The Modelling of Correlation Between Internal and External Factors on Self-Assessment of Environmental Impact on Health-Related Quality of Life in Patients with Asthma

Author(s):  
N. Perelman ◽  
N. Bezrukov
2021 ◽  
Vol 27 (1) ◽  
pp. 5-16
Author(s):  
Vladimir V. Kuznetsov ◽  
Kirill V. Kosilov ◽  
Ekaterina K. Fedorishcheva ◽  
Elena Yu. Kostina ◽  
Olga A. Barabash

AIM: This study aimed to examine prognostic parameters of health-related quality of life of medical students to determine the possibilities of its correlation with subsequent optimization of the educational environment of the university. MATERIALS AND METHODS: The study was conducted from 02/01/2017 to 01/10/2020 at the School of Biomedicine of the Far Eastern Federal University and the Pacific State Medical University. It included 496 students of both sexes [251 (50.6%) women, 245 (49.4%) men; average age, 20.4 years] enrolled in 13 medical courses. Demographic characteristics, education and living conditions, and morbidity data were collected using the comprehensive I.V. Pozdeeva questionnaire (2008) supplemented by authors as well as the standard medical documentation of the polyclinic. The MOS SF-36 Health-Related Quality of Life Brief Self-Assessment Questionnaire was used to evaluate the health-related quality of life. The Academic Motivation Scale questionnaire survey was performed, and statistical data on academic performance were collected using K. Maslach and S. Jackson questionnaire for the administrative offices of educational institutions. RESULTS: The following scores were obtained on the self-assessment of the quality of life: physical functioning, 58.8 points; role functioning, 27.4 points; somatic pain (reverse assessment), 79.4 points; general well-being, 48.6 points; hardiness, 61.2 points; social functioning, 57.3 points; emotional status, 51.0 points; psychological comfort, 53.7 points. The students showed a high level of motivation to learn (47.759.8 points by the Vallerand scale) and a low professional burnout index (24.944.0 by Maslach and Jackson scale); the performance indicators were 4.14.6 points. Each parameter of self-assessment of physical and mental state is significantly associated with the composite average assessment of the health-related quality of life (r=0.490.86; p0.05). The health-related quality of life of medical students was found to be associated with academic performance (=0.27, p0.05), but motivation to study (=0.35, p0.05) was not correlated with the level of professional burnout. A strong relationship was also found between health-related quality of life and comorbidity (=0.30, p0.05) and sports (=0.27, p0.05). CONCLUSIONS: The scores on the total self-assessment of the quality of life by medical students are within the normal range. Most students are highly motivated to learn, perform well, and have little or no burnout. The health-related quality of life of medical students at the start of their schooling is reliably influenced by academic performance, motivation to study, and level of chronic morbidity and physical activity.


Gerodontology ◽  
2016 ◽  
Vol 34 (1) ◽  
pp. 135-143 ◽  
Author(s):  
Anna Greta Barbe ◽  
Nadine Bock ◽  
Sonja Henny Maria Derman ◽  
Moritz Felsch ◽  
Lars Timmermann ◽  
...  

Author(s):  
P. Orlandoni ◽  
N. Jukic Peladic

Background: Oropharyngeal dysphagia negatively affects the quality of life of patients. It may lead to malnutrition, dehydration, aspiration pneumonia and death, especially in older people. Dysphagia and its level of severity have to be assessed accurately and in a timely fashion, because only early intervention can prevent the onset of complications. There are numerous self-administered questionnaires to monitor both the severity of dysphagia and the effectiveness of therapeutic approaches. The objective of this article is to conduct a literature review and to illustrate the characteristics of various self-assessment questionnaires for oropharyngeal dysphagia. Methods: A search of observational studies of adult populations with dysphagia, published from 1990 to June 2014, was performed in the electronic database Pubmed. Results: A total of 23 self-assessment questionnaires, on Health-related Quality of Life and Functional Health status, were identified. Fourteen questionnaires were excluded from the analysis for the following reasons: the questionnaire was written in a language other than English or Italian (n=3); the questionnaire was specific for caregivers (n=1); the questionnaires were not specific for oropharyngeal dysphagia (n=10). Nine questionnaires, validated in adult populations, were examined. Only two self-assessment questionnaires on quality of life - DHI (Dysphagia Handicap Index) and SWAL-QOL (Swallowing Quality Of Life) - were correctly validated; other questionnaires had methodological errors. Conclusions: A specific self-assessment questionnaire for older adults was not found. Almost all of the currently available questionnaires need to be improved methodologically. Furthermore, new questionnaires specifically for older people should be developed.


BMJ Open ◽  
2012 ◽  
Vol 2 (4) ◽  
pp. e001274 ◽  
Author(s):  
Kofi A Anie ◽  
Hannah Grocott ◽  
Lauren White ◽  
Mendwas Dzingina ◽  
Gabriel Rogers ◽  
...  

