scholarly journals The relationship of personal budgets with independence, participation and quality of life; a secondary analysis of survey data using propensity score matching

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anna Maria Marangos ◽  
Jurjen Iedema ◽  
Mirjam de Klerk ◽  
Isolde Woittiez ◽  
Peter P. Groenewegen

Abstract Objectives Personal budgets for social and health care have been introduced in many European countries over recent decades. The assumption is that people with a personal budget are able to purchase care that matches their needs more closely and therefore experience greater independence and improved well-being. The question is whether this assumption is true. Little research has been carried out on this and the research that has been carried out is inconclusive and hampered by methodological limitations. Methods We performed a secondary analysis of data collected in a survey among persons who had submitted an application for social support. Propensity score matching was used to investigate whether people with a personal budget experience better independence, participation in society and quality of life than comparable people using conventionally organised help. Results After matching, no significant effects of the personal budget were initially found. A sensitivity analysis that excluded the variable sense of mastery from the calculation of the propensity scores, showed a significantly greater independence for those using a personal budget. Conclusion There may be several reasons for this lack of effect. First, perhaps there are no effects. It is also possible that effects can only be found in specific situations and/or specific groups.

2018 ◽  
Vol 12 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Elizabeth Karol ◽  
Dianne Smith

Aim:The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.Background:It has been established that there is a relationship between psychological well-being and a person’s environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment. However, there is limited design expertise in the Australian housing market to create supportive spaces which will help to reduce the impact of the disability for those with cognitive impairment.Method:A literature review was carried out to determine the extent and details of what is known about the relationship of home design and its impact on emotional, psychological, or social well-being for people with cognitive impairment.Conclusions:The study indicates that researchers in various disciplines understand that pragmatic design inputs such as thermal comfort and adequate lighting are important for people with cognitive impairment. In addition, some researchers have shown or surmise that there are other “intangible” designer-controlled elements that have beneficial impacts on people with cognitive impairment. Details of these intangible elements are sparse, and how much they might improve the quality of life for a person with cognitive impairment is not well understood. Further research is required to meet a growing need.


Author(s):  
Aida Lalić Mehmedbašić ◽  
Sabina Alispahic

Ulcerative colitis (UK) is one of the chronic inflammatory disorders of unknown cause, affecting the gastrointestinal tract. With regard to the clinical picture, episodes of bloody-mucous diarrhea can be characterized, which may last from several days, weeks, or months, when they cease, to recur after an asymptomatic period, which may last for months or years. The aim of this study was to examine how patients cope with symptoms, what their quality of life is, and how the mind-body connection affects their symptoms and the onset of the disease. Six people were interviewed. According to the testimonies of the participants, the UK had a significant impact on reducing their quality of life, while social support from their loved ones and adequate coping style were very supportive for their healing. In addition, all participants believed that stress was the cause of their condition. Although research indicates that neuroticism, perfectionism, and alexithymia are more common in UK patients than in the general population, our participants did not consider them to have pronounced personality traits. According to the results of our research, we can conclude that the UK in many ways affects the quality of life of the sick and that the connection between mind and body, which is often at the heart of the disease, is evident.


Author(s):  
Yajvinder Yajvinder ◽  
Dr. Anita Sharma

The present study was aimed to explore the relationship of social support and sex role orientation with quality of life in senior citizens. The sample comprised of 400 senior citizens with equal number of educated males and females (200 each). The analysis revealed that for the male’s sample, social support explained the maximum variance (5%) followed by femininity (4%) in quality of life. In all, these variables have accounted for 9% of the variance. In female’s sample, only social support has contributed (5%) of variance. Further, t-test has revealed the superiority of males in masculinity, femininity and quality of life and female’s superiority on social support.


2016 ◽  
Vol 39 (5) ◽  
pp. 491-496 ◽  
Author(s):  
Catherine S. Wilson ◽  
Martin Forchheimer ◽  
Allen W. Heinemann ◽  
Anne Marie Warren ◽  
Cheryl McCullumsmith

2021 ◽  
Vol 17 (1) ◽  
pp. 87-101
Author(s):  
Ekaterina Shamaeva

In recent decades, it has become obvious that an ecological catastrophe is rapidly approaching civilization and the continued existence and development of mankind depends on it. It has long been understood in society that environmental factors affect the standard and quality of life of the population. Modeling the relationship of this influence is an interdisciplinary task that requires the removal of a number of methodological restrictions. Among them: effective data collection and monitoring, the choice of a measurement system, "noisiness" of data. The purpose of the work is to analyze the current state of methodological foundations and choose a method for building a model of the relationship of quality of life with components of the structure of quality of life of the population. Today, various systems of formalized description of the quality of life are proposed at the global level: the human development index, the environmental-economic accounting system, the real progress index and the sustainable economic well-being index, the happiness index, the quality of life index according to the Economist Intelligence Unit, the Sustainable Society Index. The modern stage of research on the problem of modeling the level and quality of life is represented by intercountry and interregional comparisons using a developed mathematical apparatus. The work presents general and methodological problems of quality of life research; analysis and selection of methods for solving problems of modeling the relationship of components and indicators of the level and quality of life of the population. The following are considered: methods of multicriterial evaluation, methods of multipurpose mathematical programming, statistical methods, methods of dynamic modeling, methods of simulation modeling. It is shown that in order to solve the applied problems of building a model of level and quality of life, it is advisable to use multidimensional statistical methods, where the initial necessary stage is the procedure of data conversion by standardizing (normalizing) data, namely, bringing all variables involved in the construction of an integral indicator to a single unified scale.


