The Assessment of Social Well-being in Indonesia and the Philippines with the Use of Quality-of-Life Indicators

Abstract Objectives Health-related quality of life (QoL) is an important component of overall wellbeing. The study aimed to describe the parent-perceived infant quality of life of exclusively breastfed infants along with their mother's physical and mental health in a Filipino cohort. Methods Healthy term infants, who were exclusively breastfed since birth and whose mothers had decided to exclusively breastfeed until 6 months (m) of age, were enrolled at 21–26 days of age from a single center in the Philippines. Parents completed the Infant Toddler Quality of Life Questionnaire (ITQoL) and the Short Form Health Survey (SF-36v2) (assessing maternal QoL) at enrollment and when infants were 2.5 m, 4 m, and 6 m of age. Infants’ anthropometrics were measured and parents completed gastrointestinal (GI) diaries and Infant Gastrointestinal Symptoms Questionnaire (IGSQ) throughout the study. Results Among 75 enrolled infants, 70 completed the study at age 6 m. Infant QoL mean scores were high throughout the study (range 0–100 for each concept; Table 1). Nonetheless, noticeable improvements were observed between enrollment and 2.5 m, especially in the infant-focused concept of Temperament and Moods as well as in all three parent-focused concepts (Emotional, Time, and Family Cohesion) which measure impact of child's health on parents. Between 2.5 and 6 m, the scores remained relatively stable. For maternal QoL mean scores (scores standardized to Mean = 50, SD = 10 for each scale; Table 1), noticeable improvements were observed between enrollment and 2.5 m, with Physical Health showing more pronounced improvements. The Role-Emotional scale, which measures role limitations due to emotional problems, showed the lowest scores. From enrollment to age 6 m, mean z-scores for weight-for-age, length-for-age and head circumference-for-age stably tracked WHO Growth Standards. Additionally, infant stool consistency became more formed, and incidences of spitting up/vomiting and flatulence decreased. The overall GI burden also decreased (IGSQ index score: range 13–65; 15.8 ± 3.2 at enrollment and 14.0 ± 1.2 at 6 m). Conclusions In a cohort of exclusively breastfed Filipino mother-infant dyads, parent-perceived infant health-related quality of life was high and comparable to that reported in literature1. Maternal quality of life, particularly their perceived state of emotional well-being, warrants further investigation. Funding Sources Nestec Ltd. Supporting Tables, Images and/or Graphs

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Overview of Ageing, Urbanization, and Nutrition in Developing Countries and the Development of the Reconnaissance Project

Food and Nutrition Bulletin ◽

10.1177/156482659701800313 ◽

1997 ◽

Vol 18 (3) ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Corazon V. C. Barba ◽

Lucila B. Rabuco

Keyword(s):

Quality Of Life ◽

Latin American ◽

Financial Support ◽

Well Being ◽

The Philippines ◽

Asian Countries ◽

Demographic Trends ◽

Transitional Countries ◽

Latin American Countries

Two of the major demographic trends in the developing and transitional countries are urbanization (the growth of cities and metropolitan populations) and ageing (the increase in the number of persons over 70 years of age, due to extended life expectancy). These two trends are felt to present unresolved challenges regarding health, well-being, and quality of life. These uncertainties gave rise to the multicentre Reconnaissance project carried out in five Asian countries (China, Indonesia, Malaysia, the Philippines, and Thailand) and three Latin American countries (Brazil, Guatemala, and Mexico), in collaboration with institutions in the Netherlands, Germany, and Italy, with financial support from the European Community. The findings, experience, and lessons from the preliminary qualitative (community), and quantitative (individual) surveys were shared among the investigators at a conference held at Wageningen, Netherlands.

