scholarly journals The impact of community based prevention on quality of life – the necessity to control for general health trends. The Northern Sweden MONICA Study in 2014

2019 ◽  
Author(s):  
Elin Spegel ◽  
Kristina Ek ◽  
Stefan Söderberg ◽  
Mats Eliasson
Keyword(s):  
Quality Of Life ◽  
Intervention Program ◽  
Reference Population ◽  
University Education ◽  
Health Promotion Program ◽  
Northern Sweden ◽  
Health Trends ◽  
Positive Effects ◽  
The Impact

Abstract Background: The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects on risk factors and risk of coronary heart disease have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from other sources than the program have largely been uncontrolled for and health related quality of life (QoL) has not been evaluated. Aim: By using the neighbouring county of Norrbotten (NB) as the reference population, we compare QoL in Västerbotten (VB) and in NB. Method: The Northern Sweden MONICA survey in 2014 examined a random sample from the two counties. QoL was measured with the EQ-5D-3L. In total, 1112 subjects participated aged 40-74 years, 516 in VB and 594 in NB. Results: Average QoL measured by the EQ-5D-index was 0.798 in VB and 0.811 in NB, a difference of 0.013 (p=0.2, CI -0.009 to 0.036). For subjects aged 45-54 years, the QoL was lower in VB than in NB, a difference of 0.048 (p=0.041; CI 0.002 to 0.0094). In NB, QoL decreased with age, a pattern not seen in VB. Men had higher QoL than women, and university educated had higher QoL than those without university education. EQ-VAS showed similar results. Subjects from NB and from VB did not differ regarding age, gender and level of education. Conclusion: We found similar levels of QoL in VB and in NB.

scholarly journals The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256872
Author(s):  
Elin Spege ◽  
Kristina Ek ◽  
Stefan Söderberg ◽  
Mats Eliasson
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Intervention Program ◽  
University Education ◽  
Health Promotion Program ◽  
Northern Sweden ◽  
Health Trends ◽  
Positive Effects ◽  
The Impact

Background The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from other sources than the program have largely been uncontrolled for and health related quality of life (HRQoL) has not been evaluated. Purpose By using the neighbouring county of Norrbotten (NB) as the reference population, we compare HRQoL in Västerbotten (VB) and in NB. Methods In 2014 the Northern Sweden survey, Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA), examined a random sample from the two counties. HRQoL was measured with the EQ-5D-3L. In total, 1112 subjects aged 40–74 years participated, 516 in VB and 594 in NB. Differences in mean QoL between VB and NB were analysed via Student’s t-test and the Pearson chi-square test. Results Average HRQoL measured by the EQ-5D-index was 0.798 in VB and 0.811 in NB, a difference of 0.013 (p = 0.2, CI -0.009 to 0.036). For subjects aged 45–54 years, the HRQoL was lower in VB than in NB, a difference of 0.048 (p = 0.041; CI 0.002 to 0.0094). Men had higher HRQoL than women, and university educated had higher HRQoL than those without university education. EQ-VAS showed similar results. Subjects from NB and from VB did not differ regarding age, gender and level of education. In NB, HRQoL decrease with age, a pattern not seen in VB. Conclusions We found similar levels of HRQoL in VB and in NB.

scholarly journals The impact of community-based health promotion on quality of life: The need to control for general health trends. The Northern Sweden MONICA Study in 2014

2020 ◽  
Author(s):  
Elin Spegel ◽  
Kristina Ek ◽  
Stefan Söderberg ◽  
Mats Eliasson
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Disease Risk ◽  
University Education ◽  
World Health ◽  
Northern Sweden ◽  
Positive Effects ◽  
Health Related ◽  
The Impact

Abstract Background: The Västerbotten Intervention Programme (VIP) is a public health promotion programme in northern Sweden aimed at preventing cardiovascular diseases. Its positive effects on disease risk factors and on the risk of coronary heart disease itself have been reported, although the evidence is not unequivocal. Since only historical controls have been used, effects from sources other than the programme have largely been uncontrolled for and health-related quality of life (QoL) has not been evaluated.Methods: By using the neighbouring county of Norrbotten (NB) as a reference population, we compare QoL in Västerbotten (VB) and NB. In 2014, the World Health Organization’s Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) Study was implemented in northern Sweden, where random samples from VB and NB were examined. In total, 1112 participants between the ages of 40 to 74 participated: 516 in VB, and 594 in NB. Their QoL was measured with the three-level EuroQol 5-dimension (EQ-5D-3L) questionnaire. Differences in mean QoL between VB and NB were analysed via the Student’s t-test and the Pearson chi-square test.Results: Average QoL measured by the EQ-5D index was 0.798 in VB and 0.811 in NB, i.e. a difference of 0.013 (p = 0.2; confidence interval/CI -0.009 to 0.036). For participants aged 45–54, the QoL was lower in VB than in NB, showing a difference of 0.048 (p = 0.041; CI 0.002 to 0.0094). In NB, QoL decreased with age – a pattern not seen in VB. Men had higher QoL than women, and participants with a university education had higher QoL than those without one. The vertical visual analogue scale (EQ VAS) showed similar results. Participants from NB and from VB did not differ regarding age, gender or level of education.Conclusions: We found similar levels of health-related QoL in VB and NB.Trial registration: Not applicable