2009 ◽  
Vol 28 (2) ◽  
pp. S128 ◽  
Author(s):  
C. White-Williams ◽  
K.L. Grady ◽  
E.C. Wang ◽  
D.C. Naftel ◽  
B. Rybarczyk ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e029555 ◽  
Author(s):  
Andy Hau Yan Ho ◽  
Stephanie Hilary Xinyi Ma ◽  
Moon-Ho Ringo Ho ◽  
Joyce Shu Min Pang ◽  
Emily Ortega ◽  
...  

ObjectiveTo assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being.DesignCross-sectional stratified household survey.SettingAll residential areas across Singapore’s Central, East, North, North-East and West Regions.Participants1067 community-dwelling, Singaporean older adults between the ages of 50 and 95 years were recruited.Primary and secondary outcome measuresRespondents completed a self-reported questionnaire, consisting of standardised ad hoc items assessing the frequencies and durations of active and passive participatory arts engagement, as well as validated psychometric assessments on psychosociospiritual health including the primary outcome measure on quality of life, and the secondary outcome measures on physical, psychological, emotional, spiritual, and social well-being. sociodemographic information, as well as frequency and intensity of physical activity were also collected.ResultsPassive engagement (60%) and active engagement (17%) in the arts were associated with better holistic wellness and social support. Specifically, findings from the propensity score matching and independent t-test analyses revealed that adults aged 50 and above who passively engaged in arts and culture-related events experienced higher quality of life (t(728)=3.35, p=0.0008, d=0.25), perceived health (t(728)=2.21, p=0.0277, d=0.16) and sense of belonging (t(728)=2.17, p=0.03, d=0.16), as compared with those who did not. Moreover, those who actively engaged in participatory arts experienced greater quality of life (t(442)=3.68, p=0.0003, d=0.36), self-rated health (t(442)=2.59, p=0.0099, d=0.25), spiritual well-being (t(442)=3.75, p=0.0002, d=0.37), meaning in life (t(442)=5.03, p<0.0001, d=0.50) and sense of peace (t(442)=3.72, p=0.0002, d=0.36), as compared with those who did not actively engaged in the arts.ConclusionThis study provided robust evidence to support a significant causal relationship between arts engagements and holistic well-being. Recommendations for art-based public health and elderly care research, practice and policy are discussed.


2013 ◽  
Vol 15 (7) ◽  
pp. 560-565 ◽  
Author(s):  
Sara Shishehgar ◽  
Abolfazl Mahmoodi ◽  
Mahrokh Dolatian ◽  
Zohreh Mahmoodi ◽  
Maryam Bakhtiary ◽  
...  

2021 ◽  
Author(s):  
Anthony Cannon ◽  
Mehmet Dokucu ◽  
Fausto Loberiza

Abstract Purpose: This study explored the relationship of spirituality and religiosity as it affects the physical and mental quality of life (pQOL, mQOL) of cancer survivors. Methods: This is a prospective observational study that included adults ≥19 years who received treatment for various types of cancer. Patients’ QOL was obtained at baseline, 6, and 12 months. Cohorts were categorized according to spirituality/religiosity levels: low spirituality – low religiosity (LSLR), low spirituality – high religiosity (LSHR), high spirituality – low religiosity (HSLR), and high spirituality – high religiosity (HSHR). Results: Of the 551 eligible: 248 (45%) had HSHR, 196 (36%) had LSHR, 75 (14%) had LSLR, and 32 (6%) had HSLR. The pQOL of LSLR were significantly lower than those with HSHR (p = 0.02). The difference in pQOL between LS and HS were observed among those who have HR (p <0.0001). Among patients with LR, pQOL did not differ. The mQOL of patients with LSLR was significantly lower than those with HSHR (p < 0.0001). The mQOL of those with HS was significantly higher than those with LS in both cohorts having LR (p <0.0001) or HR (p <0.0001). pQOL decreased while mQOL increased over time regardless of spirituality or religiosity levels.Conclusion: Spirituality is important in the improvement of both pQOL and mQOL of cancer survivors, while religiosity may have some impact on pQOL. Clinicians’ incorporation of spirituality into cancer treatment facilitates well-rounded care, that offers measurable improvements for patients with an illness, of which the treatment is often arduous, and uncertain.


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