 2021-09-07)
    Kurzfassung: Rurality and hopelessness are each associated with increased mortality in adults with ischemic heart disease (IHD), yet there is no known research examining rurality as a risk factor for hopelessness in patients with IHD. This study evaluated rurality as a risk factor for state and trait hopelessness in adults hospitalized with IHD in samples drawn from the Great Lakes and Great Plains regions of the United States. Methods and Results A descriptive cross‐sectional design was used. Data were collected from 628 patients hospitalized for IHD in the Great Lakes (n=516) and Great Plains (n=112). Rural–Urban Commuting Area codes were used to stratify study participants by level of rurality. Levels of state hopelessness (measured by the State‐Trait Hopelessness Scale) were higher in rural patients (58.8% versus 48.8%; odds ratio [OR], 1.50; 95% CI, 1.03–2.18), a difference that remained statistically significant after adjusting for demographics, depression severity (measured by the Patient Health Questionnaire–8), and physical functioning (measured by the Duke Activity Status Index; OR, 1.59; 95% CI, 1.06–2.40; P =0.026). There was evidence of an interaction between marital status and rurality on state hopelessness after accounting for covariates ( P =0.02). Nonmarried individuals had an increased prevalence of state hopelessness (nonmarried 72.0% versus married 52.0%) in rural areas ( P =0.03). Conclusions Rural patients with IHD, particularly those who are nonmarried, may be at higher risk for state hopelessness compared with patients with IHD living in urban settings. Understanding rurality differences is important in identifying subgroups most at risk for hopelessness. Registration URL: http://www.clinicaltrials.gov . Unique identifier: NCT04498975.
    Materialart: Online-Ressource
    ISSN: 2047-9980
    URL: Article
    DOI: 10.1161/JAHA.121.020768
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2021
    ZDB Id: 2653953-6
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 8
    Online-Ressource
    Online-Ressource
    Heart up! RCT protocol to increase physical activity in cardiac patients who report hopelessness: Amended for the COVID‐19 pandemic
    Wiley ; 2021
    In:  Research in Nursing & Health Vol. 44, No. 2 ( 2021-04), p. 279-294
    Details
    In: Research in Nursing & Health, Wiley, Vol. 44, No. 2 ( 2021-04), p. 279-294
    Kurzfassung: Hopelessness is associated with decreased physical activity (PA) and increased adverse events and death in patients with ischemic heart disease (IHD). Rates of PA in patients with IHD continue to be low in both hospital‐based cardiac rehabilitation and home settings. While researchers have investigated strategies to increase PA among patients with IHD, interventions to promote PA specifically in IHD patients who report hopelessness are lacking. We describe the protocol for a NIH‐funded randomized controlled trial designed to establish the effectiveness of a 6‐week intervention ( Heart Up! ) to promote increased PA in IHD patients who report hopelessness. Participants ( n  = 225) are randomized to one of three groups: (1) motivational social support (MSS) from a nurse, (2) MSS from a nurse plus significant other support (SOS), or (3) attention control. Aims are to: (1) test the effectiveness of 6 weeks of MSS and MSS with SOS on increasing mean minutes per day of moderate to vigorous PA; (2) determine the effects of change in moderate to vigorous PA on hopelessness; and (3) determine if perceived social support and motivation (exercise self‐regulation) mediate the effects of the intervention on PA. A total of 69 participants have been enrolled to date. The protocol has been consistently and accurately used by research personnel. We address the protocol challenges presented by the COVID‐19 pandemic and steps taken to maintain fidelity to the intervention. Findings from this study could transform care for IHD patients who report hopelessness by promoting self‐management of important PA goals that can contribute to better health outcomes.
    Materialart: Online-Ressource
    ISSN: 0160-6891 , 1098-240X
    URL: Issue
    URL: Article
    DOI: 10.1002/nur.v44.2
    DOI: 10.1002/nur.22106
    Sprache: Englisch
    Verlag: Wiley
    Publikationsdatum: 2021
    ZDB Id: 2002160-4
    ZDB Id: 424453-9
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 9
    Online-Ressource
    Online-Ressource
    Comorbidities are associated with state hopelessness in adults with ischemic heart disease
    Elsevier BV ; 2023
    In:  Heart & Lung Vol. 60 ( 2023-07), p. 28-34
    Details
    In: Heart & Lung, Elsevier BV, Vol. 60 ( 2023-07), p. 28-34
    Materialart: Online-Ressource
    ISSN: 0147-9563
    URL: Article
    DOI: 10.1016/j.hrtlng.2023.02.025
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2023
    ZDB Id: 193129-5
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 10
    Online-Ressource
    Online-Ressource
    Ethnic minority members may be at risk for state hopelessness following hospitalization for ischemic heart disease
    Elsevier BV ; 2019
    In:  Archives of Psychiatric Nursing Vol. 33, No. 1 ( 2019-02), p. 51-56
    Details
    In: Archives of Psychiatric Nursing, Elsevier BV, Vol. 33, No. 1 ( 2019-02), p. 51-56
    Materialart: Online-Ressource
    ISSN: 0883-9417
    URL: Article
    DOI: 10.1016/j.apnu.2018.10.002
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2019
    ZDB Id: 639197-7
    Standort Signatur Einschränkungen Verfügbarkeit
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