Influence of caregiving on lifestyle and psychosocial risk factors among family members of patients hospitalized with cardiovascular disease.


BACKGROUND:Few data have evaluated the relationship between caregiving and cardiovascular disease (CVD) risk. OBJECTIVE:The purpose of this study was to determine the prevalence and predictors of caregiver strain and to evaluate the association between caregiving and CVD lifestyle and psychosocial risk factors among family members of recently hospitalized CVD patients. DESIGN AND PARTICIPANTS:Participants in the NHLBI Family Intervention Trial for Heart Health (FIT Heart) who completed a 6-month follow-up were included in this analysis (n = 263; mean age 50 +/- 14 years, 67% female, 29% non-white). MEASUREMENTS:At 6 months, standardized information was collected regarding depression, social support, and caregiver strain (high caregiver strain = > or =7). Information on lifestyle risk factors, including obesity, physical activity, and diet, were also collected using standardized questionnaires. Logistic regression models on the association between caregiving and CVD risk factors were adjusted for significant confounders. RESULTS:The prevalence of serving as a CVD patient's primary caregiver or caring for the patient most of the time was 50% at 6 months. Caregivers (primary/most) were more likely to be women (81% vs 19%, p < .01), married/living with someone (p < .01), >50 years old (p < .01), have < or = high school education (p < .01), be unemployed (p < .01), get less physical activity (p < .01), and have a higher waist circumference (p < .01) than non-caregivers (some/occasional/none). Mean caregiver strain scores were significantly higher among those with depressive symptoms (p < .01) and low social support (p < .01) in a multivariable adjusted model. CONCLUSIONS:Caregivers of cardiac patients may be at increased risk themselves for CVD morbidity and mortality compared to non-caregivers due to suboptimal lifestyle and psychosocial risk factors.


J Gen Intern Med


Aggarwal B,Liao M,Christian A,Mosca L




Has Abstract


2009-01-01 00:00:00












  • Measuring Comprehensiveness of Primary Care: Challenges and Opportunities.

    abstract::Comprehensiveness of primary care (the extent to which the clinician, as part of the primary care team, recognizes and meets the majority of each patient's physical and mental health care needs) is an important element of primary care, but seems to be declining in the U.S. This is concerning, because more comprehensiv...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审


    authors: O'Malley AS,Rich EC

    更新日期:2015-08-01 00:00:00

  • Geographic methods for understanding and responding to disparities in mammography use in Toronto, Canada.

    abstract:OBJECTIVE:To use spatial and epidemiologic analyses to understand disparities in mammography use and to formulate interventions to increase its uptake in low-income, high-recent immigration areas in Toronto, Canada. DESIGN:We compared mammography rates in four income-immigration census tract groups. Data were obtained...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Glazier RH,Creatore MI,Gozdyra P,Matheson FI,Steele LS,Boyle E,Moineddin R

    更新日期:2004-09-01 00:00:00

  • Variation in Inpatient Consultation Among Older Adults in the United States.

    abstract:BACKGROUND:Differences among hospitals in the use of inpatient consultation may contribute to variation in outcomes and costs for hospitalized patients, but basic epidemiologic data on consultations nationally are lacking. OBJECTIVE:The purpose of the study was to identify physician, hospital, and geographic factors t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Stevens JP,Nyweide D,Maresh S,Zaslavsky A,Shrank W,Howell MD,Landon BE

    更新日期:2015-07-01 00:00:00

  • Do general internal medicine fellows find jobs that match their training?

    abstract::We surveyed employers of general internists at teaching hospitals to determine whether they prefer that new hires are graduates of general internal medicine (GIM) fellowships. We surveyed former GIM fellows who graduated between 1988 and 1994 to determine whether they found jobs with protected research time and whethe...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Zakowski LJ,Cooney TG,Noel GL

    更新日期:1998-06-01 00:00:00

  • Toward youth friendly services: a survey of young people in primary care.

    abstract:BACKGROUND:The World Health Organization encourages the development of youth friendly services, yet little is known on how youth currently present in general practice. OBJECTIVE:To describe the perspectives, expectations, and service receipt of young people presenting to family doctors to inform the development of you...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Haller DM,Sanci LA,Patton GC,Sawyer SM

