the health and wellbeing study: an investigation into the perceived health and wellbeing of irish...
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![Page 1: The Health and Wellbeing Study: An Investigation into the Perceived Health and Wellbeing of Irish Adults Living with Asthma in Ireland Dr Mary Hughes,](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56649ef65503460f94c09e33/html5/thumbnails/1.jpg)
The Health and Wellbeing Study:
An Investigation into the Perceived Health and Wellbeing of Irish Adults Living with
Asthma in Ireland
Dr Mary Hughes, Ms June Considine, Dr Elaine Lehane, Prof Eileen Savage.
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Background
• Asthma most common respiratory disease in Ireland (Asthma Society of Ireland 2014, CSO 2008)
• Increased morbidity, poor control (Price et al. 2014)
• National Clinical Programme for Asthma
• Healthy Ireland Framework (2013)
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Defining Health and Wellbeing
• Health- more than the absence of disease or infirmity – Focus is on physical functionality– Acknowledges presence of chronic illness
• Wellbeing- positive psychological functioning in a meaningful life– Differs across the lifespan– Positive emotions– Life satisfaction– Control– Social support and loving relationships
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Empirical Studies
• Focus on functional status or symptom measurement
• Illness focused enquiry
• Paucity of data specific to people living with asthma measuring social support and relationships
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MethodologyThe aim of this study was to investigate the perceived health
and wellbeing of those living with asthma in Ireland.
The objectives of the study were to:
• investigate how adults living with asthma in Ireland
perceive their health and wellbeing
• explore how asthma severity affects the everyday life of
adults living with asthma in Ireland
• investigate whether there is a relationship between the
concepts of health and the wellbeing in those living with
asthma
• distinguish how perceptions of health and perceptions of
wellbeing affect one another
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Sample• Sampling
– Sample size power calculation for 200 participants
– Advertised on social media– Adults over 18– Asthma for more than 1 year– English proficiency– IT proficiency
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Data Collection• Online survey (n=214)
• 33 items plus demographics– Short form Medical outcomes Survey
(Stewart el al. 1989)– 8 Items from P105 Health and Wellbeing
Survey (Price et al. 2014) – CSO Format Demographics
• Dillman’s Principles (2007)
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Data Collection
• Health- likert scale – self—rated
health– ability to execute
daily activities – physical
functioning
• Wellbeing- likert scale– Psychological
wellbeing– Social support– Healthy
behaviours
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Data Collection• RAND health scoring for interpretation and
comparison of scales (Hays et al. 1995)• Reliability and validity
– Pilot study (n=10)– Face validity– Construct validity– External validity– Crohnbachs alpha Health (0.892) Wellbeing
(0.858)• SPSS (version 22)• Ethical Approval (CREC)
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Findings
• 339 respondents- 80% completion for Inclusion, filter question (n=214)
• Female 76% (n=162) • Age varied- 18-64 and older• Coexisting illness 33% (n=71)• Fulltime employment 47% (n=101)
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Perceptions of Asthma Severity
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Source of Information
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Trustworthiness of Information
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Health
• Physical Health- limited performance (82%, N=175)
• Extreme limitation 5% (n=11)• 20% unable to work due to health (n=40)• Comorbidities found to have significant effect on
overall health scores
• Highest mean scores for those in employment for profit(mean(sd) 70.8 (20.3))
• Gender, current age, age at diagnosis not significant on mean health scores (p=0.801, p=0.989, p=0.184)
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Wellbeing• 69% reported very good (n=74) or good (n=73)
wellbeing• Depressive symptoms absent in 39%(n=84)• 64% in social and loving relationships all of the
time (n=82)most of the time (n=56)• 10% more limited than their peers (n=21)
• Depression found to have significant influence on wellbeing scores(p=<0.001)
• Employment status significant influence on wellbeing(p=0.004)
• Significance of perceived severity on wellbeing scores
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Maintaining Health and Wellbeing Lifestyle Choices
• Sleep Quality
• Physical Exercise
• Tobacco Consumption
• Alcohol Consumption
• Pets
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Correlation of Overall Health and Wellbeing Scores
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Recommendations• Implementation of National Clinical
Programme for Asthma• Strategy Initiative for Asthma Society
of Ireland
New Policy Guidelines on – Physical limitations– Psychological health– Lifestyle choices
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References Asthma Society of Ireland (2014) The Case for Change: Implementing the National Clinical Programme for Asthma, Dublin.Central Statistics Office (2008) Quarterly National Household Survey-Health, Third Quarter 2007, Cork.Department of Health (2013a) Health in Ireland: Key Trends 2013, Dublin.Department of Health (2013b) Healthy Ireland - A Framework for Improved Health and Wellbeing 2013-2025, Dublin.Hays RD, Sherbourne CD & Mazel R (1995) User's manual for the Medical Outcomes Study (MOS) core measures of health-related quality of life. Rand Corporation.Health Service Executive (2009) HIPE Data 2005-2009 (Executive HS ed.).Hughes M & Dunne M (2014): The Living with Asthma Study: issues affecting the perceived health and wellbeing of Irish adults with asthma. Irish Journal of Medical Science.Price D, Fletcher M & van der Molen T (2014): Asthma control and management in 8,000 European patients: the REcognise Asthma and LInk to Symptoms and Experience (REALISE) survey. Npj Primary Care Respiratory Medicine 24.
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Thank You