The Relationship Between Dermatologist- and Patient-Reported Acne Severity Measures and Treatment Recommendations

2015 ◽  
Vol 19 (5) ◽  
pp. 464-469 ◽  
Author(s):  
Jerry Tan ◽  
Marc P. Frey ◽  
Sanja Knezevic ◽  
Yves Poulin ◽  
Charles W. Lynde ◽  
...  

Background: Acne treatment recommendations for individual patients may be derived from multiple factors including dermatologist- and patient-reported constructs. Objectives: To evaluate the effects of dermatologist- and patient-reported measures on acne treatment recommendations by dermatologists. Methods: An observational cross-sectional survey of acne patients was conducted with patient-reported quality of life and dermatologist-reported measures of primary and secondary (scar) acne severity using 3 assessment approaches: maximal regional grade, total grade, and facial grade. Results: The most highly associated factors with acne treatment recommendations were patient emotions, maximal regional acne severity, and total acne scar grade. Better acne-specific quality of life was negatively related to acne treatment recommendation intensity, while all 3 grading approaches were positively related to acne treatment recommendations. Conclusions: For dermatologists, overall acne severity is most highly associated with maximal regional acne grade, total scar grade, and patient’s emotional response to acne.

2020 ◽  
Vol 38 (5) ◽  
pp. 1009-1031
Author(s):  
Saeed Pahlevan Sharif ◽  
Navaz Naghavi ◽  
Hamid Sharif Nia ◽  
Hassam Waheed

PurposeThe purpose of this paper is to investigate whether financial distress explains the relationship between financial literacy and quality of life (QoL) among consumers who have faced life-threatening cancer. To extend this line of research, the moderating role of social supports in the relationship between financial distress and QoL is examined.Design/methodology/approachA cross-sectional survey was utilized to collect quantitative data through a self-administered questionnaire. A total of 223 consumers diagnosed with cancer in Iran participated in the study by means of a convenience sampling technique. Using a forward–backward method the questionnaire was translated from English into Persian.FindingsThe findings highlight the importance of financial literacy in managing direct and indirect costs of chronic diseases that in turn can improve consumers' QoL. Moreover, while perceived social support improves QoL of consumers diagnosed with cancer, it strengthens the negative association between financial distress and QoL. Consequently, solely receiving of emotional support from acquaintances with no financial support might be bothersome.Practical implicationsThe findings highlight the need for interventions that target financial literacy and perceived financial distress for consumers with chronic diseases. These consumers can benefit from interventions that offer support based on accurate assessments of their needs and priorities.Originality/valueThe present study is the first of its kind to highlight the importance of financial literacy in improving the QoL of consumers with chronic diseases.


Author(s):  
Dr. Nikita Sharma

During the Coronavirus Pandemic, the Varanasi based Ayurveda junior resident doctors experiencing challenges in their quality of life following the covid19 related challenges. The challenges include; loss of many patients, deaths and illnesses of colleagues, fear of transmission to family members, personal risk of infection, inability to cope, personal isolation, population restrictions, and long shifts of work which affect their QOL and have received less attention from scholars. The study aimed at evaluating the quality of life of Ayurvedic medicine practitioners during COVID-19 pandemic. Methods and Material: Varanasi based Ayurveda junior residents from both urban and rural settings were approached for the cross-sectional survey. An online cross-sectional survey was conducted to collect the data and WHOQOL-BREF questionnaire was made available online on Google forms to the junior residents. The study population involved individuals within the range of 24-80 years. A sample size of 100 was selected from the target population using a convenience sampling procedure. The study identified two or more categories for each variable in the dataset; therefore, the chi-square test was used to examine the relationship between two or more unconditional variables. SAS 9.4 (Statistical Analysis System, Carry, NC, USA) tool was used to analyse the relationship between the categorical variables. P values were obtained for each variable.


