scholarly journals Economic assessment of a community-based care package for people with lower limb disorder caused by lymphatic filariasis, podoconiosis and leprosy in Ethiopia

2020 ◽  
Vol 114 (12) ◽  
pp. 1021-1034
Author(s):  
Natalia Hounsome ◽  
Mersha Kinfe ◽  
Maya Semrau ◽  
Oumer Ali ◽  
Abraham Tesfaye ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lymphatic Filariasis ◽  
Lower Limb ◽  
Life Quality ◽  
Psychosocial Care ◽  
Northwest Ethiopia ◽  
World Health ◽  
Care Package ◽  
The Cost

Abstract We conducted an implementation research study to integrate a holistic package of physical health, mental health and psychosocial care for podoconiosis, lymphatic filariasis and leprosy into routine healthcare in Gusha cluster, Guagusa Shikudad district, northwest Ethiopia. The healthcare package included training patients in lower limb hygiene and skin care and provision of shoes, hygiene supplies and medication. The implementation activities included training events, workshops, awareness raising, self-help groups, supportive supervision, staff secondments and advisory board meetings. The cost of implementing the care package in Gusha cluster, with a population of 30 558 people, was 802 655 Ethiopian birr (ETB) (£48 159) and the cost of delivering care to 235 participants was 204 388 ETB (£12 263), or 870 ETB (£52) per person. There was a 35% decrease in the mean disability scores (measured using the World Health Organization Disability Assessment Schedule 2.0) and a 45% improvement in the dermatology-specific quality of life (measured using the Dermatology Life Quality Index) at the 3-month follow-up compared with baseline. There were reductions in the number of days with symptoms, days off usual activities/work and days with reduced activity due to illness, all of which were statistically significant. Our pilot suggests that integration of the care package into routine healthcare in Ethiopia may be effective in improving health-related quality of life and disability and reducing time out of economic activity due to illness.

scholarly journals Principles of questionnaires’ validation on the example the Caregiver Quality of Life-Cancer (CQOL-C) questionnaire

2014 ◽  
Vol 8 (3) ◽  
pp. 26-29
Author(s):  
Marta Gawlik ◽  
Donata Kurpas
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cancer Patients ◽  
English Language ◽  
Life Quality ◽  
Burnout Syndrome ◽  
World Health ◽  
Polish Version ◽  
Four Levels

In Poland, the statistics on the number of people diagnosed with cancer reveal an increase in the enormity of the problem. In consequence, these include an increase in the number of people taking care of cancer patients at homes. There are currently no available Polish version questionnaire, which allows the assessment of the quality of life for home caregivers. English-language questionnaire examining the quality of life of cancer patients’ caregivers has been developed by the team supervised by M.A.Weitzner and has been widely used since 1999. It contains 35 questions, which are aimed at assessing the level of functioning on four levels: mental, emotional, spiritual and financial. The validation of this questionnaire fulfils the guidelines of translation and validation for the questionnaires, which are deterrmined in a document about the process of translation and adaptation of the instruments of the World Health Organization. Cultural adaptation was an indispensable element for validation, which has met four criteria: allegiance to the translation of the questionnaire into Polish language, the criterion of functional equivalence, the principle of the facade equivalence and the criterion of accuracy reconstruction. The main goal of therapeutic teams in the palliative care is continuous enhancement of their patients and families life quality, including home environments. Both the Polish validation and the application of the questionnaire assessing the life quality of the cancer patients’ caregivers will make it possible to focus on the issues and needs of that population better. The scale may become a useful research tool for evaluation and prevention of the burnout syndrome experienced among family members providing care for cancer patients. Polish version of the CQOL-C questionnaire has met all the validation criteria and can be applied by the therapeutic teams in the palliative care.

scholarly journals Evaluation of Health in Context of Life Quality Studying

2015 ◽  
Vol 29 (2) ◽  
pp. 33-38 ◽  
Author(s):  
Evgen Prystupa ◽  
Iuliia Pavlova
Keyword(s):  
Quality Of Life ◽  
Quantitative Evaluation ◽  
Life Quality ◽  
Social Health ◽  
World Health ◽  
Life Index ◽  
Health Related ◽  
Quality Of Life Index ◽  
Life Values

