Key result
Disease knowledge, resilience, and family functioning link to enhanced health-promoting behaviors, explaining ~40% of variance.
Why the study?
Health-promoting behaviors are a major strategy to optimize long-term outcomes for adolescents with congenital heart disease, but the relationships between disease knowledge, resilience, family functioning, and these behaviors are not well understood.
What are the relationships between disease knowledge, resilience, family functioning, and health-promoting behaviors in adolescents with congenital heart disease?
Cross-Sectional (n=320)
What are the relationships between disease knowledge, resilience, family functioning, and health-promoting behaviors in adolescents with congenital heart disease?
Disease knowledge, resilience, and family functioning are significant predictors of health-promoting behaviors in adolescents with congenital heart disease.
May inform supportive strategies in adolescents with congenital heart disease; leaves open causal effects on behaviors.
BACKGROUND: Health-promoting behaviors could serve as a major strategy to optimize long-term outcomes for adolescents with congenital heart disease. The associations assessed from a positive perspective of knowledge, attitudes, and practice model would potentially cultivate health-promoting behaviors during adolescence. AIM: The purpose of this study was to examine the relationships between disease knowledge, resilience, family functioning, and health-promoting behaviors in adolescents with congenital heart disease. METHODS: A total of 320 adolescents with congenital heart disease who were aged 12-18 years were recruited from pediatric cardiology outpatient departments, and participated in a cross-sectional survey. The participants completed the Leuven Knowledge Questionnaire for Congenital Heart Disease; Haase Adolescent Resilience in Illness Scale; Family Adaptability, Partnership, Growth, Affection, and Resolve; and Adolescent Health Promotion scales. The collected data were analyzed using descriptive statistics and three multiple regression models. RESULTS: Greater knowledge of prevention of complications and higher resilience had a more powerful effect in enhancing health-promoting behaviors. Having symptoms and moderate or severe family dysfunction were significantly more negatively predictive of health-promoting behaviors than not having symptoms and positive family function. The third model explained 40% of the variance in engaging in health-promoting behaviors among adolescents with congenital heart disease. CONCLUSION: The findings of this study provide new insights into the role of disease knowledge, resilience, and family functioning in the health-promoting behavior of adolescents with congenital heart disease. Continued efforts are required to plan family care programs that promote the acquisition of sufficient disease knowledge and the development of resilience for adolescents with congenital heart disease.
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Huang et al. (2017) conducted a cross-sectional in congenital heart disease (n=320). Disease knowledge, resilience, and family functioning was evaluated on Health-promoting behaviors. Greater disease knowledge, higher resilience, and positive family functioning were significantly associated with enhanced health-promoting behaviors, explaining 40% of the variance in this population.
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