Quality of life in body dysmorphic disorder

CNS Spectrums ◽  
2012 ◽  
Vol 17 (4) ◽  
pp. 167-175 ◽  
Author(s):  
Waguih William IsHak ◽  
Michael A. Bolton ◽  
Jean-Charles Bensoussan ◽  
George V. Dous ◽  
Trang T. Nguyen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Psychiatric Comorbidity ◽  
Body Dysmorphic Disorder ◽  
Clinical Work ◽  
Positive Effects ◽  
Before And After ◽  
Effect Of Treatment ◽  
The Impact

Body dysmorphic disorder (BDD) has a significant impact on the patients’ quality of life (QOL). This is an initial literature review of QOL in patients with BDD, examining the extent of QOL impairments, the impact of psychiatric comorbidity on QOL, and the effect of treatment on QOL in BDD. Studies were identified through PubMed, MEDLINE, and PsycINFO searches from 1960–2011 using the keywords: “quality of life,” “body dysmorphic disorder,” “dysmorphophobia,” and “body image.” Studies included in this review were selected using specific criteria by two authors reaching consensus. Most BDD research studies have used symptom severity measures mainly to study BDD and its treatments. BBD with or without comorbidities is significantly associated with poor QOL and functioning. Studies show that treatment of BDD, either by psychopharmacological treatments such as selective serotonin reuptake inhibitors (SSRIs) or cognitive behavior therapy, might have positive effects on QOL, although these results need to be replicated in larger studies. In conclusion, QOL could add significant value to the assessment of BDD if used as one of the primary measures in research and clinical work in BDD, by providing more information and clearer understanding on the impact of the illness on satisfaction with activities of daily life and overall sense of wellbeing before and after treatment.

scholarly journals The Impact of Deep Brain Stimulation on the Cognitive Ability of Patients with Parkinson Disease

2020 ◽  
Vol 9 (3) ◽  
pp. 69
Author(s):  
Kuo Liu
Keyword(s):  
Quality Of Life ◽  
Deep Brain Stimulation ◽  
Parkinson Disease ◽  
Cognitive Ability ◽  
Brain Stimulation ◽  
Positive Effects ◽  
The Impact ◽  
Stn Dbs ◽  
Deep Brain

<p>Deep Brain Stimulation, especially STN-DBS, is one of the most prevalent treatments for the Parkinson’s Disease. Previous researches already showed its positive effects on the general conditions of the patients but lack evaluation of its influence on the cognitive ability of the patients. A comparison in the effect of DBS and surgical lesioning procedures can determine DBS’s influence on the quality of life and confirm whether it is the most optimal treatment. This proposal reviewed previous researches about the influence of STN-DBS and proposed a study on its influence of patients’ cognitive ability.</p>

scholarly journals Effects of the Health Promotion Programs on Happiness

2020 ◽  
Vol 12 (2) ◽  
pp. 528 ◽  
Author(s):  
Munjae Lee ◽  
Kichan Yoon
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Local Governments ◽  
Structural Equations ◽  
Health Promotion Program ◽  
Healthy City ◽  
Positive Effects ◽  
Comprehensive Health ◽  
Local Residents

The Healthy City program is a comprehensive health promotion program implemented by local governments to improve citizens’ health. The Healthy City program aims to improve citizens’ quality of life through health promotion activities in daily life. It also improves health by eliminating health risk factors and increasing citizens’ happiness. Therefore, this study investigated the effects of the Healthy City program on the happiness index of local residents and the correlation between the Healthy City program and the happiness index using quality of life as a parameter. We conducted a questionnaire survey of residents of Seoul, where Healthy City networks are actively promoted. A total of 392 responses were obtained. Structural equations were used to analyze the collected data. The Healthy City program had positive effects on the happiness index. In other words, it increased the happiness index by improving the health of the local residents. Relevant policy efforts are also being made to advance health services through Healthy City programs. For an effective Healthy City program, it is necessary to implement policies regarding health equity, to expand Healthy City programs based on a settings approach, and to implement a sustainable Healthy City program through the establishment of Healthy City governance.

scholarly journals Evaluación de una intervención dirigida a reducir el impacto del estigma en las personas con VIH capacitándolas para afrontarlo

