scholarly journals Prior Injury, Health-Related Quality of Life, Disablement, and Physical Activity in Former Women's Soccer Players

2021 ◽  
Author(s):  
Shannon J. Cross ◽  
Diane L. Gill ◽  
Pam Kocher Brown ◽  
Erin J. Reifsteck
Keyword(s):  
Physical Activity ◽  
Sports Injury ◽  
Division I ◽  
Soccer Players ◽  
Severe Injury ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
History Of ◽  
Women's Soccer

Context: Former collegiate athletes may be at risk for negative health outcomes like lower health-related quality of life (HRQoL), higher disablement, and lower lifetime physical activity (PA) participation. A history of severe sports injury may play a role in these outcomes. Objective: To assess the role prior sports injury plays in self-reported HRQoL, levels of disablement, and PA behaviors of former Division I women's soccer players. Design: Cross-sectional study. Setting: Online Survey. Participants: Former NCAA Division I women's soccer players (n = 382, Mage = 36.41 ± 7.76) completed demographics, injury history, the Patient-Reported Outcomes Measurement Information System (PROMIS; HRQoL), the Disablement for the Physically Active Scale (DPA; disablement), and the Godin Leisure Time Physical Activity Questionnaire (PA). Main Outcome Measures: The dependent variables were physical and mental component summary scores for HRQoL and disablement, and frequency of moderate-to-vigorous PA. Means, standard deviations, and correlations among the main outcome variables were examined for those who reported a severe injury (n = 261) and those who did not (n = 121). To address the primary aim of the study, multiple regression analyses were used to predict PA, disablement, and HRQoL based on history of severe injury, accounting for age. Results: Having a severe injury was significantly predictive of having worse physical disablement and worse physical HRQoL, with severe injury predicting a greater than 5-point increase and 2-point decrease on the respective scales. Injury status was not predictive of mental disablement, mental HRQoL, or PA. Conclusions: The majority of participants reported suffering a prior severe soccer-related injury, which may have a negative long-term impact on health outcomes for former women's soccer players. Athletic trainers should be aware of risk for decreased HRQoL and increased disablement with injury and encourage continued monitoring of relevant patient-reported outcomes (PROs).

Health-Related Quality of Life in Former National Collegiate Athletic Association Division I Collegiate Athletes Compared With Noncollegiate Athletes: A 5-Year Follow-Up

2021 ◽  
Author(s):  
Janet E. Simon ◽  
Mallory Lorence ◽  
Carrie L. Docherty
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Related Quality ◽  
Health Related ◽  
Division I Athletes

Context The effect of athletic participation on lifelong health among elite athletes has received increasing attention, as sport-related injuries can have a substantial influence on long-term health. Objective To determine the current health-related quality of life (HRQoL) of former National Collegiate Athletic Association Division I athletes compared with noncollegiate athletes 5 years after an initial assessment. Design Cohort study. Setting Online survey. Patients or Other Participants From the former Division I athletes, 193 responses were received (response rate = 83.2%; 128 men, 65 women; age = 58.47 ± 6.17 years), and from the noncollegiate athletes, 169 surveys were returned (response rate = 75.1%; 80 men, 89 women; age = 58.44 ± 7.28 years). Main Outcome Measure(s) The independent variables were time (baseline, 5 years later) and group (former Division I athlete, noncollegiate athlete). Participants completed 7 Patient-Reported Outcomes Measurement Information System scales: sleep disturbance, anxiety, depression, fatigue, pain interference, physical function, and satisfaction with participation in social roles. Results Sleep disturbance, depression, fatigue, pain, and physical function were significant for a time × group interaction (P < .05), with the largest differences seen in pain and physical function between groups at time point 2 (22.19 and 13.99 points, respectively). Former Division I athletes had worse scores for depression, fatigue, pain, and physical function at follow-up (P < .05), with the largest differences seen on the depression, fatigue, and physical function scales (8.33, 6.23, and 6.61 points, respectively). Conclusions Because of the competitive nature of sport, the long-term risks of diminished HRQoL need to become a priority for health care providers and athletes during their athletic careers. Additionally, physical activity transition programs need to be explored to help senior student-athletes transition from highly structured and competitive collegiate athletics to lifestyle physical activity, as it appears that individuals in the noncollegiate athlete cohort engaged in more physical activity, weighed less, and had increased HRQoL.