    更新日期:2007-06-01 00:00:00

  • Motivation for hepatitis B vaccine acceptance among medical and physician assistant students.

    abstract:PURPOSE:To evaluate the acceptance rate and motivation for acceptance of hepatitis B virus (HBV) vaccine among preclinical medical and physician assistant (PA) students in comparison with similar data obtained from resident and staff physicians. METHODS:A cross-sectional survey of all second-year medical and PA studen...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Diekema DJ,Ferguson KJ,Doebbeling BN

    更新日期:1995-01-01 00:00:00

  • Extent and determinants of discrepancy between self-evaluations of weight status and clinical standards.

    abstract:OBJECTIVES:To examine the extent and type of discordance between personal and medical classifications of weight status, and to examine the influence of sociodemographic factors on the misclassification of weight status. DESIGN/SETTING:The 1991 Health Promotion and Disease Prevention Supplement of the National Health I...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Chang VW,Christakis NA

    更新日期:2001-08-01 00:00:00

  • Using Peer Feedback to Promote Clinical Excellence in Hospital Medicine.

    abstract::Hospitalists provide a significant amount of direct clinical care in both academic and community hospitals. Peer feedback is a potentially underutilized and low resource method for improving clinical performance, which lends itself well to the frequent patient care handoffs that occur in the practice of hospital medic...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审


    authors: Rosenthal MA,Sharpe BA,Haber LA

    更新日期:2020-12-01 00:00:00

  • Training primary care clinicians in maintenance care for moderated alcohol use.

    abstract:OBJECTIVE:To evaluate whether training primary care clinicians in maintenance care for patients who have changed their drinking influences practice behavior. DESIGN:We randomized 15 physician and 3 mid-level clinicians in 2 primary care offices in a 2:1 design. The 12 intervention clinicians received a total of 2 (1/4...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验


    authors: Friedmann PD,Rose J,Hayaki J,Ramsey S,Charuvastra A,Dubé C,Herman D,Stein MD

    更新日期:2006-12-01 00:00:00

  • Factors influencing the selection of general internal medicine fellowship programs: a national survey.

    abstract::Although criteria are available to guide the selection of general internal medicine (GIM) fellowship programs, the factors actually used in this process are unclear. Using a survey of current GIM fellows, we determined that most received information from their residency advisors, and many viewed them as the most impor...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Caiola E,Litaker D

    更新日期:2000-09-01 00:00:00

  • Understanding Long-Term Cancer Survivors' Preferences for Ongoing Medical Care.

    abstract:BACKGROUND:Due to risk for treatment-related late effects and concerns about cancer recurrence, long-term cancer survivors have unique medical needs. Survivors' preferences for care may influence adherence and care utilization. OBJECTIVE:To describe survivors' preferences for care and factors associated with preferred...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Smith TG,Strollo S,Hu X,Earle CC,Leach CR,Nekhlyudov L

    更新日期:2019-10-01 00:00:00

  • Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors.

    abstract:OBJECTIVE:Addressing the epidemic of poor compliance with antihypertensive medications will require identifying factors associated with poor adherence, including modifiable psychosocial and behavioral characteristics of patients. DESIGN:Cross-sectional study, comparing measured utilization of antihypertensive prescrip...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Wang PS,Bohn RL,Knight E,Glynn RJ,Mogun H,Avorn J

    更新日期:2002-07-01 00:00:00

  • Reduction of polypharmacy by feedback to clinicians.

    abstract:OBJECTIVE:To determine whether two different educational interventions would reduce polypharmacy in outpatients receiving ten (10) or more active medications at the Denver Veterans Affairs Center. DESIGN:292 patients were randomized into three (3) groups: Control (n = 88); simple notification of primary care provider ...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Meyer TJ,Van Kooten D,Marsh S,Prochazka AV

    更新日期:1991-03-01 00:00:00

  • Dual use of veterans health administration and Indian Health Service: healthcare provider and patient perspectives.

