Valuing the EQ-5D and the SF-6D health states using subjective well-being: A secondary analysis of patient data

2013 ◽  
Vol 77 ◽  
pp. 97-105 ◽  
Author(s):  
Clara Mukuria ◽  
John Brazier
2009 ◽  
Vol 1 (1) ◽  
pp. 23-45 ◽  
Author(s):  
Benjamin Schüz ◽  
Susanne Wurm ◽  
Lisa M. Warner ◽  
Clemens Tesch-Römer

2018 ◽  
Vol 37 (6) ◽  
pp. 803-809
Author(s):  
Tyler L. Renshaw ◽  
Jeffrey S. Chenier

This brief report presents a secondary analysis of responses to the Student Subjective Wellbeing Questionnaire (SSWQ) with a sample of urban middle-schoolers. Relative classification validity evidence was evaluated for two screening models derived from responses to the SSWQ: one based on the Overall Wellbeing Scale (OWS) and the other based solely on the Academic Efficacy Subscale (AES). Results from Bayesian t tests, using several school-reported outcomes as dependent variables, indicated evidence in favor of classification validity for both the OWS and AES screening models. Yet findings also show that the evidence for the AES model was stronger than that for the OWS model. Implications for future research and practice are discussed.


Author(s):  
Mark D. Sullivan

Despite accelerating expenditures on health care, the United States is falling behind peer countries in population health. The mismatch between dollars spent on health care and health achieved raises the question of the value of health services. How should we value these? The Affordable Care act expands access to care but does not question expert valuation of health states and health services. Rather than beginning with health insurance, a more productive path for our thinking proceeds from the nature of health to the nature of health care to the nature of health insurance. If we are to keep health care costs from rising no faster than GDP, we must make the patient the true customer for health care. Health policy should not aim to minimize objective disease or maximize subjective well-being, but to foster health capability. This encompasses the ability to enjoy health and to pursue it.


2020 ◽  
Author(s):  
Nicolas Bourdillon ◽  
Sasan Yazdani ◽  
Laurent Schmitt ◽  
Gregoire P Millet

Introduction: Strict lockdown rules were imposed to the French population from 17 March to 11 May 2020, which may result in limited possibilities of physical activity, modified psychological and health states. This report is focused on HRV parameters kinetics before, during and after this lockdown period. Methods: 95 participants were included in this study, who underwent regular orthostatic tests (a 5-minute supine followed by a 5-minute standing recording of heart rate (HR)) on a regular basis before, during and after the lockdown (BSL, CFN and RCV, respectively). HR, power in low- and high-frequency bands (LF, HF, respectively) and root mean square of the successive differences (RMSSD) were computed for each orthostatic test, and for each positions. Subjective well-being was assessed on a 0-10 visual analogic scale (VAS). Results: Out of the 95 participants, 19 (WB+) reported an improved well-being (i.e., increase >2 in VAS score) during CFN, contradictory to the 76 other participants (WB-). There was an increase in HR and a decrease in RMSSD when measured supine in CFN and RCV, compared to BSL in WB-, whilst opposite results were found in WB+ (i.e. decrease in HR and increase in RMSSD in CFN and RCV; increase in LF and HF in RCV). There was a moderate significant correlation between VAS and HR, RMSSD, HF, respectively, in the supine position; the higher the VAS score (i.e., subjective well-being), the higher the RMSSD and HF and the lower the HR. In standing position, HRV parameters were not modified during CFN. Conclusion: The strict COVID-19 lockdown likely had opposite effects on French population as 20% of participants improved parasympathetic activation (RMSSD, HF) and rated positively this period, whilst 80% showed altered responses and deteriorated well-being. The changes in HRV parameters during and after the lockdown period were in line with subjective well-being responses. These results confirmed the usefulness of HRV as a non-invasive means for monitoring well-being and health in the general population.


2020 ◽  
Vol 6 (1) ◽  
pp. 7
Author(s):  
YUTA MORI ◽  
Tomoki Tachi

Objective: In the contemporary aging society, subjective well-being is an important determinant of quality of life for older adults living alone. Although the association between improved health and subjective well-being in this population is well documented, the types of activities associated with subjective well-being are unclear.Methods: This study assessed the relationship between subjective well-being and activity types among older adults living alone based on a secondary analysis of the 2014 Survey of Attitudes Towards Older People Living Alone data. We conducted a Poisson regression analysis to determine the association between activity and subjective well-being.Results: After adjustment for age, sex, subjective physical health, subjective mental health, and income, higher levels of subjective well-being were significantly associated with spending time with family, meeting friends, playing with pets, eating, hiking, traveling, and watching sports.Conclusion: Going out and interactive activities, as well as individual activities outside the home, are associated with higher levels of subjective well-being. Promoting these activities has the potential to increase the subjective well-being of older adults.


2009 ◽  
Vol 1 (1) ◽  
pp. 23-45 ◽  
Author(s):  
Benjamin Schüz ◽  
Susanne Wurm ◽  
Lisa M. Warner ◽  
Clemens Tesch-Römer

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242303
Author(s):  
Nicolas Bourdillon ◽  
Sasan Yazdani ◽  
Laurent Schmitt ◽  
Grégoire P. Millet

Introduction Strict lockdown rules were imposed to the French population from 17 March to 11 May 2020, which may result in limited possibilities of physical activity, modified psychological and health states. This report is focused on HRV parameters kinetics before, during and after this lockdown period. Methods 95 participants were included in this study (27 women, 68 men, 37 ± 11 years, 176 ± 8 cm, 71 ± 12 kg), who underwent regular orthostatic tests (a 5-minute supine followed by a 5-minute standing recording of heart rate (HR)) on a regular basis before (BSL), during (CFN) and after (RCV) the lockdown. HR, power in low- and high-frequency bands (LF, HF, respectively) and root mean square of the successive differences (RMSSD) were computed for each orthostatic test, and for each position. Subjective well-being was assessed on a 0–10 visual analogic scale (VAS). The participants were split in two groups, those who reported an improved well-being (WB+, increase >2 in VAS score) and those who did not (WB-) during CFN. Results Out of the 95 participants, 19 were classified WB+ and 76 WB-. There was an increase in HR and a decrease in RMSSD when measured supine in CFN and RCV, compared to BSL in WB-, whilst opposite results were found in WB+ (i.e. decrease in HR and increase in RMSSD in CFN and RCV; increase in LF and HF in RCV). When pooling data of the three phases, there were significant correlations between VAS and HR, RMSSD, HF, respectively, in the supine position; the higher the VAS score (i.e., subjective well-being), the higher the RMSSD and HF and the lower the HR. In standing position, HRV parameters were not modified during CFN but RMSSD was correlated to VAS. Conclusion Our results suggest that the strict COVID-19 lockdown likely had opposite effects on French population as 20% of participants improved parasympathetic activation (RMSSD, HF) and rated positively this period, whilst 80% showed altered responses and deteriorated well-being. The changes in HRV parameters during and after the lockdown period were in line with subjective well-being responses. The observed recordings may reflect a large variety of responses (anxiety, anticipatory stress, change on physical activity…) beyond the scope of the present study. However, these results confirmed the usefulness of HRV as a non-invasive means for monitoring well-being and health in this population.


GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.


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