scholarly journals The effects of nurse-led health coaching on health-related quality of life and clinical health outcomes among frequent attenders: A quasi-experimental study

2020 ◽  
Vol 103 (8) ◽  
pp. 1554-1561 ◽  
Author(s):  
Kirsi Kivelä ◽  
Satu Elo ◽  
Helvi Kyngäs ◽  
Maria Kääriäinen
2021 ◽  
Vol 16 ◽  
pp. 1-5
Author(s):  
Regidor III Dioso

This study developed an online health education module on diet and exercise in achieving a health-related quality of life. A quantitative quasi-experimental study design was used. A-301 respondents were enrolled for the self-administered questionnaire using the RAND SF-36 of the health-related quality of life as pre- and post-test for both experimental and control group. An online module on diet and exercise was developed as an intervention to achieve a health-related quality of life.  The online module on diet and exercise was effective in achieving a significant health-related quality of life (p≤0.05).  Specifically, the domains of the health-related quality of life achieved after 12 months of healthy diets and regular exercises were general health (72.700±41.1, p0.00915), physical functioning (82.3200±51.8, p0.0015), role physical (92.02±41.06, p0.001), role emotional (72.706±21.12, p0.00), social functioning (96.09±48.727, p0.0012), bodily pain (99.3±69.128, p0.015), vitality (62.7±31.08, p0.0104), and mental health (72.35±41.18, p0.00455).


2021 ◽  
Author(s):  
Mark Greenhalgh ◽  
Hailee Kulich ◽  
Eline Blaauw ◽  
Rose Turner ◽  
Sara Peterson ◽  
...  

ABSTRACT Introduction Novel rehabilitation methods, including distribution and adoption of assistive technology for lower extremity impairments, are becoming crucial to ensure positive quality of life in all individuals. The quality of life of post-9/11 combat veterans is not well understood, in comparison to research on other populations. The following essay describes a review on health outcomes used to determine health-related quality of life (HR-QoL) among combat-injured service members who require mobility-related assistive technology. Materials and Methods Reviews pooled data from research on PubMed, EMBASE, CINAHL, and PsycINFO published after September 11, 2001, and included service members who sustained a mobility impairment because of involvement in a post-9/11 combat operation. Basic descriptors were extracted in addition to health outcomes used, which were then categorized and summarized by six domains for HR-QoL as defined by the World Health Organization. Results This review found health outcomes that fit in the pain and discomfort, negative emotions, mobility, social relations, access to and quality of healthcare services, and religious/spiritual/personal beliefs subdomains. The categorized results detailed their application to track and model HR-QoL health states in those with mobility impairments using mobility-based assistive technology. Conclusions The research on combat-induced mobility impairments indicates assistive technology improves otherwise poor health states. The results model these domains and subdomains to determine overall HR-QoL and the quality of a healthcare intervention, though additional research is needed as only one study was identified to be experimental in design.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023919 ◽  
Author(s):  
Maxime Sasseville ◽  
Susan M Smith ◽  
Lisa Freyne ◽  
Ronald McDowell ◽  
Fiona Boland ◽  
...  

PurposeMultimorbidity is commonly defined and measured using condition counts. The UK National Institute for Health Care Excellence Guidelines for Multimorbidity suggest that a medication-orientated approach could be used to identify those in need of a multimorbidity approach to management.ObjectivesTo compare the accuracy of medication-based and diagnosis-based multimorbidity measures at higher cut-points to identify older community-dwelling patients who are at risk of poorer health outcomes.DesignA secondary analysis of a prospective cohort study with a 2-year follow-up (2010–2012).Setting15 general practices in Ireland.Participants904 older community-dwelling patients.ExposureBaseline multimorbidity measurements based on both medication classes count (MCC) and chronic disease count (CDC).OutcomesMortality, self-reported health related quality of life, mental health and physical functioning at follow-up.AnalysisSensitivity, specificity, positive predictive values (PPV) and negative predictive values (NPV) adjusting for clustering by practice for each outcome using both definitions.ResultsOf the 904 baseline participants, 53 died during follow-up and 673 patients completed the follow-up questionnaire. At baseline, 223 patients had 3 or more chronic conditions and 89 patients were prescribed 10 or more medication classes. Sensitivity was low for both MCC and CDC measures for all outcomes. For specificity, MCC was better for all outcomes with estimates varying from 88.8% (95% CI 85.2% to 91.6%) for physical functioning to 90.9% (95% CI 86.2% to 94.1%) for self-reported health-related quality of life. There were no differences between MCC and CDC in terms of PPV and NPV for any outcomes.ConclusionsNeither measure demonstrated high sensitivity. However, MCC using a definition of 10 or more regular medication classes to define multimorbidity had higher specificity for predicting poorer health outcomes. While having limitations, this definition could be used for proactive identification of patients who may benefit from targeted clinical care.


2002 ◽  
Vol 5 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Nancy C. Santanello ◽  
Drew Baker ◽  
Joseph C. Cappelleri ◽  
Kati Copley-Merriman ◽  
Robert DeMarinis ◽  
...  

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