scholarly journals Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Laura Montalbano ◽  
◽  
Giuliana Ferrante ◽  
Silvia Montella ◽  
Giovanna Cilluffo ◽  
...  
2011 ◽  
Vol 40 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Tauhidur Rahman ◽  
Ron C. Mittelhammer ◽  
Philip R. Wandschneider

2019 ◽  
Vol 8 (1) ◽  
pp. 25-36
Author(s):  
Hasbi Wahyudi

AbstractThis study aims to detect DIF (differential item functioning) on a quality of life measurement tool that measures one aspect, namely social quality of life. Social quality of life contains 24 items developed from the Patient Reported Outcomes Measurement Information System (PROMIS) by a National Institutes of Health (NIH). This measuring tool measures the quality of life in the social function domain of adolescent patients suffering from diseases or chronic medical conditions. Detection of DIF in this study uses a special case approach from CFA, namely CFA with covariate or multiple indicator multiple causes (MIMIC) models. This study involved 322 participants, 117 (36%) male participants and 205 (64%) female participants, with an age range between 13-23 years in Riau Province. Based on the results of the first order CFA on a set of social quality of life items there are 22 valid items. Then the MIMIC model analysis results found that the model is fit with data where the value of RMSEA = 0.048, so it is known two items that contain DIF, namely item 5 (0.135, P = 0.002) "I have a close friend" and item 23 (0.308, P = 0.002 ) "I hope to have lots of friends".Keywords: Social quality of life, MIMIC model, differential item functioningAbstrakPenelitian ini bertujuan untuk mendeteksi DIF (differential item functioning) pada alat ukur quality of life yang mengukur salah satu aspek yaitu social quality of life. Social quality of life berisi 24 item yang dikembangkan dari Patient Reported Outcomes Measurement Information System (PROMIS) oleh sebuah badan National Institutes of Health (NIH). Alaalat ukur ini mengukur kualitas hidup pada domain fungsi sosial pasien remaja yang menderita penyakit atau kondisi medis kronis. Pendeteksian DIF pada penelitian ini menggunakan pendekatan kasus khusus dari CFA, yakni CFA with covariate atau multiple indicator multiple causes (MIMIC) model. Penelitian ini melibatkan 322 partisipan, yakni sebanyak 117 (36%) partisipan laki-laki dan 205 (64%) partisipan perempuan, dengan rentang usia antara 13-23 tahun di Propinsi Riau. Berdasarkan hasil first order CFA pada sekumpulan item-item social quality of life terdapat 22 item yang valid. Kemudian hasil analisis model MIMIC ditemukan bahwa model fit dengan data dimana nilai RMSEA = 0.048, sehingga diketahui dua item yang mengandung DIF, yaitu item 5 (0.135, P = 0.002) “saya memiliki teman dekat” dan item 23 (0.308, P = 0.002) “saya berharap mempunyai banyak teman”.Kata kunci: Social quality of life, MIMIC model, differential item functioning


2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Maja Brkić ◽  
Ranko Kovačević ◽  
Dženita Hrvić ◽  
Zihnet Selimbašić ◽  
Esmina Avdibegović

Background: People with mental and behavioural disorders have low satisfaction of quality of life, due to numerous symptoms, as well as poor interpersonal relations, communications skills, low tolerance on frustration.Aim: The aim of this paper was to evaluate whether there has been an improvement in satisfaction with the quality of life after the application of group therapyMethods: The study included 100 patients who attended group therapy, for a period of 6-12 weeks. The instruments used at the beginning and at the end of the treatment were Outcome Questionnaire-45 which measured symptoms distress, interpersonal relations, and social roles, and MANSA questionnaire that measured satisfaction with the quality of life. Results: In total sample (N = 100) there was approximately equal number of women and men (51% vs. 49%). The average age of the subjects was 48.11 ± 7.91. Majority of respondents had depressive disorder (45%). Measuring the mean values obtained on the OQ-45 questionnaire, it was found that after the application of group therapy a significant reduction of the level of dysfunction was achieved. A statistically significant difference was found in the areas of satisfaction with physical and mental health, and the overall score of the MANSA questionnaire.Conclusion: Results show that patients reported lower symptoms distress and higher satisfaction with quality of life after attending group therapy, better interpersonal relations, lower risk of suicidal behaviour and substance abuse. Group therapy is successful intervention which helps patients improve quality of life.


2020 ◽  
Vol 7 (11) ◽  
pp. 2214
Author(s):  
Nikhil Jain ◽  
Karan Joshi

Background: Asthma is a common cause of morbidity and mortality with prevalence of 300 million in world. The QOL of asthmatic patients cannot be determined only on the basis the severity of the disease, but requires a measurement of personal perception. This study was conducted with the aim to assess and compare the QOL using PedsQl scale in asthma patients between 5 to 18 years of age with different demographic and clinical variables.Methods: This was a cross-sectional observational study conducted at respiratory clinic in tertiary hospital, Rewa from October 2017 to June 2019. A total number of 150 asthmatic patients and their parents participated. Asthmatic patients (N=150) and their parents, presenting to asthma clinic of Gandhi Memorial Hospital, Rewa (after applying inclusion-exclusion criteria) were assessed for QOL using PedsQl scale 3.0. Statistical analysis was performed by SPSS version 20. Test of significance by student T-test and one way ANOVA.Results: The QOL is severely hampered by asthma with mean of 59 in intermittent asthma, 51 in mild, 44.74 in moderate and 40 in severe persistent asthma, significant p value of <0.05. Younger age, level of asthma control and severity were significantly related to QOL with p value of <0.05. Sex, socioeconomic status, were insignificantly related.Conclusions: QOL is impaired as the grading of asthma increases. Impairment of Quality of life are mostly associated with low level of asthma control, poly-therapy and frequent night attacks.


2010 ◽  
Vol 35 (10) ◽  
pp. 1133-1143 ◽  
Author(s):  
Michael Seid ◽  
James W. Varni ◽  
Pradeep Gidwani ◽  
Leticia Reyes Gelhard ◽  
Donald J. Slymen

Abstract Objectives To test the efficacy of problem-solving skill training (PST) in improving health-related quality of life (HRQOL) of children with persistent asthma from predominantly lower socioeconomic status (SES) Spanish-speaking Hispanic families. Methods Randomized controlled trial comparing standard care waitlist (SC) control, home-visiting asthma education/care coordination (CC), and combined intervention (CC + PST) at baseline, after intervention, and 6-month follow-up. The primary outcome was parent proxy-report child HRQOL (PedsQL). Results Participants (n = 252) were 83.3% Hispanic and 56.3% monolingual Spanish speakers, and 72.6% of mothers had not graduated high school. We found a significant (P = 0.05) intervention effect for parent proxy-reported child generic (but not asthma-specific) HRQOL, with CC + PST superior to SC [83.8 vs 79.8; adjusted mean difference of 4.05 points (95% confidence interval 0.63–7.4], but no difference between the CC and SC groups. Conclusions In this sample of vulnerable families of children with persistent asthma, a CC + PST intervention was efficacious in improving children’s generic HRQOL.


Author(s):  
Alessandro Fiocchi ◽  
Wanda Phipatanakul ◽  
Sandy R. Durrani ◽  
Jeremy Cole ◽  
Xuezhou Mao ◽  
...  

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