    abstract:BACKGROUND:Many American Indian and Alaska Native veterans are eligible for healthcare from Veterans Health Administration (VHA) and from Indian Health Service (IHS). These organizations executed a Memorandum of Understanding in 2003 to share resources, but little was known about how they collaborated to deliver health...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Kramer BJ,Vivrette RL,Satter DE,Jouldjian S,McDonald LR

    更新日期:2009-06-01 00:00:00

  • Evaluation of clinical innovation: a gray zone in the ethics of modern clinical practice?

    abstract:BACKGROUND:Various stakeholders can have differing opinions regarding ethical review when introducing new procedures with patients. OBJECTIVE:This pilot study examines the way in which Research Ethics Boards (REBs; Institutional Review Boards) and clinical biochemists (CBs; laboratory medicine specialists) differ in t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Patenaude J,Grant AM,Xhignesse M,Leblanc F,Courteau J

    更新日期:2008-01-01 00:00:00

  • Efficacy of a one-month training block in psychosocial medicine for residents: a controlled study.

    abstract:STUDY OBJECTIVE:To determine the efficacy of a comprehensive, one-month psychosocial training program for first-year medical residents. DESIGN:Nonrandomized, controlled study with immediate pre/post evaluation. Limited evaluation of some residents was also conducted an average of 15 months after teaching. SETTING:Com...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Smith RC,Osborn G,Hoppe RB,Lyles JS,Van Egeren L,Henry R,Sego D,Alguire P,Stoffelmayr B

    更新日期:1991-11-01 00:00:00

  • Can Internet-based continuing medical education improve physicians' skin cancer knowledge and skills?

    abstract::We sought to determine whether an Internet-based continuing medical education (CME) program could improve physician confidence, knowledge, and clinical skills in managing pigmented skin lesions. The CME program provided an interactive, customized learning experience and incorporated well-established guidelines for rec...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Harris JM,Salasche SJ,Harris RB

    更新日期:2001-01-01 00:00:00

  • Racial differences in the medical treatment of elderly Medicare patients with acute myocardial infarction.

    abstract:OBJECTIVE:To compare the use of medications in African-American and Caucasian elderly Medicare patients hospitalized with acute myocardial infarction (AMI) in Alabama. DESIGN:Retrospective medical record review. SETTING:All acute care hospitals in Alabama. PATIENTS:All Medicare patients with a principal discharge di...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Allison JJ,Kiefe CI,Centor RM,Box JB,Farmer RM

    更新日期:1996-12-01 00:00:00

  • Measuring satisfaction with mammography results reporting.

    abstract:OBJECTIVE:To assess factors associated with patient satisfaction with communication of mammography results and their understanding and ability to recall these results. DESIGN:Cross-sectional telephone survey. SETTING:Academic breast imaging center. PATIENTS:Two hundred ninety-eight patients who had either a screenin...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Dolan NC,Feinglass J,Priyanath A,Haviley C,Sorensen AV,Venta LA

    更新日期:2001-03-01 00:00:00

  • Alcohol screening in young persons attending a sexually transmitted disease clinic. Comparison of AUDIT, CRAFFT, and CAGE instruments.

    abstract:OBJECTIVE:To compare the ability of 3 brief alcohol screens (Alcohol Use Disorders Identification Test [AUDIT], CRAFFT, and CAGE) to identify adolescents and young adults with a current alcohol use disorder (AUD) and to determine whether there are gender-based or race-based differences in screening performance. DESIGN...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Cook RL,Chung T,Kelly TM,Clark DB

    更新日期:2005-01-01 00:00:00

  • Patients' perceptions of physicians' recommendations for comfort care differ by patient age and gender.

    abstract:OBJECTIVE:To determine patient characteristics associated with patient and proxy perceptions of physicians' recommendations for life-prolonging care versus comfort care, and with acceptance of such recommendations. DESIGN:Cross-sectional. SETTING:Five teaching hospitals in Denver, Colo. PATIENTS:We studied 239 hospi...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究


    authors: Johnson MF,Lin M,Mangalik S,Murphy DJ,Kramer AM

    更新日期:2000-04-01 00:00:00

  • The Interconnections Project: development and evaluation of a community-based depression program for African American violence survivors.

