ORIGINAL PAPER
Chronically ill patients’ expectations of therapeutic education and their health locus of control
 
More details
Hide details
1
Institute of Psychology, Casimir the Great University, Bydgoszcz, Poland
 
2
Department of Health Promotion Collegium Medicum, Nicolaus Copernicus University in Torun, Poland
 
 
Submission date: 2015-01-04
 
 
Final revision date: 2015-06-28
 
 
Acceptance date: 2015-06-28
 
 
Online publication date: 2015-12-30
 
 
Publication date: 2015-12-30
 
 
Health Psychology Report 2016;4(2):91-102
 
KEYWORDS
TOPICS
ABSTRACT
Background
Beliefs as cognitive components of personality indicate what we consider as true or false and help us to answer questions concerning others, the world surrounding us and situations that we encounter. Beliefs about the health locus of control and their relations with expectations pertaining to therapeutic education seem to be of vital importance in the case of occurrence of a chronic illness.
The aim of this paper is to verify whether expectations concerning therapeutic education in chronically ill patients demonstrate a relation with beliefs about the health locus of control and whether they vary according to gender, age and health, and to present the results of research that applies the Polish OE-15 scale for the evaluation of therapeutic education expectations depending on the health condition.

Participants and procedure
Two hundred and ninety-one persons were examined, including 180 patients and 111 healthy controls (the control group), 187 women and 104 men. The average age of subjects was 45.71 (SD = 13.51) years, ranging from 21 to 80 years.
The OE-15 Therapeutic Education Expectations Scale and the Multidimensional Health Locus of Control Scale in versions relevant for patients and healthy controls as well as demographics were used.

Results
Age, gender and beliefs about the health locus of control are related to expectations of therapeutic education.

Conclusions
When providing therapeutic education for chronically ill patients, one should assess their expectations and pay attention to patients’ beliefs about the health locus of control.
REFERENCES (56)
1.
Abramczyk, A. (2010). Oczekiwania chorych na cukrzycę w zakresie edukacji w świetle badań ogólnopolskich [Expectations of diabetes patients within the scope of education in the light of nationwide research]. Problemy Pielęgniarstwa, 18, 249–259.
 
2.
Andruszkiewicz, A., & Basińska, M. A. (in press). Skala oczekiwań od edukacji terapeutycznej osób chorych [The scale of expectations from the therapeutic education of patients]. Problemy Pielęgniarstwa.
 
3.
Assal, J. P. (1995). Social and cost implications of type II diabetes. Pharmaco Economics, 8, 86–97.
 
4.
Astin, F., Closs, S. J., McLenachan, J., Hunter, S., & Priestley, C. (2009) Primary angioplasty for heart attack: mismatch between expectations and reality? Journal of Advanced Nursing, 65, 72–83.
 
5.
Basińska, M. A. (2005). Przygotowanie pacjenta do zabiegu – aspekty psychologiczne [Preparation patients for the surgery - psychological aspects]. Valetudinaria – Postępy Medycyny Klinicznej i Wojskowej, 10, 40–43.
 
6.
Basińska, M. A. (2009). Funkcjonowanie psychologiczne pacjentów w wybranych chorobach endokrynologicznych. Uwarunkowania somatyczne i osobowościowe [Psychological functioning of patients in selected endocrine diseases. Somatic and personality detrminants]. Bydgoszcz: Wydawnictwo Uniwersytetu Kazimierza Wielkiego.
 
7.
Basińska, M. A., Maćkowska, P., & Listwan, A. (2011). Przekonania o umiejscowieniu kontroli zdrowia chorych na cukrzycę typu 1 a zachowania zdrowotne [Health locus of control in patients with type 1 diabetes and health behaviours]. Diabetologia Praktyczna, 12, 151–159.
 
8.
Beier, M. E., & Ackerman, P. L. (2003). Determinants of health knowledge: an investigation of age, gender, abilities, personality, and interests. Journal of Personality and Social Psychology, 84, 439–448.
 
9.
Bishop, G. D. (2000). Psychologia zdrowia [Health Psychology]. Wrocław: Wydawnictwo Astrum.
 
10.
Boucher, J. L., Shafer, K. J., & Chaffin, J. A. (2001). Weight loss, diets, and supplements: does anything work? Diabetes Spectrum, 14, 169–175.
 
11.
Briggs, L. A., Kirchhoff, K. T., Hammes, B. J., Song, M. K., & Colvin, E. R. (2004). Patient-centered advance care planning in special patient populations: a pilot study. Journal of Profesional Nursing, 20, 47–58.
 
12.
Czubalski, K. (1995). Wpływ choroby na stan psychiczny i zachowanie człowieka chorego [The impact of the disease on the mental state and behavior of a sick person]. Sztuka Leczenia, 1, 53–59.
 