2015 ◽  
Vol 32 (1) ◽  
pp. 39 ◽  
Author(s):  
Maria J. Fuster-RuizdeApodaca ◽  
Fernando Molero ◽  
Silvia Ubillos
Keyword(s):  
Quality Of Life ◽  
Self Efficacy ◽  
Intervention Program ◽  
Self Esteem ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Primary Control ◽  
Equivalent Control ◽  
The Impact

The goal of this study was to assess an intervention program to reduce the impact of stigma on people with HIV and to enable them to cope with it. A quasi-experimental design, with non-equivalent control group and pre-and posttest was used. Participants were 221 people with HIV. of whom 164 received the intervention and 56 made up the non-equivalent control groups. The dependent variables were perception of stigma -enacted and internalized-, self-esteem, perception of self-efficacy, strategies used to cope with stigma -primary control, secondary control, and avoidance- and quality of life. Analysis of variance (MANOVAS and ANOVAS) was conducted to determine pretest differences and differential scores in both groups, and analysis of covariance (MANCOVAS and ANCOVAS) was performed to assess the efficacy of the program. The results showed reduction of perceived stigma and avoidance strategies and an increase in perceived self-efficacy to cope with stigma, disposition to use approach strategies, self-esteem, and quality of life. These results indicate that is possible to train people with HIV to cope with stigma.

scholarly journals Positive effects of a cognitive-behavioral intervention program for family caregivers of demented elderly

2012 ◽  
Vol 70 (10) ◽  
pp. 786-792 ◽  
Author(s):  
Patrícia Paes Araujo Fialho ◽  
Anne Marise Köenig ◽  
Maria Dolores Lemos dos Santos ◽  
Maira Tonidandel Barbosa ◽  
Paulo Caramelli
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Intervention Program ◽  
Behavioral Therapy ◽  
Neuropsychiatric Symptoms ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Intervention ◽  
Positive Effects ◽  
Dementia Patients

OBJECTIVE: It was to examine the effects of a Cognitive-Behavioral Therapy (CBT) program administered to family caregivers of dementia patients. METHODS: Forty family caregivers were enrolled in a CBT intervention across eight weekly sessions. Cognitive, functional and behavioral status of patients were evaluated, as well as their own and their family caregivers' perceptions of quality of life. Specific instruments were also applied to evaluate caregiver stress level, coping, anxiety and depression. RESULTS: At the end of the program, family caregivers reported fewer neuropsychiatric symptoms among patients and an improvement in patients' quality of life. In addition, caregivers changed their coping strategies, whereas a significant decrease was observed in their anxiety levels. CONCLUSION: The CBT program employed appears to be a promising and useful tool for clinical practice, displaying positive effects on quality of life and neuropsychiatric symptoms of dementia, as well as proving beneficial for alleviating anxiety and stress in family caregivers.

scholarly journals Effects of a Health Promotion Program Based on a Train-the-Trainer Approach on Quality of Life and Mental Health of Long-Term Unemployed Persons

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Heribert Limm ◽  
Mechthild Heinmüller ◽  
Harald Gündel ◽  
Katrin Liel ◽  
Karin Seeger ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Promotion ◽  
Health Promotion Program ◽  
Control Group ◽  
Train The Trainer ◽  
Promotion Program ◽  
Positive Effects

Background. Long-term unemployment is associated with poorer mental health. The aim of this study was to evaluate the effectiveness of a health promotion program using the train-the-trainer approach on health-related quality of life (HRQoL) and mental health of long-term unemployed persons.Methods. A prospective parallel-group study was conducted among 365 long-term unemployed persons. 287 participants (179 members of the intervention group IG and 108 members of the control group) were reassessed after three months. The intervention comprised both individual sessions based on Motivational Interviewing and participatory group sessions; no health promotion program was administered in the control group. The endpoints were HRQoL (SF-12), depression, and anxiety. The effect size of the change across time in the IG and CG was measured by Cohen’sd. To assess the significance of group differences in the change across time, a random effects model was used.Results. Within three months HRQoL improved and anxiety and depression decreased significantly in the IG. A significant intervention effect was observed for anxiety (p= 0.012). Effect sizes in the IG were small to moderate in terms of Cohen’sd(anxiety:d=-0.33; SF-12 mental:d=0.31; depression:d=-0.25; SF-12 physical:d=0.19).Conclusions. The health promotion program, based on a train-the-trainer approach, showed positive effects on HRQoL and mental health, especially anxiety, of long-term unemployed persons, a highly burdened target group where an improvement in mental health is a crucial prerequisite to social participation and successful reintegration into the job market.

scholarly journals Effectiveness of pulmonary rehabilitation in improving quality of life in patients with different COPD stages

2020 ◽  
pp. 03-08
Author(s):  
Adrian Cosmin ILIE ◽  
Alexandru CRIŞAN ◽  
Patricia HOGEA STANCA ◽  
Daniel TRĂILĂ
Keyword(s):  
Quality Of Life ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Depression Score ◽  
Stage Ii ◽  
Positive Effects ◽  
Copd Patients ◽  
The Impact ◽  
Pulmonary Rehabilitation Program

