Health Security Perceptions: Initial Psychometric Analysis of the Construct of Health Security in Chronic Illness Among Patients With a Cardiac Device
Zachary M. Force, MA,
Ratika Parkash, MD, MS, FRCPC,
Anthony Tang, MD, FRCPC,
Shannon E. Kelly, PhD,
George Wells, MSc, PhD,
Evan Lockwood, MD, FRCPC,
Amir AdelWahab, MBBCh, MSc, MD,
Isabelle Nault, MD, FRCPC,
Jeff Healey, MD, MSc, FRCPC,
Karen A. Giddens, RDMS, RDCS,
Karl L. Wuensch, PhD,
Samuel F. Sears, PhD
Affiliations
Zachary M. Force, MA
Department of Psychology, East Carolina University, Greenville, North Carolina, USA; Corresponding author: Zachary M. Force, Rawl Building, Room104, 28879 E 10th St, Greenville, North Carolina 27858, USA. Tel.: +1-928-600-2561.
Ratika Parkash, MD, MS, FRCPC
Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Anthony Tang, MD, FRCPC
Department of Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
Shannon E. Kelly, PhD
Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
George Wells, MSc, PhD
Department of Medicine, School of Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada
Evan Lockwood, MD, FRCPC
Mazankowski Alberta Heart Institute—University of Alberta, Edmonton, Alberta, Canada
Amir AdelWahab, MBBCh, MSc, MD
Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Isabelle Nault, MD, FRCPC
Quebec Heart and Lung Institute—Laval University, Quebec, Quebec, Canada
Jeff Healey, MD, MSc, FRCPC
Division of Cardiology, McMaster University, Hamilton, Ontario, Canada
Karen A. Giddens, RDMS, RDCS
Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Karl L. Wuensch, PhD
Department of Psychology, East Carolina University, Greenville, North Carolina, USA
Samuel F. Sears, PhD
Department of Psychology, East Carolina University, Greenville, North Carolina, USA; East Carolina Heart Institute, East Carolina University, Greenville, North Carolina, USA
Scale measuring the construct of “health security in chronic illness” (HSCI) was piloted in Canadian cardiac device patients (N = 176) enrolled in a remote-monitoring study at 2 timepoints. Analysis revealed a 2-factor solution, labeled as “support” and ”certainty”. Patients reported receiving less support over time, but consistent health certainty. Patients with implantable cardioverter defibrillators felt less secure over time and reported lower levels of health security in chronic illness than pacemaker patients. Résumé: Une échelle mesurant le concept de la « sécurité en matière de santé en présence d’une maladie chronique » a fait l’objet d’un projet pilote auprès de patients canadiens porteurs de dispositifs cardiaques (N = 176) inscrits dans une étude de télésurveillance comportant deux évaluations. L’analyse a révélé une solution à deux facteurs, soit le soutien et la certitude. Les patients ont déclaré qu’ils recevaient moins de soutien au fil du temps, mais que la certitude quant à leur santé était constante. Les porteurs d’un défibrillateur cardioverteur implantable se sentaient moins en sécurité au fil du temps et signalaient de plus bas niveaux de sécurité en matière de santé, relativement à leur maladie chronique, que les porteurs d’un stimulateur cardiaque.