13.
Danish Centre for Health Technology Assessment, National Board of Health Patient Education – a Health Technology Assessment Copenhagen: National Board of Health, Monitoring & Health Technology Assessment (2009). Health Technology Assessment 11.
 
14.
Deccache, A., & Aujoulat, A. (2001). An European perspective: common developments, differences and challenges in patient education. Patient Education and Counseling, 44, 7–14.
 
15.
Dreeben-Irimia, O. (2009). Patient education in rehabilitation. Burllington: Jones & Bartlett Learning.
 
16.
Falkowski, A. (2004). Psychologiczne podstawy marketingu [Psychological basics of marketing]. In: T. Tyszka (ed.), Psychologia ekonomiczna [The economic Psychology] (pp. 368–401). Gdańsk: GWP.
 
17.
Fryc-Martyńska, J. (1989). Psychologiczne następstwa wytworzenia odbytu brzusznego oraz znaczenie sposobu informowania chorych i ich rodzin [Psychological produce abdominal anus and the importance of how to inform patients and their families]. Polski Tygodnik Lekarski, 20, 469–471.
 
18.
Gambling, T., & Long, A. F. (2010). The realisation of patient-centred care during a 3-year proactive telephone counselling self-care intervention for diabetes. Patient Education and Counselling, 80, 219–226.
 
19.
Glimer, T. P., & O’Concor, P. J. (1997). The cost to held plans of poor glycemic control. Diabetes Care, 20, 1847–1853.
 
20.
Glińska, J., Malesza, M., Lewandowska, M., Miller, R., Dziki, Ł., & Dziki, A. (2013). Oczekiwania emocjonalne oraz kontrola emocji pacjentów z rakiem jelita grubego po wyłonieniu stomii jelitowej [Emotional expectations and emotional control of colorectal cancer patients after colostomy]. Pielęgniarstwo Chirurgiczne i Angiologiczne, 3, 84–91.
 
21.
Heszen, I., & Sęk, H. (2007). Psychologia zdrowia [Health Psychology]. Warszawa: Wydawnictwo Naukowe PWN.
 
22.
Halsted, H. (2004). Chronic disease – the need for a new clinical education. Journal of the American Medical Association, 292, 1057–1059.
 
23.
Hoglund, A. T., Winblad, U., Arnetz, B., & Arnetz, J. E. (2010). Patient participation during hospitalization for myocardial infarction: perceptions among patients and personnel. Scandinavian Journal of Caring Sciences, 24, 482–490.
 
24.
Juczyński, Z. (2001). Narzędzia pomiaru w promocji i psychologii zdrowia [Measurement tools in the promotion and health psychology]. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.
 
25.
Kapała, W., Chudziński, S., & Hyrcza, S. (2008). Oczekiwania pacjentów hospitalizowanych na oddziałach zabiegowych wobec personelu pielęgniarskiego [Expectations of patients hospitalized in surgical wards to the nursing staff]. Pielęgniarstwo Chirurgiczne i Angiologiczne, 1, 12–18.
 
26.
Kocur, J. (1998). Znaczenie edukacji terapeutycznej u pacjentów przewlekle chorych [The importance of therapeutic education for patients with chronic diseases]. Sztuka Leczenia, 4, 81–84.
 
27.
Kubica, A. B. (2012). Edukacja zdrowotna na tle wybranych czynników a skuteczność terapii antyagregacyjnej [Health education on the background of selected factors on the effectiveness of anti-platelet therapy]. Toruń: Wydawnictwo Naukowe UMK.
 
28.
Lagger, G., Pataky, Z., & Golay, A. (2010). Efficacy of therapeutic patient education in chronic diseases and obesity. Patient Education and Counseling, 79, 283–286.
 
29.
Laskowka, E., & Tulińska, M. (2006). Jakość relacji lekarz pacjent i jej wpływ na proces zdrowienia [The quality of the doctor patient relationship and its effect on the healing process]. Neuroskop, 8, 163–166.
 
30.
Levin-Zamair, D., & Peterburg, Y. (2001). Health literacy in health systems: perspectives on patient self-management in Israel. Health Promotion International, 1, 87–94.
 
31.
Lorgin, K. (2001). Patient education. A practical approach. Sage Publications, Thousand, Oaks, 12–15.
 
32.
Loring, W. C. (1997). Environmental health education: a different orientation. International Journal of Health Education, 20, 51–56.
 
33.
Marcolongo, R., & Bonadiman, L. (2004). Therapeutic patient education in Italy: A critical outline. International Review of Asthma, 6, 52–61.
 
34.
Masters, K. S., & Wallston, K. A. (2005). Canonical correlation reveals important relations between health locus of control, coping, affect and values. Journal of Health Psychology, 10, 719–731.
 
