Effect of a Multicomponent Intervention Program on Community-Dwelling People With Intellectual Disabilities

Objective To investigate the effectiveness of a novel and complex intervention in community-dwelling people with intellectual disabilities.Methods Forty-three participants completed the experiment. The subjects were randomly assigned the experimental (n=33) or control (n=10) groups. The multicomponent intervention program comprised exercise and nutrition management and behavior modification. The intervention was performed for 60 minutes once weekly for 10 weeks. The assessment included anthropometric data, body composition and blood pressure analysis, and blood tests. In addition, pulmonary function, physical function, and health-related quality of life were measured before and after the intervention.Results No adverse events occurred during the intervention. After the intervention, the experimental group showed a significantly higher increase in high-density lipoprotein cholesterol level than did the control group (effect size=0.152, p=0.019).Conclusion This innovative intervention was effective in improving cardiovascular health. Even greater effects could be achieved through improvements in implementation strategies to increase compliance.

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Psychological Intervention for Adolescents with Juvenile Idiopathic Arthritis: For Whom and When?

The Journal of Rheumatology ◽

10.3899/jrheum.120741 ◽

2013 ◽

Vol 40 (4) ◽

pp. 528-534 ◽

Cited By ~ 8

Author(s):

Coralie Elisabeth Fuchs ◽

Stefan Matthijs Van Geelen ◽

Hubertus Johannes Matthias Hermans ◽

Elise Machteld Van De Putte ◽

Rolf Van Geel ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Psychosocial Functioning ◽

Psychological Intervention ◽

Health Assessment ◽

Control Group ◽

Childhood Health ◽

Recent Onset ◽

Before And After ◽

Related Quality ◽

Health Related

Objective.To study which adolescents with juvenile idiopathic arthritis (JIA) benefit from psychological intervention, and what is the best moment for it.Methods.In 3 months, 28 adolescents with JIA and 14 healthy adolescents as a control group received psychological intervention with the Self-confrontation Method (SCM), which combines the personal narrative with its affective structure. The adolescents with JIA were split into groups with low health-related quality of life (HRQOL) and high HRQOL. The Child Health Questionnaire, Checklist Individual Strength, and Childhood Health Assessment Questionnaire were used to measure fatigue and physical and psychosocial functioning at baseline, and at 3 months and 9 months after baseline.Results.Adolescents with JIA and low HRQOL at baseline reported less fatigue and better HRQOL after psychological intervention. These changes could not be explained by changes in disease activity. Low HRQOL at baseline was associated with a more recent onset of JIA, higher levels of pain, more severe physical disability, and higher levels of fatigue.Conclusion.Two-thirds of adolescents with JIA function well before and after psychological intervention. One-third of adolescents with JIA reporting low HRQOL at baseline benefit from guided self-reflections and should be the focus of psychological intervention. The most effective moment for this psychological intervention is when the adolescent reports difficulties in HRQOL.

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Fall-Prevention Exercises With or Without Behavior Change Support for Community-Dwelling Older Adults: A 2-Year Follow-Up of a Randomized Controlled Trial

Journal of Aging and Physical Activity ◽

10.1123/japa.2019-0116 ◽

2020 ◽

Vol 28 (1) ◽

pp. 34-41 ◽

Cited By ~ 2

Author(s):

Marina Arkkukangas ◽

Susanna Tuvemo Johnson ◽

Karin Hellström ◽

Elisabeth Anens ◽

Michail Tonkonogi ◽

...

Keyword(s):

Behavior Change ◽

Controlled Trial ◽

Community Dwelling ◽

Activity Level ◽

Control Group ◽

Related Quality ◽

Health Related ◽

Behavior Change Support ◽

Community Dwelling Older Adults

This study investigates the effectiveness of two fall-prevention exercise interventions targeting physical performance, activity level, fall-related self-efficacy, health-related quality of life, and falls: the Otago Exercise Programme (OEP) with and the OEP without behavior change support. In this randomized controlled trial, 175 participants were randomized into two intervention groups and one control group. A total of 124 community-dwelling older adults aged 75 and older who needed walking aids or home support participated in the 2-year follow-up. The OEP with and without support for behavior change displayed no long-term benefits on physical performance, fall-related self-efficacy, health-related quality of life, and falls compared with a control group. Although no significant differences were detected between the groups, the results implied the control group’s physical activity level decreased compared with the intervention groups at 2-year follow-up.

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Oral health‐related quality of life is associated with physical frailty: A cross‐sectional study of Japanese community‐dwelling older adults

Journal of General and Family Medicine ◽

10.1002/jgf2.450 ◽

2021 ◽

Author(s):

Yuya Motoishi ◽

Hirotomo Yamanashi ◽

Masayasu Kitamura ◽

Hideaki Hayashida ◽

Koji Kawasaki ◽

...