2021 ◽  
Author(s):  
Xiaohan Liu ◽  
YaShuang Bai ◽  
Ning Huang ◽  
JING GUO

Abstract Background:The quality of life might have been decreased owing to the social disruptionsin daily life and basic functioning afterCoronavirus Disease (COVID-19) pandemic. This study aims to examine the relationship between job changes, family conflicts, and quality of life among parents during COVID-19 in China.Methods:We recruited 1209 adultsthrough an online cross-sectional survey in China during the COVID-19 lockdown from April 21st to April 28th, 2020.Convenient and cluster sampling methods were used to recruit parents. The global health items in the Patient-Reported Outcomes Measurement Information System (PROMIS) were used as a measurement forquality of life. Data were mainly analyzed by multiple linear regression with SPSS.Results:Both marital conflict (β=-0.243, P<.001) and parent-child conflict (β=-0.119, P=.001)were negatively associated with the quality of life among parents during the lockdown.While job changes moderatedthe relationship of marital conflict and quality of life(β=-0.256, P=.022). Besides, the interaction effects of job changesand family conflict on quality of life only significantly amongfathers andone child families.Conclusion:This study indicated the familyconflictwas acrucialfactorcorrelatedwithqualityoflifeamongyoungparents in the backdrop of COVID-19 lockdown. Job changes could interact with marital conflict and parent-child conflict on quality of life.


2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 149-149
Author(s):  
Mark Doherty ◽  
Hiten Naik ◽  
Lawson Eng ◽  
Devalben Patel ◽  
Qin Quinn Kong ◽  
...  

149 Background: Health Utility scores (HUS) are an increasingly important tool in helping to determine the cost-effectiveness of therapies worldwide. The EQ-5D is a validated HUS questionnaire, with reference data in numerous populations. Previously, HUS in esophageal cancer (EC) were based on limited datasets, and the relationship between HUS and either quality of life (QOL, through the validated FACT-E) or esophageal-specific symptoms such as dysphagia, has not been studied. Methods: This cross-sectional survey of EC patients at Princess Margaret Cancer Centre (2012-2014) assessed EQ-5D, FACT-E, a Visual Analog Scale (VAS), patient reported performance status (PRO-ECOG), and dysphagia scoring. EQ-5D scores were converted to HUS using Canadian references. Correlation analyses were performed between HUS and global FACT-E scores, global dysphagia scores, and specific esophageal symptom scores included in FACT-E. Results: Of 198 patients, median age was 67 (range 32-93) years, 76% were male, with localized (LD stage 1, 6%), regional (RD, stage II-IVA, 62%), and metastatic (MD, stage IVB, 27%) disease. Mean + SEM EQ-5D HUS was 0.80+0.01 (all patients), 0.90+0.05 (LD), 0.82+0.01 (RD), and 0.73+0.03 (MD) [p=0.03]. Mean FACT-E total score was 130, mean total FACT-G score was 80, and mean ECS score was 49. There was a strong correlation between FACT-E total scores and EQ-5D HUS (r=0.73, p<0.001), and mild-to-moderate correlation between FACT-E dysphagia questions and HUS (r= 0.28-0.37; p<0.001, each comparison) and between the odynophagia question and HUS (r=0.28, p<0.001). A moderate correlation was observed between a non-FACT-E based global swallow score and HUS (r=0.48, p<0.001). Conclusions: In this large cross-sectional study of EC patients, stage, QOL, and esophageal-specific symptoms were all associated with HUS. Additional results will be presented on the relationship of VAS, PRO-ECOG and specific FACT-E domains, with HUS and changes in questionnaire scores over time, as well as stage-specific EC reference HUS using UK and USA references. This research enhances our understanding of the factors driving EQ5D HUS in EC, thereby validating its potential usefulness in economic analyses.


