Is Adolescents' Religious Coping with Cystic Fibrosis Associated with the Rate of Decline in Pulmonary Function?-A Preliminary Study
a Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA. Journal of Health Care Chaplaincy
04/2013; 19(1):33-42. DOI: 10.1080/08854726.2013.767083
Religious coping is associated with health outcomes in adolescents with chronic disease. Identifying potentially modifiable spiritual factors is important for improving health outcomes. The purpose of this study was to determine if associations exist between rate of change in pulmonary function and subsequent religious coping by adolescents with cystic fibrosis (CF). Retrospective cohort design employing the Brief R-COPE and calculated decline in lung function over a three-year period were utilized. Data were obtained for 28 adolescents; median age 13.5 years. Use of pleading or negative religious coping was associated with a worse clinical trajectory. Pleading may be ineffective as disease progression is modifiable through adherence to evidence-based treatments. Given established relationships of religious coping with general coping, the effects of declining pulmonary function may be broader. Changes in pulmonary function suggest opportunities for chaplains to explore options to cognitively reframe negative religious coping.
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ABSTRACT: This article begins by defining the term variable and the terms independent variable and dependent variable, providing examples of each. It then proceeds to describe and discuss synonyms for the terms independent variable and dependent variable, including treatment, intervention, predictor, and risk factor, and synonyms for dependent variable, such as response variables and outcomes. The article explains that the terms extraneous, nuisance, and confounding variables refer to any variable that can interfere with the ability to establish relationships between independent variables and dependent variables, and it describes ways to control for such confounds. It further explains that even though intervening, mediating, and moderating variables explicitly alter the relationship between independent variables and dependent variables, they help to explain the causal relationship between them. In addition, the article links terminology about variables with the concept of levels of measurement in research.
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ABSTRACT: Religious factors are known to contribute to treatment adherence in different patient populations, and religious coping has been found to be particularly important to adolescents dealing with chronic diseases. Adherence to prescribed treatments slows disease progression and contributes to desirable outcomes in most patients, and, therefore, adherence-promoting interventions provided by chaplains could be beneficial to various patient populations. The current article describes a pilot study to test the feasibility of a theoretically and empirically based chaplain intervention to promote treatment adherence for adolescents with CF. Cognitive interviews were conducted 24 with adolescents with CF, and content analysis was used to identify themes, which informed revision of the intervention protocol. The authors thought that presenting the methods and results of this pilot study would be helpful for chaplains who want to conduct intervention research. The results indicated that the proposed intervention was acceptable and feasible to deliver in hard copy or an electronic platform.
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