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AB0869-HPR HOW TO IMPROVE THE QUALITY-OF-LIFE IN PATIENTS WITH OSTEOPOROSIS?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.2160 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1458.2-1458

Author(s):

A. Lammert ◽

S. Lezhenina ◽

N. Shuvalova ◽

N. Andreeva ◽

E. Guryanova

Keyword(s):

Quality Of Life ◽

Medical Care ◽

Short Form ◽

Well Being ◽

Rehabilitation Program ◽

Psychological State ◽

Short Form 36 ◽

Quality Of Life Indicators ◽

Sf 36

Background:This paper is an assessment of quality-of-life for patients living with osteoporosis. It employs special questionnaires and scales to allow for more detailed observation of the patient both during initial treatment and in dynamics. This allows us to establish the effectiveness of the therapy, to assess the need to correct the treatment and rehabilitation program, and to compare the effectiveness of various treatment methods and determine disease prognosis.Objectives:to assess quality-of-life in patients with osteoporosis for further development of treatment and rehabilitation programs.Methods:To assess the quality-of-life in patients with osteoporosis, HRQOL and SF-36 scale were used. The study was conducted from January to December 2019, at the Republican Clinical Hospital of the Chuvash Republic. The study involved 70 patients (n = 70) with a diagnosis of osteoporosis with a pathological fracture. Of the 70 patients included in the study, 35 women aged 67 ± 1.2 years and 35 men aged 60 ± 1.2 years. The results were statistically processed using MS Office Excel programs.Results:According to the analysis carried out by the HRQOL method, more than half of the patients (52.13%) experienced daily back pain, which worsens their mood and well-being. When assessing the degree of pain, almost half of the patients (48.73%) rated their pain by VAS as moderate. Moreover, most of the respondents experienced a “significant” (46.51%) or “moderate” (34.29%) decrease in social activity due to pain syndrome associated with osteoporosis. In connection with this, 44.51% rated their satisfaction with their lives as “average degree of satisfaction”.When analyzing the quality-of-life indicators according to the SF-36 scales, we determined that the mental component of health predominates for women (The Short Form-36: MH=68,6±3,45 (Men: MH=48,5±2,85)). In men, high quantitative values of the scales “physical” and “role physical functioning” (The Short Form-36: PF=62,5±3,33; RP=58,4±3,81) indicate a more pronounced nature of changes in somatic status, which has a significant impact on the quality-of-life. The intensity of pain was perceived to be higher by men (The Short Form-36: BP=75,6±4,06) than by women (The Short Form-36: BP=35,7±1,86). This confirms that osteoporosis and its complications negatively affect the human psyche and can significantly worsen the quality-of-life.Conclusion:Analysis of quality-of-life indicators using the SF-36, HRQOL method contributes to a more correct choice of effective strategy for specialized medical care and rehabilitation for patients with osteoporosis. This choice should be developed individually, taking into account the age, gender characteristics, the severity of structural and functional disorders and the psychological state of the patient. It must also take into account the presence and severity of concomitant diseases, which will require additional research and discussion at different levels of the organization of medical care.Disclosure of Interests:None declared

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Psychosocial and Functional Predictors of Mental Disorder among Prostate Cancer Survivors: Informing Survivorship Care Programs with Evidence-Based Knowledge

Current Oncology ◽

10.3390/curroncol28050334 ◽

2021 ◽

Vol 28 (5) ◽

pp. 3918-3931

Author(s):

Lia Massoeurs ◽

Gabriela Ilie ◽

Tarek Lawen ◽

Cody MacDonald ◽

Cassidy Bradley ◽

...

