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Illness representations, treatment beliefs, medication adherence and hospital readmission in elderly individuals with chronic heart failure

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TitleInfo
Title
Illness representations, treatment beliefs, medication adherence and hospital readmission in elderly individuals with chronic heart failure
Name (type = personal)
NamePart (type = family)
Turrise
NamePart (type = given)
Stephanie
DisplayForm
Stephanie Turrise
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Thomas-Hawkins
NamePart (type = given)
Charlotte
DisplayForm
Charlotte Thomas-Hawkins
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Eller
NamePart (type = given)
Lucille
DisplayForm
Lucille Eller
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
D'Alonzo
NamePart (type = given)
Karen
DisplayForm
Karen D'Alonzo
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Robinson
NamePart (type = given)
Joanne P
DisplayForm
Joanne P Robinson
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2014
DateOther (qualifier = exact); (type = degree)
2014-01
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
The purpose of this study was to investigate the relationships among illness representations, treatment beliefs, medication nonadherence, and hospital readmission in elderly individuals with chronic heart failure (HF). Theoretically derived antecedents to hospital readmission included illness identity, illness consequences, illness timeline, illness control, the difference between specific medication necessity and concern beliefs and medication adherence. The sample was comprised of 96 patients, discharged to home from a medical surgical or cardiac telemetry unit between August 2012 and March 2013. Data were collected during telephone surveys and from electronic medical record reviews. Hypotheses were tested using correlational and regression analyses. Significant correlations indicated that the belief that one has little to no personal control over their HF is significantly related to medication adherence, when medication necessity beliefs were stronger than medication concerns. Subjects were highly adherent to their medications, and individuals who did not believe their treatment was effective in controlling their HF were readmitted within 30 days of hospital discharge. In logistic regression analysis, necessity- concern differential remained a significant predictor of medication adherence while personal control was not a significant predictor. This study contributed to the body of knowledge regarding factors related to 30-day hospital readmission in older individuals with chronic heart failure. Additional investigation is needed to further explore these relationships using objective measures of medication adherence and additional dimensions of illness representations, such as emotional factors.
Subject (authority = RUETD)
Topic
Nursing
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_5175
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
ix, 133 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = vita)
Includes vita
Note (type = statement of responsibility)
by Stephanie Turrise
Subject (authority = ETD-LCSH)
Topic
Heart failure
Subject (authority = ETD-LCSH)
Topic
Heart--Diseases--Patients
Subject (authority = ETD-LCSH)
Topic
Heart--Diseases--Relapse
Subject (authority = ETD-LCSH)
Topic
Heart--Diseases--Treatment
Subject (authority = ETD-LCSH)
Topic
Older people--Medical care
Subject (authority = ETD-LCSH)
Topic
Older people--Diseases--Treatment
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3B56GTR
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Turrise
GivenName
Stephanie
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2013-11-22 18:23:10
AssociatedEntity
Name
Stephanie Turrise
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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