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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
  • Department of Veterans Affairs
  • Columbia University
  • University of Iowa
  • University of Colorado Anschutz Medical Campus
  • Duke University

Research output: Contribution to journalArticlepeer-review

2 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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