Patients' Perceived Control Over Their Health Care

An Outcome Assessment of Their Psychological Adjustment to Renal Failure

Barbara A. Bremer, Diane Haffly, Richard Foxx, Anne Weaver

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Previous research has sometimes produced conflict ing results regarding patients' psychological adjustment to end-stage renal disease (ESRD). It is generally ac cepted that treatment outcomes vary across treatment modality, with successful transplant patients reporting a higher subjective quality of life than patients on cen ter hemodialysis. Hemodialysis and transplantation therapies vary in many ways, including the intrusiveness of treatment on all aspects of the patient's life. In the present study, 65 individuals being treated for ESRD with center hemodialysis or a renal transplant were as sessed for health locus of control, for generalized con trol over 11 life dimensions, and for beliefs about con trol over specific aspects of treatment for ESRD. The study also included indicators of psychological adjust ment. The results indicated that control over life dimen sions, which includes control over illness, is a significant factor in psychological adjustment. Beliefs that one can comply specifically with diet and fluid restrictions were related to treatment outcome. These data suggest that interventions designed to increase patients' perception of control are likely to have a positive impact on the qualitative aspect of treatment.

Original languageEnglish (US)
Pages (from-to)149-154
Number of pages6
JournalAmerican Journal of Medical Quality
Volume10
Issue number3
DOIs
StatePublished - Jan 1 1995

Fingerprint

Renal Insufficiency
Outcome Assessment (Health Care)
Chronic Kidney Failure
Renal Dialysis
Transplants
Therapeutics
Internal-External Control
Transplantation
Quality of Life
Emotional Adjustment
Psychology
Diet
Kidney
Health
Research

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Bremer, Barbara A. ; Haffly, Diane ; Foxx, Richard ; Weaver, Anne. / Patients' Perceived Control Over Their Health Care : An Outcome Assessment of Their Psychological Adjustment to Renal Failure. In: American Journal of Medical Quality. 1995 ; Vol. 10, No. 3. pp. 149-154.
@article{a9bbb1ab868f4b309820659deba1deb4,
title = "Patients' Perceived Control Over Their Health Care: An Outcome Assessment of Their Psychological Adjustment to Renal Failure",
abstract = "Previous research has sometimes produced conflict ing results regarding patients' psychological adjustment to end-stage renal disease (ESRD). It is generally ac cepted that treatment outcomes vary across treatment modality, with successful transplant patients reporting a higher subjective quality of life than patients on cen ter hemodialysis. Hemodialysis and transplantation therapies vary in many ways, including the intrusiveness of treatment on all aspects of the patient's life. In the present study, 65 individuals being treated for ESRD with center hemodialysis or a renal transplant were as sessed for health locus of control, for generalized con trol over 11 life dimensions, and for beliefs about con trol over specific aspects of treatment for ESRD. The study also included indicators of psychological adjust ment. The results indicated that control over life dimen sions, which includes control over illness, is a significant factor in psychological adjustment. Beliefs that one can comply specifically with diet and fluid restrictions were related to treatment outcome. These data suggest that interventions designed to increase patients' perception of control are likely to have a positive impact on the qualitative aspect of treatment.",
author = "Bremer, {Barbara A.} and Diane Haffly and Richard Foxx and Anne Weaver",
year = "1995",
month = "1",
day = "1",
doi = "10.1177/0885713X9501000307",
language = "English (US)",
volume = "10",
pages = "149--154",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",
number = "3",

}

Patients' Perceived Control Over Their Health Care : An Outcome Assessment of Their Psychological Adjustment to Renal Failure. / Bremer, Barbara A.; Haffly, Diane; Foxx, Richard; Weaver, Anne.

In: American Journal of Medical Quality, Vol. 10, No. 3, 01.01.1995, p. 149-154.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patients' Perceived Control Over Their Health Care

T2 - An Outcome Assessment of Their Psychological Adjustment to Renal Failure

AU - Bremer, Barbara A.

AU - Haffly, Diane

AU - Foxx, Richard

AU - Weaver, Anne

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Previous research has sometimes produced conflict ing results regarding patients' psychological adjustment to end-stage renal disease (ESRD). It is generally ac cepted that treatment outcomes vary across treatment modality, with successful transplant patients reporting a higher subjective quality of life than patients on cen ter hemodialysis. Hemodialysis and transplantation therapies vary in many ways, including the intrusiveness of treatment on all aspects of the patient's life. In the present study, 65 individuals being treated for ESRD with center hemodialysis or a renal transplant were as sessed for health locus of control, for generalized con trol over 11 life dimensions, and for beliefs about con trol over specific aspects of treatment for ESRD. The study also included indicators of psychological adjust ment. The results indicated that control over life dimen sions, which includes control over illness, is a significant factor in psychological adjustment. Beliefs that one can comply specifically with diet and fluid restrictions were related to treatment outcome. These data suggest that interventions designed to increase patients' perception of control are likely to have a positive impact on the qualitative aspect of treatment.

AB - Previous research has sometimes produced conflict ing results regarding patients' psychological adjustment to end-stage renal disease (ESRD). It is generally ac cepted that treatment outcomes vary across treatment modality, with successful transplant patients reporting a higher subjective quality of life than patients on cen ter hemodialysis. Hemodialysis and transplantation therapies vary in many ways, including the intrusiveness of treatment on all aspects of the patient's life. In the present study, 65 individuals being treated for ESRD with center hemodialysis or a renal transplant were as sessed for health locus of control, for generalized con trol over 11 life dimensions, and for beliefs about con trol over specific aspects of treatment for ESRD. The study also included indicators of psychological adjust ment. The results indicated that control over life dimen sions, which includes control over illness, is a significant factor in psychological adjustment. Beliefs that one can comply specifically with diet and fluid restrictions were related to treatment outcome. These data suggest that interventions designed to increase patients' perception of control are likely to have a positive impact on the qualitative aspect of treatment.

UR - http://www.scopus.com/inward/record.url?scp=0029377257&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029377257&partnerID=8YFLogxK

U2 - 10.1177/0885713X9501000307

DO - 10.1177/0885713X9501000307

M3 - Article

VL - 10

SP - 149

EP - 154

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

SN - 1062-8606

IS - 3

ER -