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Mental Disorder ◽

Active Surveillance ◽

Well Being ◽

Survivorship Care ◽

Urinary Function ◽

Quality Of Life Indicators ◽

Spiritual Well Being

Recent research has revealed that prostate cancer (PCa) survivors are facing a silent epidemic of mental disorder. These findings are not surprising when the side effects of highly effective current treatment modalities are considered. Here, we assess the association between urinary function and quality of life indicators to mental disorder among survivors of PCa. This is a cross sectional examination of an analytical sample of 362 men with a history of PCa residing in the Maritimes who took a survey assessing social, physical and health-related quality of life indicators between 2017 and 2021. Mental disorder was assessed using Kessler’s Psychological Distress Scale (K-10). Predictor variables included emotional, functional, social/family and spiritual well-being, measured by Functional Assessment of Cancer Therapy-Prostate (FACT-P), and urinary function was measured by International Prostate Symptom Score (IPSS). Multivariate logistic regression analysis evaluated the contribution of predictors while controlling for age, income, survivorship time (months) since diagnosis, relationship status and treatment modality. Mental disorder was identified among 15.8% of PCa survivors in this sample. High emotional (aOR = 0.81, 95% CI: 0.69–0.96) and spiritual well-being (aOR = 0.88, 95% CI: 0.81–0.96) were protective factors against mental disorder. Men who screened positive for moderate to severe urinary tract symptoms had three times higher odds (aOR = 3.02, 95% CI: 1.10, 8.32) of screening positive for mental disorder. Men who were on active surveillance or radical prostatectomy with or without added treatment had higher (aOR = 5.87, 95% CI: 1.32–26.13 or aOR = 4.21, 95% CI: 1.07–16.51, respectively) odds of screening positive for mental disorder compared to men who received radiation treatment with or without hormonal therapy for their PCa diagnosis. Unmet emotional and spiritual needs, increased urinary problems and some forms of treatment (e.g., active surveillance or surgery) were associated with mental disorder among PCa survivors. The development of survivorship care programs and support systems that focus on the long-term effects of PCa treatments and the consequences of unmet psychosocial needs of patients during the survivorship journey are critically needed.

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Medical aspects of the quality of life in patients with essential hypertension

Kazan medical journal ◽

10.17816/kazmj71557 ◽

2021 ◽

Vol 82 (1) ◽

pp. 35-37

Author(s):

S. V. Davydov

Keyword(s):

Quality Of Life ◽

Essential Hypertension ◽

Clinical Studies ◽

Physical State ◽

Well Being ◽

Social Aspects ◽

Central Hemodynamics ◽

Quality Of Life Indicators ◽

Important Position

In recent years, there has been an increase in interest in assessing the quality of life in patients with diseases of the cardiovascular system. This can be explained by the fact that not only indicators of the physical state of central hemodynamics, the disappearance of the main symptoms of a particular disease, but also a sense of well-being, including in the mental and social aspects are important for each patient - this truly important position is often completely ignored in everyday practice [3, 10, 12, 14, 15, 20, 23, 28]. In this regard, clinical studies are increasingly focusing on quality of life indicators [1-5, 7, 8, 10, 11, 13].

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Cost-effectiveness of a multi-professional case management experiment in Finnish labor market services

Nordic Journal of Health Economics ◽

10.5617/njhe.6863 ◽

2020 ◽

Author(s):

Jan Klavus ◽

Sami Ylistö ◽

Leena Forma ◽

Jussi Partanen ◽

Pekka Rissanen ◽

...

Keyword(s):

Quality Of Life ◽

Labor Market ◽

Cost Effectiveness ◽

Well Being ◽

Quality Of Life Indicators ◽

Market Intervention ◽

Psychological Quality Of Life

The study undertook an economic evaluation of a multi-professional case man-agement intervention targeted at long-term unemployed Finns. The cost-effectiveness outcome of the intervention was analyzed in a matched case-control study framework involving a six-month follow-up. Effectiveness was measured by standardized quality of life indicators, and an indicator measuring personal capabilities. Individual level costs were derived from health and social services utilization data. Cost-effectiveness of the intervention was examined in relation to services as usual. The studied labor market intervention was associated with a positive change in the selected quality of life indicators; physical and psychological quality of life improved in the intervention group. Cost-effectiveness in physical quality of life was attained at a willingness to pay of EUR 500 – 700 per effectiveness unit, while cost-effectiveness in psychological quality of life required incremental costs exceeding EUR 1,600. The intervention had no discernible effect on personal capabilities. The study demonstrated that favorable improvements in quality of life could be attained by a rather ‘light’ and moderate-cost service concept. Such well-being improvements may enhance the preparedness for re-employment of individuals with a prolonged unemployment history. However, a longer follow-up of the labor market intervention would be needed to examine the long-term effects on quality of life and employment. Published: Online October 2020.

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Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽

10.1024/1662-9647/a000207 ◽

2019 ◽

Vol 32 (3) ◽

pp. 125-134

Author(s):

Mechthild Niemann-Mirmehdi ◽

Andreas Häusler ◽

Paul Gellert ◽

Johanna Nordheim

Keyword(s):

Quality Of Life ◽

Patient Autonomy ◽

Positive Association ◽

Well Being ◽

Negative Association ◽

Significant Positive Association ◽

Cross Sectional ◽

People With Dementia ◽

Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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