Achieving optimal self-management in hereditary haemochromatosis: results from a community questionnaire

Pearce, Jessica, Ray, Robin A., and McKenzie, Suzanne (2018) Achieving optimal self-management in hereditary haemochromatosis: results from a community questionnaire. Australian Journal of General Practice, 47 (9). pp. 625-631.

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Abstract

Background and objectives: Hereditary haemochromatosis is a chronic inherited iron overload disorder that is primarily treated with venesection. The aim of this study was to investigate factors associated with optimal haemochromatosis self-management.

Methods: A national online questionnaire was developed. Questions covered demographics, and individual haemochromatosis history and management. The theory of planned behaviour also guided question development. Two logistic regression models were developed for the binary outcomes of serum ferritin within target range and intention to continue venesection.

Results: There were 378 complete responses collected. Questions measuring factors of importance (P = 0.022; odds ratio [OR]: 2.284; 95% confidence interval [CI]: 1.125, 4.637), preventing complications (P = 0.017; OR: 2.967; 95% CI: 1.211, 7.265), feeling involved with doctors' decisions (P = 0.006; OR: 1.482; 95% CI: 1.121, 1.958) and control of iron levels (P <0.001; OR: 1.868; 95% CI: 1.399, 2.493) were positively associated with dependent variables. Significant factors related to having a positive attitude and perceived control over haemochromatosis management.

Discussion: A positive attitude and sense of behavioural control contribute to successful self-management. Doctors are in an important position to provide self-management support and education.

Item ID: 55360
Item Type: Article (Research - C1)
ISSN: 2208-7958
Keywords: haemochromatosis, iron, self-management, general practice, theory of planned bahaviour
Copyright Information: Copyright © The Royal Australian College of General Practitioners 2018
Additional Information:

Provenance and peer review: Not commissioned, externally peer reviewed.

Funders: James Cook University (JCU)
Date Deposited: 04 Oct 2018 05:39
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110202 Haematology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920101 Blood Disorders @ 100%
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