Goal Attainment and Outcomes of Physiotherapy Participants Funded by an Individualised Government Package’

Purpose: To determine goal attainment and change in physical outcomes of individuals participating in a community Physiotherapy program funded by a new government funding package, the National Disability Insurance Scheme (NDIS). Additionally, to describe the alignment of NDIS goals with Physiotherapy goals and the impact of the NDIS on access to Physiotherapy.Methods: A consecutive case series was conducted involving 12 participants attending NDIS-funded Physiotherapy at a private clinic in Sydney, Australia. Outcome measures were recorded upon entry to the study and again after 6 months or at discharge, whichever occurred first. The primary outcome was goal attainment measured by the Goal Attainment Scale. Secondary outcomes included the 5-metre walk test, Motor Assessment Scale, World Health Organisation Quality of Life questionnaire and Exercise Self Efficacy Scale.Results: Forty-one percent of goals were fully attained and for 53% performance was equal to baseline, however, this was not reflected in concurrently measured outcomes where small changes occurred. Physiotherapy goals focused on mobility whilst NDIS goals varied. Changes in outcome measures differed between individuals. NDIS funding provided all participants access to more frequent or otherwise inaccessible Physiotherapy.Conclusion: Physiotherapy participants funded by an individualised government package had improved access to Physiotherapy where participants attained individualised goals.

THE RELATION BETWEEN RESPONDEN CHARACTERISTIC AND DEPRESSION WITH LIFE QUALITY OF PEOPLE WITH HIV/AIDS IN YAYASAN LANTERA MINANGKABAU PADANG YEAR 2015

Life quality of people with HIV/AIDS needs special attention as this infectious illness are chronic and progressive that will affected in all life aspect of the patient, physically, psychologically, socially and even spiritually. Psychosocial problem that the patient had esspecially depression can affected their life qulaity by reducing it, as it life quality as we know are affected by factors such as age, gender, education, marriage status, work and how long the patient lived with the illness.the aaims of these research are to identify and explaining the relation between characteristic and depression, with life quality of people with AIDS/HIV. This research are design with crossectional study and data collection using purposive sampling with world health organisation –Quality of life instrument and cronic epidemology depression scale (CESD). The research result shows that theres a meaningfull relation betwen education, time of having illness, work and depression with life quality of patient of ODHA. Depression is the most dominant factor that affected HIV/ AIDS. Key words : Depression, life quality, HIV/AIDS

Psychological Implications in Parents of Cleft Lip and Palate Children

Objective: To determine quality of life of parents of children with cleft lip and palate and to compare it with parents of non cleft lip and palate children. Method: World Health Organisation Quality of Life (Bref, Field Trial version,1996) for parents of children with cleft lip and palate. Total of 40 parents were questioned, 20 were parents of CLP chidren and the other 20 were parents of non cleft children. Results: The scores of quality of life for parents of the cleft children were significantly lower than the parents of non-cleft children. Conclusion: The parents of children with clefts had a lower Quality of Life score as compared to the parents of children with no clefts.

Quality of Life in Parkinson's Disease Caregivers: The Contribution of Personality Traits

Parkinson's disease imposes significant demands not only on patients but also on those people living and caring for them, who often have a reduction in their quality of life. The factors that may ameliorate these effects, such as an individual's personality, are not understood. Therefore, the aim of this study was to look at the relative contribution of caregiver personality on their quality of life, specifically attempting to identify those traits, which may be protective or harmful. Two hundred and seventy-four caregivers of patients with Parkinson's disease were included in this study. Caregivers were given questionnaires to complete, including the Big Five Inventory and the World Health Organisation Quality of Life BREF version. Univariate correlations demonstrated that depression and anxiety were the largest predictors of reduced quality of life amongst caregivers. However, after controlling for these potential confounds, conscientiousness was associated with enhanced psychological quality of life and openness positively predicted benefits in the environmental domain. Neuroticism was associated with reduced quality of life in the psychological domain. Thus, screening for neuroticism may help identify those caregivers who would benefit from intervention strategies, which could in the long term help reduce the need for nursing home placement of Parkinson's disease patients.

20-Jahres-Katamnese der kinder- und jugendpsychiatrischen und psychosomatischen Klinik Haus Vogt

Zusammenfassung: Fragestellung: Die vorliegende Studie behandelt die Frage, wie sich Patienten nach einer stationären psychotherapeutischen Behandlung in einer jugendpsychiatrischen Klinik im Langzeitverlauf entwickelt haben. Methodik: Im Rahmen dieser Studie wurde eine Stichprobe ehemaliger Patienten (N = 104) interviewt, die im Zeitraum von 1983 bis 1988 einen mindestens halbjährigen stationären Aufenthalt im Haus Vogt hatten. Bei der Durchführung der Nachuntersuchung wurden folgende Instrumente eingesetzt: Freiburger Strukturiertes Interview (FrStI), World Health Organisation Quality of Life Interview - Kurzversion (WHOQOL-BREF), Symptom-Checkliste von Derogatis - Deutsche Version (SCL-90-R) und Fragebögen zur Beurteilung der Behandlung (FBB). Ergebnisse: Die Lebenszufriedenheit (entsprechend WHOQOL-BREF) der ehemaligen Patienten ist auf allen relevanten Skalen signifikant schlechter als in der Allgemeinbevölkerung. Die psychische Gesundheit (entsprechend SCL-90-R) der untersuchten Stichprobe muss im Vergleich mit der Allgemeinbevölkerung als unter dem Durchschnitt eingestuft werden. Die im Rückblick erhobene Behandlungszufriedenheit ergibt anhand des FBB deutliche Unterschiede zu einer Vergleichsstichprobe einer jugendpsychiatrischen, universitären Versorgungsklinik. Die größten Unterschiede der Behandlungszufriedenheit bestehen auf der Skala «Beziehung zum Therapeuten», die in dieser Katamnese als sehr viel negativer eingeschätzt werden als in der Vergleichspopulation. Schlussfolgerungen: Die Studie zeigt positive Langzeitergebnisse bzgl. der später erreichten Schul- und Berufsausbildung. Gleichzeitig zeigen die ehemaligen Patienten zu einem erheblichen Anteil fortbestehende psychiatrische Symptome und deutliche Einschränkungen der Lebensqualität.