How Does Spiritual Well-Being Change Over Time Among US Patients with Heart Failure and What Predicts Change?

Lubin R. Deng, Katherine J. Doyon, Kevin S. Masters, Karen E. Steinhauser, Paula R. Langner, Shaunna Siler, David B. Bekelman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Few studies have examined how spiritual well-being changes over time in patients with heart failure. We conducted a secondary analysis of data from the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) trial (N = 314). Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) at baseline and 12-month follow-up. Of the 165 patients with spiritual well-being data at follow-up, 65 (39%) experienced probable clinically meaningful changes (> 0.5 SD) in spiritual well-being (35 improved, 30 declined). Increased pain (p = 0.04), decreased dyspnea (p < 0.01), and increased life completion (p = 0.02) were associated with improvement in overall spiritual well-being. Exploratory analyses found different predictors for FACIT-Sp subscales.

Original languageEnglish
Pages (from-to)3050-3065
Number of pages16
JournalJournal of Religion and Health
Volume63
Issue number4
DOIs
StatePublished - Aug 2024

Keywords

  • Faith
  • Heart failure
  • Meaning
  • Peace
  • Spiritual well-being

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