Fear-Avoidance Beliefs and Health-Related Quality of Life in Post-ACL Reconstruction and Healthy Athletes: A Case–Control Study

2020 ◽  
Vol 29 (6) ◽  
pp. 772-776 ◽  
Author(s):  
Johanna M. Hoch ◽  
Megan N. Houston ◽  
Shelby E. Baez ◽  
Matthew C. Hoch
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
College Athletes ◽  
Health Related Quality ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Related Quality ◽  
Health Related ◽  
History Of

Context: Many athletes return to sport after anterior cruciate ligament reconstruction (ACLR) with lingering physical or mental health impairments. Examining health-related quality of life (HRQL) and fear-avoidance beliefs across the spectrum of noninjured athletes and athletes with a history of ACLR may provide further insight into targeted therapies warranted for this population. Objective: The purpose of this study was to examine differences in fear-avoidance beliefs and HRQL in college athletes with a history of ACLR not participating in sport (ACLR-NPS), participating in sport (ACLR-PS), and healthy controls (Control) with no history of injury participating in sport. Design: Cross-sectional. Setting: Laboratory. Patients (or Other Participants): A total of 10 college athletes per group (ACLR-NPS, ACLR-PS, and Control) were included. Participants were included if on a roster of a Division I or III athletic team during data collection. Interventions: Participants completed a demographic survey, the modified Disablement in the Physically Active Scale (mDPA) to assess HRQL, and Fear-Avoidance Beliefs Questionnaire (FABQ) to assess fear-avoidance beliefs. Main Outcome Measures: Scores on the mDPA (Physical and Mental) and FABQ subscales (Sport and Physical Activity) were calculated, a 1-way Kruskal–Wallis test and separate Mann–Whitney U post hoc tests were performed (P < .05). Results: ACLR-NPS (30.00 [26.00]) had higher FABQ-Sport scores than ACLR-PS (18.00 [26.00]; P < .001) and Controls (0.00 [2.50]; P < .001). ACLR-NPS (21.50 [6.25]) had higher FABQ-Physical Activity scores than ACLR-PS (12.50 [13.00]; P = .001) and Controls (0.00 [1.00]; P < .001). Interestingly, ACLR-PS scores for FABQ-Sport (P = .01) and FABQ-Physical Activity (P = .04) were elevated compared with Controls. ACLR-NPS had higher scores on the mDPA-Physical compared with the ACLR-PS (P < .001) and Controls (P < .001), and mDPA-Mental compared with ACLR-PS (P = .01), indicating decreased HRQL. Conclusions: The ACLR-NPS had greater fear-avoidance beliefs and lower HRQL compared with ACLR-PS and Controls. However, the ACLR-PS had higher scores for both FABQ subscales compared with Controls. These findings support the need for additional psychosocial therapies to address fear-avoidance beliefs in the returned to sport population.

scholarly journals Patient-reported physical activity and the association with health-related quality of life in head and neck cancer survivors

2017 ◽  
Vol 26 (4) ◽  
pp. 1087-1095 ◽  
Author(s):  
Annette J. van Nieuwenhuizen ◽  
Laurien M. Buffart ◽  
Cornelia F. van Uden-Kraan ◽  
Lilly-Ann van der Velden ◽  
Martin Lacko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Head And Neck Cancer ◽  
Cancer Survivors ◽  
Head And Neck ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

scholarly journals Health-related Quality of Life in Former Division I Collegiate Athletes Compared to Non-Athletes: A 5-Year Follow-up

2020 ◽  
Author(s):  
Janet E. Simon ◽  
Mallory Lorence ◽  
Carrie L. Docherty
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
Response Rate ◽  
Collegiate Athletes ◽  
Division I ◽  
Related Quality ◽  
Health Related ◽  
Division I Athletes