2013 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Karolin Roeser ◽  
Barbara Schwerdtle ◽  
Ruth Eichholz ◽  
Andrea Kübler

The Amnestic Comparative Self-Assessment (ACSA) is a sensitive, efficient, and economic instrument to assess overall quality of life in adult populations. The present study investigates the applicability of the ACSA in an adolescent sample and compares it to a measure of health-related quality of life, the Kiddo-Kindl. The sample comprised 92 adolescents (50 girls, 42 boys) aged 11-17 years (mean age: 13.67, standard deviation: 1.34). Of the investigated sample, n=69 (75%) completed the ACSA. No significant demographic differences were found between ACSA-respondents and non-respondents. The correlation of the Kiddo-Kindl and the ACSA was moderate (r=0.50). The Kiddo-Kindl subscales and the ACSA correlated between r=0.07 and 0.41. The majority of adolescents are able to complete the ASCA, and its acceptance and validity are independent of age. Thus, future investigations could adopt the ACSA in adolescents to assess overall quality of life.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Martijn J. H. Doeleman ◽  
Sytze de Roock ◽  
Nathan Buijsse ◽  
Mark Klein ◽  
Gouke J. Bonsel ◽  
...  

Abstract Background Pediatric patients with juvenile idiopathic arthritis (JIA) are at risk for a lower health-related quality of life compared to their healthy peers. Remote monitoring of health-related quality of life using electronic patient-reported outcomes could provide important information to treating physicians. The aim of this study was to investigate if self-assessment with the EuroQol five-dimensional ‘youth’ questionnaire with five levels (EQ-5D-Y-5 L) inside a mobile E-health application could identify JIA patients in need of possible treatment adjustments. Methods The EQ-5D-Y-5 L was completed via a mobile application (Reuma2Go) between October 2017 and January 2019. The clinical juvenile arthritis disease activity score with 71 joint count (cJADAS-71) was reported at every corresponding visit as reference for disease activity. Previously described cJADAS-71 thresholds were used to identify patients in possible need of treatment adjustments. Discriminatory power of the EQ-5D-Y-5 L was assessed by ROC-curves and diagnostic characteristics. Results Sixty-eight JIA patients completed the EQ-5D-Y-5 L questionnaire. Median cJADAS-71 indicated low disease activity overall in the studied population. ROC curves and diagnostic characteristics demonstrated that self-assessment with the EQ-5D-Y-5 L could distinguish between patients with inactive disease (or minimal disease activity) and moderate to high disease activity with good accuracy (87%), sensitivity (85%), specificity (89%) and negative predictive value (86%). Conclusions Results demonstrate that the EQ-5D-Y-5 L was able to identify JIA patients in need of possible treatment adjustments in our studied population. Remote monitoring of health-related quality of life and patient-reported outcomes via E-health applications could provide important additional information to determine the frequency of clinical visits, assess therapeutic efficacy and guide treat-to-target strategies in pediatric patients with JIA.


2021 ◽  
Author(s):  
Fangyuan Zheng ◽  
Xuelin Dou ◽  
Liqiang Zhang ◽  
Jie Jin ◽  
Yanli Zhang ◽  
...  

Abstract Purpose To explore the health-related quality of life (HRQoL) and associated variables in children with chronic myeloid leukemia in the chronic phase (CML-CP) receiving tyrosine kinase inhibitors (TKIs).Methods A cross-sectional questionnaire was given to children with CML and their parents, who were <18 years at diagnosis of CML and <19 years at study. The questionnaire consisted of three parts, including demographic information, clinical information, and the Chinese version of Pediatric Quality of Life InventoryTM (PedsQL™) Cancer Module 3.0 as HRQoL questionnaire.Results 289 questionnaires were collected, and data from 207 (71.6%) respondents were analyzed. Multivariate analysis showed that children with symptoms had worse pain (-10.7; P<0.001), nausea(-17.9; P<0.001), treatment anxiety(-6.7; P=0.008), worse appearance self-assessment (-7.5; P<0.001) and communication problems(-3.9; P=0.028), and worse HRQoL(-4.1; P=0.013). Children whose mothers had low educational qualifications complained worse pain(-8.3; P=0.005), worried more about the future (-11.6; P=0.002), had poor self-assessment (-5.1; P=0.045), and worse HRQoL (-6.5; P=0.002). Children at a younger age of study when studied had more procedural anxiety (3.3; P=0.008), more cognition problems (3.4; P=0.001), and worse HRQoL (1.4; P=0.040), while increasing age at diagnosis had worse appearance self-assessment (-2.1; P=0.015) and HRQoL (-1.4; P=0.039). Other variables significantly associated with worse HRQoL included female sex and rural household registration. Parents reported more gastrointestinal disorders and worry about the future and had less concern about appearance than reported children.Conclusions This study suggests that female gender, increasing age at diagnosis, younger age at study, lower mother’s education level, and TKI-related symptoms reported were significantly-associated with worse HRQoL. Parents and children have different priorities in the HRQoL.


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