Abstract Introduction: The development and application on novel concepts that integrally describe physical, psychological, emotional, social health, environmental factors, life values and personal skills was analyzed in the article. The aim of the article was to analyze the latest methodological approaches of life quality and health assessment. Results: The article deals with the peculiarities of life quality definition formation and role of its subjective and objective components. The life quality models that based on objective and subjective indicators, related to the health and social well-being was analyzed. The health indicators that provide critical information about population health and prevention programs were characterized and divided into 4 groups - medical and demographic, behavioral, administrative, related to physical and social environment. The problem of research methods development that would useful for comparing the health related life quality in different countries, and creation of normative databases for various regions and determination life-style long-term impact on physical and mental health was studied. The peculiarities of quantitative evaluation in international methods (Index of Social Health, Physical Quality of Life Index, Human Developed Index, Health related Quality of Life Index, World Health Organization Quality of Life index, Happiness adjusted life-years) were analyzed. Conclusions: For a quantitative evaluation of the population life quality significant is selection of single definition, model with structural parts (domains) that include psycho-physical and physical health of people, their life values (micro level) and the socio-economic development of the society (macro level).

Quality of Life Assessment in Turkish Patients with Schizophrenia and Their Relatives

2004 ◽  
Vol 95 (1) ◽  
pp. 197-206 ◽  
Author(s):  
Köksal Alptekin ◽  
Berna Binnur Akdede ◽  
Yildiz Akvardar ◽  
Songül çelikgün ◽  
N. Sinem Dilşen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Life Quality ◽  
Life Assessment ◽  
World Health ◽  
World Health Organization Quality ◽  
Control Subjects ◽  
Health Organization ◽  
And Control ◽  
Turkish Patients

Quality of life of first-degree relatives living in the same household with patients having schizophrenia has not been sufficiently explored. 30 patients with schizophrenia (16 women, 14 men), diagnosed using DSM–IV criteria, 31 of their relatives (15 women, 16 men), and 34 control subjects (21 women, 13 men) were included in the study. The mean age of the patients, their relatives, and the control subjects were 39.8 ± 10.9, 58.1 ± 12.5 and 37.3 ± 17.0, respectively. The World Health Organization Quality of Life–Brief Form was administered to all subjects. Quality of life was worse for the patient group than for their relatives and control subjects, but relatives of the patients and control subjects were not significantly different on Quality of life. Quality of life was negatively correlated with the severity of psychopathology and extrapyramidal side effects induced by antipsychotic drugs in the patients.

scholarly journals Original article. Cost-effectiveness of annual microalbuminuria screening in Thai diabetics

2014 ◽  
Vol 8 (3) ◽  
pp. 371-379 ◽  
Author(s):  
Attasit Srisubat ◽  
Jiruth Sriratanaban ◽  
Sureerat Ngamkiatphaisan ◽  
Kriang Tungsanga
Keyword(s):  
Quality Of Life ◽  
Diabetic Nephropathy ◽  
Cost Effectiveness ◽  
World Health ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
The Cost ◽  
Type 2 Diabetic

Abstract Background: Diabetes is a leading cause of end stage renal disease (ESRD), which impacts on treatment costs and patients’ quality of life. Microalbuminuria screening in patients with diabetes as an early intervention is beneficial in slowing the progression of diabetic nephropathy. Objectives: We aimed to assess the cost-effectiveness of annual microalbuminuria screening in type 2 diabetic patients. Methods: We compared screening by urine dipsticks with a “do nothing” scenario. To replicate the natural history of diabetic nephropathy, a Markov model based on a simulated cohort of 10,000 45-year-old normotensive diabetic patients was utilized. We calculated the cost and quality of life gathered from a cross-sectional survey. The costs of dialysis were derived from The National Health Security Office (NHSO). We also calculated the incremental cost-effectiveness ratio (ICER) for lifetime with a future discount rate of 3%. Results: The ICER was 3,035 THB per quality-adjusted life year (QALY) gained. One-way and probabilistic sensitivity analyses showed that all ICERs were less than the Thai Gross Domestic Product (GDP) per capita (150,000 THB in 2011) based on World Health Organization’s suggested criteria. Conclusions: Annual microalbuminuria screening using urine dipsticks in type 2 diabetic patients is very costeffective in Thailand based on World Health Organization’s recommendations. This finding has corroborated the benefit of this screening in the public health benefit package.

scholarly journals Physical activity and quality of life: A study of a lower-limb amputee population

