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Perceived control and change in physical functioning after coronary artery bypass grafting: A prospective study

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Abstract

We determined if perceived general and health-related control predicted change in physical functioning after coronary artery bypass grafting (CABG) in 1,038 patients. Control and physical functioning were assessed prior to hospital discharge and physical functioning also was assessed 6 weeks and 6 months later. The repeated measures outcome was modeled using a one-way analysis of covariance with interaction terms for General and Health-Related Control x Time. The sample was primarily composed of Caucasian (94%) men (73%) with a mean age of 65 ± 11 years. Increasing health-related control was an independent predictor of positive change in physical functioning with a stronger effect in women. There was a nearly significant association between increasing general control and positive physical functioning change. Lack of significant interactions with time indicate that higher control has a beneficial impact on physical functioning change at 6 weeks and 6 months. Assessing control may help clinicians predict post-CABG physical functioning and may shape intervention efforts.

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Authors and Affiliations

  1. Department of Epidemiology, Yale University School of Medicine, Yale Program on Aging, 1 Church Street, 7th Floor, 06510, New Haven, Connecticut, USA

    Lisa C. Barry, Stanislav V. Kasl & Judith Lichtman

  2. Department of Medicine, Emory University, Atlanta, Georgia, USA

    Viola Vaccarino

  3. Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA

    Harlan M. Krumholz

Authors
  1. Lisa C. Barry
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  2. Stanislav V. Kasl
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  3. Judith Lichtman
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  4. Viola Vaccarino
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  5. Harlan M. Krumholz
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Corresponding author

Correspondence to Lisa C. Barry.

Additional information

This study was supported by a grant from the Ethel F. Donaghue Women’s Health Investigator Program, New Haven, Connecticut, and a grant from the Quality Care Research Fund, Aetna Foundation, Hartford, Connecticut. As a doctoral student, Dr. Barry was supported by a National Institute on Aging training grant (T32AG000153). Dr. Barry currently is supported by a National Institute on Aging training grant (T32AG1934), Research Training in Geriatric Clinical Epidemiology.

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Barry, L.C., Kasl, S.V., Lichtman, J. et al. Perceived control and change in physical functioning after coronary artery bypass grafting: A prospective study. Int. J. Behav. Med. 13, 229–236 (2006). https://doi.org/10.1207/s15327558ijbm1303_6

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