Abstract Context: The effect of athletic participation on lifelong health among elite athletes has received increasing attention as sports-related injuries can have a substantial impact on long-term health. Objective: Determine the current health-related quality of life (HRQoL) in former Division I athletes compared with non-collegiate athletes five-years following an initial assessment. Study Design: Prospective cohort Setting: Online survey Participants: For the former Division I athletes, 193 responses were received (response rate, 83.2%, 128 males, 65 females, 58.47±6.17years) and for the non-collegiate athletes, 169 surveys were returned (response rate, 75.1%, 80 males, 89 females; 58.44 ± 7.28years). Interventions: The independent variables were time (baseline, five years post) and group (former Division I athlete and non-collegiate athlete). Main Outcome Measures: Participants completed seven Patient-Reported Outcomes Measurement Information System (PROMIS) scales: sleep, anxiety, depression, fatigue, pain interference, physical function, and satisfaction with participation in social roles. Results: Physical function, depression, fatigue, sleep, and pain were significant for time × group (p&lt;0.05) with the largest differences seen on physical function and pain between groups at time point 2 (22.19 and 13.99 points, respectively). Former Division I athletes had worse scores on physical function, depression, fatigue, and pain between the two points (p&lt;0.05) with the largest differences seen on the depression, physical function, and fatigue scales (8.33, 6.61, and 6.23 points, respectively). Conclusion: Due to the competitive nature of sport, long term risks of diminished HRQoL need to become a priority for healthcare providers and athletes during their athletic career. Additionally, physical activity transition programs need to be explored to help senior student-athletes transition from highly structured and competitive collegiate athletics to lifestyle physical activity as it appears that individuals in the non-collegiate athlete cohort engage in more physical activity, weigh less, and have increased HRQoL.

scholarly journals Development of a Web Portal for Physical Activity and Symptom Tracking in Oncology Patients: Protocol for a Prospective Cohort Study (Preprint)

2017 ◽  
Author(s):  
Michael Marthick ◽  
Haryana M Dhillon ◽  
Jennifer A Alison ◽  
Birinder S Cheema ◽  
Tim Shaw
Keyword(s):  
Physical Activity ◽  
Goal Attainment ◽  
Activity Levels ◽  
Web Portal ◽  
Web Based ◽  
Activity Monitors ◽  
Physical Activity Levels ◽  
Related Quality ◽  
Health Related ◽  
History Of

BACKGROUND Significant benefits accrue from increasing physical activity levels in people with a history of cancer. Physical activity levels can be increased using behavioral change interventions in this population. Access to Web portals and provision of activity monitors to provide feedback may support behavior change by encouraging patient engagement in physical therapy. The Web portal evaluated in this study will provide a system to monitor physical activity and sleep, for use by both clinician and patient, along with symptom and health-related quality of life tracking capabilities. OBJECTIVE The aim of this study was to outline a protocol for a feasibility study focused on a Web-based portal that provides activity monitoring and personalized messaging to increase physical activity in people with cancer. METHODS Using a longitudinal cohort design, people with cancer will be serially allocated to 3 intervention cohorts of 20 participants each and followed for 10 weeks. Cohort 1 will be provided a wearable activity monitor and access to a Web-based portal. Cohort 2 will receive the same content as Cohort 1 and in addition will receive a weekly activity summary message. Cohort 3 will receive the same content as Cohorts 1 and 2 and in addition will receive a personalized weekly coaching message. Feasibility of the use of the portal is the primary outcome. RESULTS Results are expected in early 2018. Outcome measures will include goal attainment and completion rate. CONCLUSIONS This study will provide information about the feasibility of investigating eHealth initiatives to promote physical activity in people with cancer. REGISTERED REPORT IDENTIFIER RR1-10.2196/9586

scholarly journals Sport and Physical Activity Level Impacts Health-Related Quality of Life Among Collegiate Students