2008 ◽  
Vol 32 (2) ◽  
pp. 186-200 ◽  
Author(s):  
Sarah A. Deans ◽  
Angus K. McFadyen ◽  
Philip J. Rowe
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Lower Limb ◽  
World Health ◽  
World Health Organization Quality ◽  
Activity Restriction ◽  
The Social ◽  
Quality Of Life Scale ◽  
Lower Limb Amputee

This cross-sectional descriptive study was initiated to investigate the relationship between physical activity and perceived quality of life in a lower-limb amputee population. The objective was to show which aspects of physical activity were most strongly linked to quality-of-life factors in this special patient group. The outcome measurements were two questionnaires: a section of the Trinity Amputation and Prosthetic Experience Scales (TAPES) and the World Health Organization Quality-of-Life Scale (WHOQOL-Bref). The former measures activity restriction and has Athletic, Functional, and Social subscales. The latter includes Physical, Psychological, Social, and Environmental domains, and measures the individual's perception of their quality of life. The two questionnaires were sent by post to 75 male and female participants with either trans-tibial or trans-femoral amputation who were receiving prosthetic care from a Glasgow-based rehabilitation and mobility centre and who met the inclusion criteria. All participants were over 18 years of age (mean age 66 years). In total, 25 participants returned the questionnaires—a response rate of 33%. According to analysis, 8 of the 12 relationships found were statistically significant. There was a very strong correlation between scores on the social elements of each questionnaire. The correlations between scores on the functional and athletic elements of the TAPES questionnaire and scores on the social element of the WHOQOL-Bref questionnaire were less strong. Our findings support the need for greater acknowledgement by healthcare professionals involved in the care of those with amputation about the importance of the patient's social relationships with friends and family. Education about the importance of increasing and maintaining a level of physical activity conducive to health benefits should be implemented within a supportive sociable environment for the patient with lower-limb amputation.

scholarly journals Quality of Life with Respect to Physical Activity Level in the Unemployed

2020 ◽  
Vol 12 (10) ◽  
pp. 4219
Author(s):  
Daniel Puciato ◽  
Piotr Oleśniewicz ◽  
Michał Rozpara
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Activity Level ◽  
Life Quality ◽  
Activity Level ◽  
Individual Development ◽  
World Health ◽  
Life Questionnaire ◽  
The Unemployed

Sustainable development is related to the quality of life of individuals and societies. The unemployed have limited opportunities for sustainable individual development. Their life quality conditions remain unclear. The study aim was to assess the relationship between life quality and physical activity level of the unemployed. The research was performed in 2014 and 2015 in Wrocław, Poland, among 403 unemployed persons. The participants’ quality of life was evaluated with the World Health Organization Quality of Life questionnaire. Physical activity was assessed with the International Physical Activity Questionnaire. Most respondents evaluated their general life quality as ≤3 points in the scale of 1–5. The assessments were highest in the social and psychological domains and lowest in the physical and environmental domains. Significant relationships were observed between general life quality and physical activity level. Subjects with the minimum physical activity level recommended by WHO presented higher life quality assessments in the psychological and social domains. Unemployed people with physical activity levels optimal for health benefit evaluated their life quality in the psychological domain worse than people with physical activity below WHO recommendations. Comprehensive health programs should be addressed to the unemployed, including systematic physical activities as health training, which would improve their life quality and promote sustainable individual development.

scholarly journals Evaluation of osteoarthritis knee and hip quality of life (OAKHQoL): adaptation and validation of the questionnaire in the Hungarian population

2020 ◽  
Vol 12 ◽  
pp. 1759720X2095957
Author(s):  
Helga Fekete ◽  
Francis Guillemin ◽  
Edina Pallagi ◽  
Róbert Fekete ◽  
Zoltán Lippai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
World Health ◽  
World Health Organization Quality ◽  
Osteoarthritis Knee ◽  
Related Quality ◽  
Excellent Internal Consistency ◽  
Health Related ◽  
Health Organization

