Quality of life and military outcomes: A conceptual framework and suggestions for planned research

1996 ◽  
Author(s):  
Allan W. Wicker
2014 ◽  
Vol 28 (1) ◽  
pp. 50-65 ◽  
Author(s):  
Luis Salvador-Carulla ◽  
Ramona Lucas ◽  
José Luis Ayuso-Mateos ◽  
Marta Miret

2017 ◽  
Vol 31 (1) ◽  
pp. 109-138 ◽  
Author(s):  
Mark J. Siedner

Objective: The number of people living with HIV (PLWH) over 50 years old in sub-Saharan Africa is predicted to triple in the coming decades, to 6-10 million. Yet, there is a paucity of data on the determinants of health and quality of life for older PLWH in the region. Methods: A review was undertaken to describe the impact of HIV infection on aging for PLWH in sub-Saharan Africa. Results: We (a) summarize the pathophysiology and epidemiology of aging with HIV in resource-rich settings, and (b) describe how these relationships might differ in sub-Saharan Africa, (c) propose a conceptual framework to describe determinants of quality of life for older PLWH, and (d) suggest priority research areas needed to ensure long-term gains in quality of life for PLWH in the region. Conclusions: Differences in traditional, lifestyle, and envirnomental risk factors, as well as unique features of HIV epidemiology and care delivery appear to substantially alter the contribution of HIV to aging in sub-Saharan Africa. Meanwhile, unique preferences and conceptualizations of quality of life will require novel measurement and intervention tools. An expanded research and public health infrastructure is needed to ensure that gains made in HIV prevention and treamtent are translated into long-term benefits in this region.


Author(s):  
Kalpana Chauhan ◽  
K. B.C. Saxena

Customer Relationship Management (CRM), primarily a concept of the private sector for its multi-benefit approach, is catching up fast in public sector, with constituents worldwide demanding better and more customized services built around their needs and to be treated as customers. This has compelled public sector to act like the private in certain ways and to embrace CRM to ensure better planning and resource allocation leading towards constituents’ satisfaction and better quality of life. This chapter identifies the critical aspect of relationship management and provides a conceptual framework for CRM in e-government.


2020 ◽  
Vol 29 (5) ◽  
pp. 1169-1181
Author(s):  
Roxanne M. Parslow ◽  
Nina Anderson ◽  
Danielle Byrne ◽  
Kirstie L. Haywood ◽  
Alison Shaw ◽  
...  

Abstract Purpose Chronic fatigue syndrome (CFS)/myalgic encephalopathy (ME) is relatively common in children and is disabling at an important time in their development. This study aimed to develop a conceptual framework of paediatric CFS/ME using the patient-perspective to ensure that the content of a new outcome measure includes the outcomes most important to young people. Methods We developed a child-centred interactive card ranking exercise that included health-related quality of life (HRQoL) outcomes identified from a previous review of the literature as well as qualitative work. Adolescents and their parents selected and ranked the outcomes most important to them and discussed each outcome in further detail. Adolescents were purposively sampled from a single specialist paediatric CFS/ME service in England. Interviews were audio recorded and transcribed verbatim, and thematic framework analysis was used to develop the final conceptual framework. Results We interviewed 43 participants in which there are 21 adolescents, 12–17 years of age with mild–moderate CFS/ME and their parents (20 mothers and 2 fathers). ‘Symptoms’, ‘tiredness’, ‘payback and crashing’ and ‘activities and hobbies’ were ranked most important to improve by both children and parents. Children ranked ‘school’ higher than parents and parents ranked ‘mood’ higher than children. A youth- specific CFS/ME conceptual framework of HRQoL was produced that included 4 outcome domains and 11 subdomains: sleep, tiredness, problems concentrating, individual symptoms, fluctuation and payback, daily and general activities, participation in school, leisure and social life, mood, anxiety and self-esteem. Conclusions An interactive card ranking exercise worked well for adolescents aged 12–17 to elicit the most important outcomes to them and explore each domain in further detail. We developed a final conceptual framework of HRQoL that forms the basis of a new paediatric patient-reported outcome measure (PROM) in CFS/ME.


2020 ◽  
Vol 15 (10) ◽  
pp. 1522-1530
Author(s):  
Jennifer E. Flythe ◽  
Tandrea S. Hilliard ◽  
Kourtney Ikeler ◽  
San Keller ◽  
Debbie S. Gipson ◽  
...  

Individuals with dialysis-dependent kidney failure experience considerable disease- and treatment-related decline in functional status and overall well-being. Despite these experiences, there have been few substantive technological advances in KRT in decades. As such, new federal initiatives seek to accelerate innovation. Historically, integration of patient perspectives into KRT product development has been limited. However, the US Food and Drug Administration recognizes the importance of incorporating patient perspectives into the total product life cycle (i.e., from product conception to postmarket surveillance) and encourages the consideration of patient-reported outcomes in regulatory-focused clinical trials when appropriate. Recognizing the significance of identifying patient-reported outcome measures (PROMs) that capture contemporary patient priorities, the Kidney Health Initiative, a public–private partnership between the American Society of Nephrology and US Food and Drug Administration, convened a workgroup to (1) develop a conceptual framework for a health-related quality of life PROM; (2) identify and map existing PROMs to the conceptual framework, prioritizing them on the basis of their supporting evidence for use in the regulatory environment; and (3) describe next steps for identifying PROMs for use in regulatory clinical trials of transformative KRT devices. This paper summarizes the proposed health-related quality-of-life PROM conceptual framework, maps and prioritizes PROMs, and identifies gaps and future needs to advance the development of rigorous, meaningful PROMS for use in clinical trials of transformative KRT devices.


2020 ◽  
Vol 18 (6) ◽  
pp. 1907-1926
Author(s):  
Riadh Djafri ◽  
Mariana Mohamed Osman ◽  
Noor Suzilawati Rabe ◽  
Syafiee Shuid

Purpose The purpose of this paper is to identify, confirm and validate a model appropriate to capture the interrelationships between different variables to develop and improve social housing quality, adequacy, provision and residents’ quality of life (RQOL). Design/methodology/approach This research adopted a quantitative approach to examine the research objectives of this study. The proposed conceptual framework was tested using primary data collected from a survey of 418 residents of the new urban center of Hamla. The data were analyzed using descriptive analysis and exploratory factor analysis through SPSS. In addition, confirmatory factor analysis was performed using AMOS before validating the measurement model and testing the hypotheses through structural equation modeling (SEM). Findings The results of SEM indicated acceptable high goodness-of-fit indices. The results revealed that three out of six hypotheses were supported. Consequently, residential quality and housing adequacy appeared to have a vital role in the conceptual framework, as it influenced social housing provision and RQOL and was influenced by socio-economic characteristics. Practical implications The present study illustrates the interrelationships between the proposed variables using SEM analysis. In addition, by understanding the direct relationships between the selected variables, the findings would be useful for the concerned authorities to ameliorate and upgrade the social housing quality and adequacy along with surpassing the current shortage, which would enhance and contribute to the amelioration of the RQOL and throughout Algeria. Originality/value This paper aims to establish, examine, validate the relationships and develop a conceptual framework in the context of Algerian social housing that contributes to the assessment and amelioration of social housing.


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