    abstract:BACKGROUND:Multi-faceted depression care programs based within the healthcare system have been found to be effective, but may not fully address the needs of African American Intimate Partner Violence (IPV) survivors, many of whom are not seeking depression care in healthcare settings. OBJECTIVES:To develop and evaluat...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Nicolaidis C,Wahab S,Trimble J,Mejia A,Mitchell SR,Raymaker D,Thomas MJ,Timmons V,Waters AS

    更新日期:2013-04-01 00:00:00

  • National Burnout Trends Among Physicians Working in the Department of Veterans Affairs.

    abstract:BACKGROUND:Heterogeneity of existing physician burnout studies impairs analyses of longitudinal trends, geographic distribution, and organizational factors impacting physician burnout. The Department of Veterans Affairs (VA) is one of the largest integrated healthcare systems in the USA, offering a unique opportunity t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Rinne ST,Mohr DC,Swamy L,Blok AC,Wong ES,Charns MP

    更新日期:2020-05-01 00:00:00

  • U.S. physicians' views on financing options to expand health insurance coverage: a national survey.

    abstract:BACKGROUND:Physician opinion can influence the prospects for health care reform, yet there are few recent data on physician views on reform proposals or access to medical care in the United States. OBJECTIVE:To assess physician views on financing options for expanding health care coverage and on access to health care....

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: McCormick D,Woolhandler S,Bose-Kolanu A,Germann A,Bor DH,Himmelstein DU

    更新日期:2009-04-01 00:00:00

  • Evaluation of a simple office-based strategy for increasing influenza vaccine administration and the effect of differing reimbursement plans on the patient acceptance rate.

    abstract:OBJECTIVE:To study an office-based strategy for increasing influenza vaccine delivery to high-risk patients at a university hospital general medicine practice. DESIGN:Historically controlled study of physician practices in an outpatient general medicine setting. SETTING:A group practice with two separate offices: a f...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Merkel PA,Caputo GC

    更新日期:1994-12-01 00:00:00

  • Characterizing Potentially Preventable Admissions: A Mixed Methods Study of Rates, Associated Factors, Outcomes, and Physician Decision-Making.

    abstract:BACKGROUND:Potentially preventable admissions are a target for healthcare cost containment. OBJECTIVE:To identify rates of, characterize associations with, and explore physician decision-making around potentially preventable admissions. DESIGN:A comparative cohort study was used to determine rates of potentially prev...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Daniels LM,Sorita A,Kashiwagi DT,Okubo M,Small E,Polley EC,Sawatsky AP

    更新日期:2018-05-01 00:00:00

  • Predictors of physicians' responses to woman abuse: the role of gender, background, and brief training.

    abstract:OBJECTIVE:To assess the relationship between gender, background, and brief training and physicians' detection of and treatment for woman abuse. DESIGN:Quasi-experimental and correlational designs, plus control for background factors. SETTING:Two residency training programs: general internal medicine and family practi...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Saunders DG,Kindy P Jr

    更新日期:1993-11-01 00:00:00

  • A transitional opioid program to engage hospitalized drug users.

    abstract:BACKGROUND:Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Shanahan CW,Beers D,Alford DP,Brigandi E,Samet JH

    更新日期:2010-08-01 00:00:00

  • Hidden from plain sight: residents' domestic violence screening attitudes and reported practices.

    abstract:BACKGROUND:Domestic violence (DV) is prevalent across all racial and socioeconomic classes in the United States. Little is known about whether physicians differentially screen based on a patient's race or socioeconomic status (SES) or about resident physician screening attitudes and practices. OBJECTIVE:To assess the ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章


    authors: Baig A,Shadigian E,Heisler M

    更新日期:2006-09-01 00:00:00

  • Harnessing the Power of Hospitalists in Operational Disaster Planning: COVID-19.

    abstract::Hospitalists are well poised to serve in key leadership roles and in frontline care in particular when facing a pandemic such as the SARS-CoV-2 (COVID-19) infection. Much of the disaster planning in hospitals around the country addresses overcrowded emergency departments and decompressing these locations; however, in ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审


    authors: Bowden K,Burnham EL,Keniston A,Levin D,Limes J,Persoff J,Thurman L,Burden M

    更新日期:2020-09-01 00:00:00