Background: At least 17% of the population suffers from osteoarthritis (OA) in Hungary, according to the European Health Interview Survey. In Hungary, until now there was no OA-specific questionnaire available for the lower limb, in order to monitor the health-related quality of life (HRQoL). This gap gave the relevance of this research. The aim of the study was to perform the Hungarian cross-cultural adaptation and validation of the French-developed Osteoarthritis Knee and Hip Quality of Life (OAKHQoL) questionnaire. Methods: The five-step translation procedure of the original OAKHQoL was performed by the expert panel and the translators. The created Hungarian version (OAKHQoL-HUN) was tested in six different geographical areas of Hungary. The validity and the reliability of this adapted tool was analyzed by our research group. Results: A total of 99 patients completed the questionnaires (78 women and 21 men), with the average age of 66.6 years (standard deviation (SD) 12.1), living with OA for more than 10 years. Excellent internal consistency was observed in the following domains: physical activity (α = 0.93), mental health (α = 0.91) and pain (α = 0.89). Good correlation was determined between physical subscales ( r = 0.615–0.676) and mental subscales ( r = 0.633–0.643) compared to generic quality of life instruments (World Health Organization Quality of life – BREF questionnaire and EQ-5D-3L). Conclusion: The OAKHQoL-HUN is the first valid and reliable tool for measuring the Hungarian lower limb OA patients’ quality of life. Trial Registration: This study is registered (24950-3/2016/EKU) by the National Ethics Committee: the Hungarian Medical Research Council.

scholarly journals Gliomas and quality of life

2018 ◽  
Vol 17 (2) ◽  
pp. 26-31
Author(s):  
Maria Carla Da Silva ◽  
Paulo Henrique Pires De Aguiar
Keyword(s):  
Quality Of Life ◽  
Life Quality ◽  
Well Being ◽  
World Health ◽  
Psychological State ◽  
Social And Emotional ◽  
Complex Concept ◽  
New Treatment ◽  
Health Organization

Introduction: According to the World Health Organization health is not merely the abscence of disease but a state of complete physical, mental, and social well-being. To measure health and the effects of health care implies to assess changes in the frequency and severity of diseases and an estimation of well being. This can be done by measuring the improvement in the patient's quality of life. Quality of life is a broad and complex concept that involves the individual's perception of their life and is affected  by the person's physical health, psychological state, personal beliefs, social relationships and their interaction with the environment. Objective: To review articles on QOL assessment in patients with glioma. Material and method: A critical analysis of the literature was made. Conclusion: There are many QOL instruments available but very few designed for brain tumor patients. Brain tumors have an impact in someone's life that goes beyond physical impairment. Characteristics of the tumor itself and its treatment affect not only cognition but also social and emotional aspects of the patient's life. QOL assessment complements neurological and cognitive examination and provides valuable information for the development of new treatment. 

scholarly journals Effect of lactose intolerance severity on food intake and quality of life in adults with lactose intolerance in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gokcen Garipoglu ◽  
Nesli Ersoy ◽  
Mustafa Gülşen ◽  
Taner Özgürtaş
Keyword(s):  
Quality Of Life ◽  
Food Intake ◽  
Digestive System ◽  
Lactose Intolerance ◽  
Life Quality ◽  
World Health ◽  
Content Type ◽  
Dairy Consumption ◽  
Quality Of Life Scale

PurposeLactose intolerance is lactose digestive disorder due to lactase enzyme deficiency. This can affect the quality of life by restricting the intake of certain foods. The aim of this study is to show the lactose intolerance to the restriction in food intake and quality of life.Design/methodology/approachThis study was conducted with adults aged 18–60 years. A survey was used to gather information on the demographic characteristics of the patients and their symptoms related to lactose intolerance. In addition, the Visual Analog Scale was administered to identify common symptoms and the World Health Organization Quality of Life (WHOQOL)-Bref Quality of Life Scale to determine their quality of life.FindingsThe average quality of life subscale scores was 56.25 ± 14.06 for physical, 58.29 ± 11.72 for mental, 63.28 ± 21.35 for social and 62.36 ± 16.37 for environmental. When VAS scores obtained for the common digestive system symptoms in lactose intolerance were compared with Quality of Life scores; it was found that physical life quality scores decreased (r = −0.239, p = 0.030) as the complaints of diarrhea increased and physical and environmental life quality decreased (r = −0.316, p = 0.004/r = −0.277, p = 0.012, respectively) as abdominal pain increased.Originality/valuePeople reduce dairy consumption due to digestive system complaints. Therefore, it is important to inform the people about the effects of lactose intolerance because discomfort caused by intolerance can affect nutrient intake and lower the quality of life.

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