2018 ◽  
Vol 33 (5) ◽  
pp. 675-682 ◽  
Author(s):  
Traci R. Snedden ◽  
John Scerpella ◽  
Stephanie A. Kliethermes ◽  
Rocío S. Norman ◽  
Liga Blyholder ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Activity Level ◽  
Student Athletes ◽  
Activity Level ◽  
Division I ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Purpose: To examine and compare the role of self-assessed sport and physical activity involvement on the health-related quality of life among undergraduate student-athletes and general undergraduate college students. Design: Cross-sectional survey. Data set was examined for differences in physical and mental health by self-assessed sport and physical activity level. Setting: Large Midwestern University in the fall of 2016. Participants: A combined data set representing undergraduate Division I student athletes (n = 842) and general undergraduate students (n = 1322). Measures: Veterans RAND 12 Item Health Survey (VR-12), as measure of health-related quality of life, comprised of physical component score (PCS) and mental component score (MCS). Self-assessed sport and physical activity level categorized as Division I athlete, club athlete, intramural player, student who works out regularly, or student who is physically inactive. Analysis: Standard univariable statistics described the study population. Two-sample t tests and χ2 tests were conducted, as appropriate, to compare Division I student-athletes to the general undergraduate group. Multivariable linear regression models were then built to assess associations between physical activity level and year in school with VR-12 outcomes, after adjusting for sex. All pairwise interactions were considered for inclusion in the final models. Adjusted least-square means were calculated for all variables in the model; pairwise comparisons were adjusted for multiple comparisons via Tukey-Kramer adjustment criteria. A linear test for trend was also conducted for the association between VR-12 MCS and increasing physical activity. Results: Significant differences in MCS were noted between levels of sport and physical activity; however, such differences were not detected in PCS. After controlling for sex, a positive relationship between increased sport and physical activity level and greater MCS was found. Conclusions: This study represents the first prospective assessment of health-related quality of life among undergraduate athletes and general college students. Higher levels of sport and physical activity were associated with more positive mental health in these populations.

scholarly journals Reductions in endometriosis-associated pain among women treated with elagolix are consistent across a range of baseline characteristics reflective of real-world patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mauricio S. Abrao ◽  
Eric Surrey ◽  
Keith Gordon ◽  
Michael C. Snabes ◽  
Hui Wang ◽  
...  
Keyword(s):  
Previous History ◽  
Clinical Trial Registration ◽  
Significant Treatment ◽  
Pooled Data ◽  
Link Type ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
History Of ◽  
Baseline Characteristics

Abstract Background Elagolix is an oral, gonadotropin-releasing hormone (GnRH) receptor antagonist, that significantly reduces dysmenorrhea and non-menstrual pelvic pain (NMPP) in women with moderate to severe endometriosis-associated pain. Methods Data were pooled from two 6-month, placebo-controlled, phase 3 studies (Elaris Endometriosis [EM]-I and II) in which 2 doses of elagolix were evaluated (150 mg once daily and 200 mg twice daily). Pooled data from > 1600 women, aged 18–49, were used to evaluate the efficacy of elagolix and health-related quality of life (HRQoL) in prespecified subgroups of women with various baseline characteristics. Results Of the 1686 women treated, 1285 (76.2%) completed the studies. The percentages of women with clinically meaningful reductions in dysmenorrhea and NMPP were generally consistent by subgroup. Significant treatment by subgroup interaction was demonstrated for dysmenorrhea response in baseline analgesic use (p < 0.01) and previous history of pregnancy (p < 0.05) subgroups, and for NMPP response in the baseline NMPP score (p < 0.05) and history of pregnancy (p < 0.05) subgroups. Patient-reported reduction in pain at month 3 was significant across all subgroups taking elagolix 200 mg BID, and significant across most subgroups with elagolix 150 mg QD. Women across subgroups experienced improvement within each domain of the Endometriosis Health Profile-30 (EHP-30), although significant treatment by subgroup interactions were observed in several categories. Conclusions Elagolix was effective in reducing dysmenorrhea and NMPP, and improving HRQoL, compared with placebo across numerous subgroups of women with various baseline characteristics, covering a broad segment of the endometriosis disease and patient types. Clinical trial registration: ClinicalTrials.gov: https://www.clinicaltrials.gov/ct2/show/NCT01620528; https://www.clinicaltrials.gov/ct2/show/NCT01931670.