35.
McKinley, R. K., & Roberts, C. (2001). Patients satisfaction with out of hours primary medical care. Quality in Health Care, 10, 23–28.
 
36.
Rachmani, R., Slavachevski, I., Berla, M., Frommer-Shapira, R., & Ravid, M. (2005). Treatment of high-risk patients with diabetes: motivation and teaching intervention: a randomized, prospective 8-year follow-up study. Journal of the American Society of Nephrology, 16 (Suppl. 1), 22–26.
 
37.
Rao, J. K., Weinberger, M., & Kroenke, K. (2000). Visit-specific expectations and patient-centered outcomes. Archives Family Medicine, 9, 1148–1155.
 
38.
Rotter, J. B. (1990). Poczucie wewnętrznej versus zewnętrznej kontroli wzmocnień [A sense of internal versus external control of reinforcements]. Nowiny Psychologiczne, 5-6, 59–70.
 
39.
Sawicki, P. T., Mühlhauser, I., Didjurgeit, U., Baumgartner, A., Bender, R., & Berger, M. (1995). Intensified antihypertensive therapy is associated with improved survival in type 1 diabetic patients with nephropathy. Journal of Hypertension, 13, 933–938.
 
40.
Skarżyńska, K. (1981). Spostrzeganie ludzi [The perception of people]. Warszawa: Wydawnictwo Naukowe PWN.
 
41.
Słońska, Z. (2001). Współczesna wizja edukacji zdrowotnej a promocja zdrowia [Contemporary vision of health education and health promotion]. In: B. Woynarowska & M. Kapica (eds.), Teoretyczne podstawy edukacji zdrowotnej. Stan i oczekiwania [Theoretical foundations of health education. Status and expectations]. Warszawa: KOWEZ.
 
42.
Tatoń, J., & Biernas, M. (2002). Pedagogika zdrowotna w cukrzycy [Health education in diabetes]. Medycyna Metaboliczna, 3, 25–33.
 
43.
Tongue, J. R., Epps, H. R., & Forese, L. L. (2005). Communication skills for patient-centered care. Journal of Bone & Join Surgery, 87, 3, 652–658.
 
44.
Vandervoort, D. J., Luis, P. K., & Hamilton, S. E. (1997). Same correlates of health locus of control among multicultural individuals. Current Psychology: Developmental, Learning, Personality, Social, 16, 167–178.
 
45.
Visser, S., Deccache, A., & Bensing, J. (2001). Patient education in Europe: united differences. Patient Education and Counseling, 44, 1–5.
 
46.
Wallston, B. S., & Wallston, K. A. (1978). Locus of control and health: A review of the literature. Health Education Monographs, 6, 107–117.
 
47.
Wallston, K. A., & Wallston, B. S. (1982). Who is responsible for your health: The construct of health locus of control. In: G. Sanders & J. Suls (eds.), Social Psychology of Health and Illness (pp. 65–95). Hillsdale, N.J.: Lawrence Erlbaum & Associates.
 
48.
Wallston, K. A., Wallston, B. S., & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales. Health Education Monographs, 6, 160–170.
 
49.
Wallston, K. A., Wallston, B. S., Smith, S., & Dobbins, C. (1987). Perceived control and health. Current Psychological Research and Reviews, 6, 5–25.
 
50.
Wallston, K. A. (2005). The validity of the multidimensional health locus of control scales. Journal of Health Psychology, 10, 623–631.
 
51.
West, E., Barron, D. N., & Reeves, R. (2005). Overcoming the barriers to patient-centered care: time, tools and training. Journal of Clinical Nursing, 14, 435–443.
 
52.
WHO Regional Office for Europa. (1998). Therapeutic patient education. Continuing programmers for health care providers in the field of prevention of chronicle diseases. Rapport of a WHO working group, Copenhagen.
 
53.
Williams, S., Weinman, J., Dale, J., & Newman, S. (2005). Patient expectations: What do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction? Family Practice, 12, 193–201.
 
54.
Williams, S. A. (1998). Quality and care, patient’s perceptions. Journal of Nursing Care Quality, 12, 18–25.
 
55.
Winefield, H. R. (1982). Reliability and validity of the Health Locus of Control Scale. Journal of Personality Assessment, 46, 614–619.
 
56.
Zieniuk, A. M. (2009). Oczekiwania pacjenta onkologicznego wobec personelu medycznego [Expectations of oncological patients to medical staff]. Psychoonkologia, 1-2, 17–27.
 
Copyright: © Institute of Psychology, University of Gdansk This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
eISSN:2353-5571
ISSN:2353-4184
Journals System - logo
Scroll to top