Keyword(s):

Cross Sectional Study ◽

Community Dwelling ◽

Health Related Quality ◽

Sectional Study ◽

Physical Frailty ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

Community Dwelling Older Adults

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Oral Health-Related Quality of Life Among Sudanese Children Treated for Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620987694 ◽

2021 ◽

pp. 105566562098769

Author(s):

Mecheala Abbas Ali ◽

Alwaleed Fadul Nasir ◽

Shaza K. Abass

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Control Group ◽

Arabic Version ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Objective: This study compared the oral health-related quality of life (OHRQoL) among children with a cleft lip with or without a cleft palate (CL±P) and a group of their peers. The reliability of the Arabic version of the Child Oral Health Impact Profile Questionnaire (COHIP) was also assessed. Design: A cross-sectional study. Settings: Cleft clinic in a private dental college in Omdurman City, Sudan. Patients: In all, 75 children (mean age 11.3 ± 2.5 years) with a history of CL±P and a group of 150 school children without CL±P (mean age 11.4 ± 2.6 years). Main Outcome Measures: Overall and subscale scores on the Arabic version of the COHIP. Results: Test–retest reliability of COHIP in Arabic was high with an interclass correlation coefficient >0.8. Cronbach α value internal consistency was 0.8 for the total scale and between 0.7 and 0.8 for the subscales. The COHIP score was 89.41 ± 19.97 in children with CL±P and 122.82 ± 9.45 for the control group. Children with CL±P had significantly lower scores on the overall and all subscales when compared to children without CL±P ( P ≤ .001). Among the children with CL±P, there were no statistically significant differences on the COHIP based on age and/or gender ( P ≥ .05). Conclusions: Children with CL±P had a relatively high OHRQoL, which was lower than that of their peers without CL±P in both the overall scale and all subscales. Gender and age differences had no significant impact on the OHRQoL. The COHIP Arabic version showed appropriate reliability.

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Health-Related Quality of Life and Related Factors in Persons with Preserved Ratio Impaired Spirometry: Data from the Korea National Health and Nutrition Examination Surve

Medicina ◽

10.3390/medicina57010004 ◽

2020 ◽

Vol 57 (1) ◽

pp. 4

Author(s):

I Re Heo ◽

Ho Cheol Kim ◽

Tae Hoon Kim

Keyword(s):

Quality Of Life ◽

Low Income ◽

Control Group ◽

Poor Hrqol ◽

Related Factors ◽

Health And Nutrition ◽

Prism Group ◽

Related Quality ◽

Health Related

Background and Objectives: preserved ratio impaired spirometry (PRISm) is a common spirometric pattern that causes respiratory symptoms, systemic inflammation, and mortality. However, its impact on health-related quality of life (HRQOL) and its associated factors remain unclear. We aimed to identify these HRQOL-related factors and investigate the differences in HROOL between persons with PRISm and those with normal lung function. Materials and Methods: we reviewed the Korea National Health and Nutrition Examination Survey data from 2008 to 2013 to evaluate the HRQOL of persons with PRISm, as measured while using the Euro Quality of Life-5D (EQ-5D) and identify any influencing factors. PRISm was defined as pre-bronchodilator forced expiratory volume in 1 s (FEV1) <80% predicted and FEV1 to forced vital capacity (FVC) ratio (FEV1/FVC) ≥0.7. Individuals with FEV1 ≥80% predicted and FEV1/FVC ≥0.7 were considered as Controls. Results: of the 27,824 participants over the age of 40 years, 1875 had PRISm. The age- and sex-adjusted EQ-5D index was lower in the PRISm group than in the control group (PRISm, 0.930; control, 0.941; p = 0.005). The participants with PRISm showed a significantly higher prevalence of hypertension (p < 0.001), diabetes (p < 0.001), obesity (p < 0.001), low physical activity (p = 0.001), ever-smoker (p < 0.001), and low income (p = 0.034) than those in the control group. In participants with PRISm, lower EQ-5D index scores were independently associated with old age (p = 0.002), low income (p < 0.001), low education level (p < 0.001), and no economic activity (p < 0.001). Three out of five EQ-5D dimensions (mobility, self-care, and usual activity) indicated a higher proportion of dissatisfied participants in the PRISm group than the control group. Conclusions: the participants with PRISm were identified to have poor HRQOL when compared to those without PRISm. Old age and low socioeconomic status play important roles in HRQOL deterioration in patients with PRISm. By analyzing risk factors that are associated with poor HRQOL, early detection and intervention of PRISm can be done in order to preserve patients’ quality of life.

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