Introduction. Anxiety and depression are frequently associated conditions in COPD patients, and have also significant impact on their quality of life (QoL) and on the course of the disease. Pulmonary rehabilitation (PR) is an adjuvant, non-pharmacological method used in symptomatic COPD patients. The study aimed to evaluate the impact of COPD on QoL depending on disease severity, and to assess the supposedly positive effects of a pulmonary rehabilitation program (PRP) for COPD patients. Material and method. This research included patients with COPD GOLD stages II-IV undergoing bronchodilator therapy. QoL was assessed with the self-administered St George's Respiratory Questionnaire (SGRQ), and depression with the Beck Depression Inventory (BDI). PRP included 3-5 weekly physical training sessions for an average period of 12 weeks, but not less than 3 weeks. Results. The degree of QoL impairment was moderate in stage II (41.07) and severe in stages III (70.28) and IV (81.02). The most severe depression (score 26.6 vs 2.5 in healthy subjects) was also recorded in this group. After the patients underwent all PRP, QoL reassessment at 6 months revealed statistically significant improvements in all 3 groups (p <0.05). In the GOLD COPD stage II group the average reduction was -4.38 units, in the group GOLD COPD stage III -5.37 units, and in the GOLD COPD stage IV -6.75 units. The depression score correlated with the SGRQ score, both of them being higher in the severe stages of disease. BDI administered again 6 months after PRP revealed a significant improvement in average score in all groups, respectively a decrease of -2.17 units in the COPD II group, -2.03 units in the COPD III group and -1.88 units in group COPD IV B group. Conclusion. The results of this study demonstrate a favorable impact of PRP on improving COPD associated symptoms, depression, and QoL in all the 3 monitored COPD patient groups, with statistically significant and persistent positive results over time (6 months after completion of PRP). Key words: COPD, pulmonary rehabilitation program, Quality of life (QoL), depression,

scholarly journals Long-Term Survival and Quality of Life Analysis after Autologous Stem Cell Transplantation for Lymphoma

Blood ◽  
2016 ◽  
Vol 128 (22) ◽  
pp. 2268-2268
Author(s):  
Sylvia Faict ◽  
Nathan De Beule ◽  
Ann De Becker ◽  
Karel Fostier ◽  
Fabienne Trullemans ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stem Cell ◽  
Stem Cell Transplantation ◽  
Reference Population ◽  
Eortc Qlq C30 ◽  
Eortc Qlq ◽  
The Impact

Abstract Background Autologous stem cell transplantation (ASCT) is a frequent treatment option for various types of lymphoma. Few studies have addressed the occurrence of long-term morbidity and the quality of life (QoL) after ASCT. We analysed the overall survival (OS), the QoL and the impact of comorbidities before and after transplant in a consecutive cohort of lymphoma patients. Methods Patients transplanted in our center between 2003 and 2013 and with a minimum follow-up of 1 year were included. Survival was analysed by Kaplan-Meier methodology and the impact of prognostic factors was examined by standard multivariate analysis. Patients were inquired to complete the Self-reported Comorbidity Questionnaire (SCQ) as well as the EORTC QLQ-C30. Results of questionnaires were compared to a healthy reference population. Results A total of 85 lymphoma patients were identified with a median follow-up period of 76 months. The estimated OS probability was 62,7% (S.E. 5,5%) at 5 years and 60,8% (S.E. 5,6%) at 10,9 years. Indicators of a poor prognosis at time of transplantation were: age ≥ 60 years, high-intermediate to high-risk IPI for NHL and HCT-comorbidity index ≥ 3. Of long-term (> 1 year) survivors 40 completed the EORTC QLQ-C30. They experienced lower cognitive and social functioning and reported more fatigue, dyspnea and financial difficulties, when compared to the reference population. A small proportion of patients reported significant complaints related to pain (22,5%) and fatigue (10%). Very long-term survivors (over 5 years post ASCT) had a better physical and role functioning, with less fatigue, dyspnea, insomnia and loss of appetite as compared to patients who were transplanted more recently. Patients with more self-reported comorbidities post-ASCT did significantly worse in terms of QoL after transplantation. They experienced worse physical, role, cognitive and social functioning, and had more complaints about fatigue, pain, dyspnea, diarrhea and insomnia. Conclusion The presence of comorbidities pre-ASCT, as determined by HCT-CI >3, was associated with a worse OS. Surprisingly, the overall long-term impact of ASCT on the QOL was limited with adverse effects only related to cognitive and social functions. These negative consequences also decreased over time. Finally, the occurrence of comorbidities after transplantation was associated with worse QoL. Disclosures No relevant conflicts of interest to declare.

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