Cancer registry-survey data linkages to measure patient-centered quality of care: SEER-MHOS and SEER-CAHPS.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 303-303
Author(s):  
Erin E. Kent ◽  
Michelle Mollica ◽  
Sarah Gaillot ◽  
Michael T. Halpern ◽  
Ron D. Hays ◽  
...  
Keyword(s):  
Survey Data ◽  
Patient Reported Outcomes ◽  
Population Based ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
History Of ◽  
The Impact ◽  
History Of Cancer

303 Background: Limited opportunities exist to conduct population-based surveillance of cancer patient-reported outcomes. Data from the National Cancer Institute’s Surveillance Epidemiology and End Results (SEER) program has recently been linked with data from two Centers for Medicare & Medicaid Services quality improvement surveys: the Medicare Health Outcomes Survey (MHOS) and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. We provide an overview of the data available, recent findings, and priority areas for future research. Methods: Since 1998, the MHOS has conducted 2-wave/biennial surveys of individuals ages 65+ and individuals with disabilities enrolled in Medicare Advantage (MA) health plans on aspects of health-related quality of life, functional status, comorbidities, and symptoms. Fourteen cohorts are available, representing over 126K patients with cancer and over 1.9 million MA enrollees without a history of cancer. The SEER-MHOS publicly available data resource has produced over 40 data use agreements and 19 publications. SEER-CAHPS links cancer registry data with cross-sectional survey data of Medicare beneficiaries (both fee-for-service and MA) that contain information on patient experiences with care, including access to needed and timely care, doctor communication, health plan customer service, and care coordination. The current linkage contains survey data from 1998 to 2010 and includes over 150K and 570K respondents with and without a history of cancer, respectively. Plans to launch the publicly available resource are underway. Results: Recent findings include the impact of diagnosis and treatment on health-related quality of life in older cancer survivors, physical health impairments and variation of treatment received, the impact of cancer on activities of daily living, and variations in care ratings between participants with and without cancer across the cancer control continuum. Conclusions: The SEER-MHOS and SEER-CAHPS linked data resources provide population-based surveillance data on cancer patient-reported outcomes which allow unprecedented opportunities to evaluate national quality improvement activities.

scholarly journals A History of Previous Severe Injury and Health-Related Quality of Life Among Former Collegiate Athletes

2019 ◽  
Vol 54 (1) ◽  
pp. 64-69 ◽  
Author(s):  
Katlyn Cowee ◽  
Janet E. Simon
Keyword(s):  
Quality Of Life ◽  
Collegiate Athletes ◽  
Severe Injury ◽  
Health Related Quality ◽  
Severe Injuries ◽  
The Us ◽  
Related Quality ◽  
Health Related ◽  
History Of

ContextEmpirical evidence supports the idea that previous severe injuries in former collegiate athletes may adversely affect their ability to participate in daily activities later in life, which may then decrease their health-related quality of life (HRQOL).ObjectiveTo assess the influences of previous severe injuries on the HRQOL of former National Collegiate Athletic Association (NCAA) athletes.DesignCross-sectional study.SettingOnline survey.Patients or Other ParticipantsA total of 171 former NCAA collegiate athletes (69 men, 102 women; age = 29.7 ± 3.9 years, height = 171.5 ± 10.4 cm, mass = 76.4 ± 12.9 kg) participated. All individuals completed a demographics questionnaire and the Short Form-36 version 2 (SF-36v2) Health Survey via Qualtrics.Main Outcome Measure(s)The dependent variables were the physical composite and mental composite summary scores and the 8 subscales of the SF-36v2. The independent variable was the presence of previous severe injury (history of a severe injury or no history of a severe injury during collegiate athletics). Two multivariate analyses of variance were conducted. The first multivariate analysis of variance was conducted for the 8 SF-36v2 subscales and the second for the 2 summary scores.ResultsFor the summary scores and all 8 SF-36v2 subscales, the responses were worse for the 103 former collegiate athletes who sustained a previous severe injury compared with the 68 who did not sustain a severe injury. The largest difference between groups was for the physical composite score, with a mean difference of 15.8 points (1.5 standard deviations worse than the US population); the physical functioning subscale demonstrated a mean difference of 12.9 points (1.3 standard deviations worse than the US population).ConclusionsA majority of the athletes in our sample had experienced a severe injury. Based on these data, previous severe injuries had a negative influence on the HRQOL of former NCAA collegiate athletes.

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