Author(s):  
Haixia Wang ◽  
Xiqian Zou ◽  
Kaisheng Lai ◽  
Weiping Luo ◽  
Lingnan He

A high quality of life (QoL), an individual’s subjective assessment of overall life condition, has been shown to have a protective effect against negative behaviors. However, whether QoL protects people from the harmful impact of health rumors is still unknown. In this study, a national survey in China (n = 3633) was conducted to explore the relationship between health rumor belief (HRB) and QoL, which includes physical, psychological, social, and environmental domains. The results show that people with a poor perception of their physical health are more likely to believe health rumors. Additionally, those who had better self-reported satisfaction in social relationships were more susceptible to health rumors. Furthermore, women and older adults showed a greater belief in health rumors. This study expands upon our understanding of how people with different QoL levels interact with false health-related information. Based on health-rumor-susceptible groups, several essential online and offline strategies to govern health rumors are also proposed.


2021 ◽  
Vol 79 (5) ◽  
pp. 621-632 ◽  
Author(s):  
James W.F. Catto ◽  
Amy Downing ◽  
Samantha Mason ◽  
Penny Wright ◽  
Kate Absolom ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e018228 ◽  
Author(s):  
Louisa Picco ◽  
Ying Wen Lau ◽  
Shirlene Pang ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
...  

ObjectivesTo examine whether self-stigma mediates the relationship between perceived stigma and quality of life, self-esteem and general functioning among outpatients with depression, schizophrenia, anxiety and obsessive-compulsive disorder (OCD).DesignCross-sectional survey.SettingOutpatient clinics at a tertiary psychiatric hospital in Singapore.Participants280 outpatients with a primary clinical diagnosis of either schizophrenia, depression, anxiety or OCD.MethodsData were collected in relation to self-stigma, perceived stigma, self-esteem, functioning and quality of life. In order to examine the mediating role of self-stigma on the relationship between perceived stigma and psychosocial outcomes, bootstrapping mediation analyses were used.ResultsMediation analyses revealed that the relationship between perceived stigma and psychosocial outcomes was subject to the effects of self-stigma among the overall sample. Separate mediation analyses were conducted by diagnoses and showed differences in the mediating effects of self-stigma. Among the whole sample and the subsample with OCD, self-stigma mediated the relationship between perceived stigma and all psychosocial outcomes. For those with anxiety, depression and schizophrenia, the mediating effects of self-stigma were present in all relationships except (1) perceived stigma with physical health in the anxiety sample, (2) perceived stigma with social relationships in the depression sample and (3) perceived stigma with physical health in the schizophrenia sample.ConclusionsThe mediating effects of self-stigma on the relationship between perceived stigma and various psychosocial outcomes are evident and differ across diagnoses. Interventions to address and reduce the effects of self-stigma along with targeted treatments and psychoeducation to assist people with mental illness overcome or better manage self-stigma while providing them the skills to counteract public stigma are needed.


2010 ◽  
Vol 12 (1) ◽  
pp. 34-41 ◽  
Author(s):  
Daniel S. Bandari ◽  
Timothy L. Vollmer ◽  
Bhupendra O. Khatri ◽  
Tuula Tyry

Health-related quality of life (HRQOL) is an important consideration for patients with a chronic disease such as multiple sclerosis (MS). We conducted a review of published articles and conference proceedings to evaluate the use of patient-reported measures of HRQOL in MS. A variety of HRQOL measures are used in MS research and clinical practice settings. Generic HRQOL instruments lack domains considered important to MS patients and are subject to significant floor and ceiling effects when used in MS patients. MS-specific instruments, including the Multiple Sclerosis Quality of Life–54, Multiple Sclerosis Quality of Life Inventory, and Multiple Sclerosis International Quality of Life, offer both advantages and limitations in assessing HRQOL in MS patients. Only a few reports on the use of these instruments to assess HRQOL outcomes in clinical studies have been published. MS-specific instruments hold the most promise in the assessment of the relationship between disease-modifying drug treatment and HRQOL in MS patients. Further research is needed to better understand the limitations of MS-specific HRQOL instruments in clinical research and practice. Future MS drug therapy trials should include the use of MS-specific instruments to prospectively assess HRQOL as a study outcome.


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