MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health and Quality of Life Outcomes' source. Fri, 19 Mar 2010 16:47:17 +0100 http://www.medworm.com/index.php?rid=3357508&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F27 Conclusions: Cronbach's alpha can be biased when there are inconsistent responses, and an adjustment is recommended for better assessment of the internal reliability of a multi-item scale (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3357508 Fri, 12 Mar 2010 00:00:00 +0100 3357508 http://www.medworm.com/index.php?rid=3357507&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F28 Conclusions: Parents strongly prefer to prevent GAS disease in children compared to vaccine adverse events. However, WTP/QALY thresholds were higher for the prevention of vaccine adverse events. Regret for errors of commission vs. omission may differ and should be considered by vaccine policymakers. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3357507 Fri, 12 Mar 2010 00:00:00 +0100 3357507 http://www.medworm.com/index.php?rid=3357509&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F26 Conclusions: We developed and validated an instrument with 29 items across 5 domains to assess quality of life related to nutrition and other aspects of food intake. The instrument demonstrated good face and construct validity as well as good reliability. Future work will focus on the evaluation of longitudinal construct validity and responsiveness. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3357509 Thu, 11 Mar 2010 00:00:00 +0100 3357509 http://www.medworm.com/index.php?rid=3293668&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F24 Conclusions: The results provide evidence for construct equivalence in the latent factors assessed by both OIDP and OHIP-14, suggesting that OHQoL is a three-dimensional construct. The prevalence of impact on these three factors was coherent between both indicators, pain-discomfort having the highest prevalence, followed by psycho-social impact, and functional limitation. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3293668 Sun, 21 Feb 2010 00:00:00 +0100 3293668 http://www.medworm.com/index.php?rid=3265684&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F22 Conclusion: A simple 10-item Summary scale, together with scales measuring the physical and cognitive components of fatigue, were validated for MS fatigue. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3265684 Fri, 12 Feb 2010 00:00:00 +0100 3265684 http://www.medworm.com/index.php?rid=3265685&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F21 Background: Utility scores are used to estimate Quality Adjusted Life Years (QALYs), applied in determining the cost-effectiveness of health care interventions. In studies where no preference based measures are collected, indirect methods have been developed to estimate utilities from clinical instruments. The aim of this study was to evaluate a published method of estimating the EuroQol-5D (EQ-5D) and Short Form-6D (SF-6D) (preference based) utility scores from the Health Assessment Questionnaire (HAQ) in patients with inflammatory arthritis. Methods: Data were used from 3 cohorts of patients with: early inflammatory arthritis (5 years duration) stable rheumatoid arthritis (RA); and RA being treated with anti-TNF therapy. Patients completed the EQ-5D, SF-6D and HAQ at baseline and a follo... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3265685 Thu, 11 Feb 2010 00:00:00 +0100 3265685 http://www.medworm.com/index.php?rid=3257639&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F20 Objectives: 1) To design and validate indicators to measure the quality of the process of care that climacteric stage women receive in family medicine clinics (FMC). 2) To assess the quality of care that climacteric stage women receive in FMC. 3) To determine the association between quality of care and health-related quality of life (HR-QoL) among climacteric stage women. Methods: The study had two phases: I. Design and validation of indicators to measure the quality of care process by using the RAND/UCLA Appropriateness Method. II. Evaluation of the quality of care and its association with HR-QoL through a cross-sectional study conducted in two FMC located in Mexico City that included 410 climacteric stage women. The quality of care was measured by estimating the percentage of recommended... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3257639 Wed, 10 Feb 2010 00:00:00 +0100 3257639 http://www.medworm.com/index.php?rid=3246055&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F19 Conclusion: The development and validation of the TRIM-Weight has been conducted according to well-defined principles for the creation of a PRO measure. Based on the evidence to date, the TRIM-Weight can be considered a brief, conceptually sound, valid and reliable PRO measure. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3246055 Fri, 05 Feb 2010 00:00:00 +0100 3246055 http://www.medworm.com/index.php?rid=3238413&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F18 Conclusions: The EQ-5D dimensions and the EQ-5D seem capable of capturing the consequences of diabetes-related complications, and such complications may have substantial impact on several dimensions of health-related quality of life (HRQoL). The strongest determinants of reduced HRQoL in people with diabetes were ischemic heart disease, stroke and neuropathy. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3238413 Thu, 04 Feb 2010 00:00:00 +0100 3238413 http://www.medworm.com/index.php?rid=3238414&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F17 Conclusions: This study provides support for the validity and relevance of differentiating self-reported physical and mental health status in adolescent health surveys. Self-reported mental health status and, to a lesser extent, self-reported physical health status were associated with significant differences in the adolescents' satisfaction with their family, friends, living environment, school experiences, self, and their global QOL. Questions about adolescents' self-reported physical and mental health status and their experiences with these life domains require more research attention so as to target appropriate supportive services, particularly for adolescents with mental or physical health challenges. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3238414 Wed, 03 Feb 2010 00:00:00 +0100 3238414 http://www.medworm.com/index.php?rid=3219191&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F15 Conclusions: Our study of Finnish young men indicates that higher physical fitness and leisure-time physical activity level promotes certain dimensions of HRQoL, while morbidities impair them all. The results highlight the importance of health related physical fitness while promoting HRQoL. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3219191 Fri, 29 Jan 2010 00:00:00 +0100 3219191 http://www.medworm.com/index.php?rid=3215240&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F13 Conclusions: The published evidence generally supports the validity and reliability of the EQ-5D as an outcome measure within the cardiovascular area. This review provides utility estimates across a range of cardiovascular subgroups and treatments that may be useful for future modelling of utilities and QALYs in economic evaluations within the cardiovascular area. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3215240 Thu, 28 Jan 2010 00:00:00 +0100 3215240 http://www.medworm.com/index.php?rid=3215239&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F14 Conclusion: The findings generally support the feasibility, reliability and validity of the Hungarian translation of the PedsQLTM 4.0 Generic Core Scales and the PedsQLTM 3.0 Cardiac Module in Hungarian children with heart disease. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3215239 Thu, 28 Jan 2010 00:00:00 +0100 3215239 http://www.medworm.com/index.php?rid=3215241&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F12 Conclusions: This review highlights the need to conduct future research regarding measurement of utilities in children. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3215241 Wed, 27 Jan 2010 00:00:00 +0100 3215241 http://www.medworm.com/index.php?rid=3210933&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F11 Conclusions: The HRQoL profile of patients suggests that VABB exerts effects prior to its performance at a psychological level, immediately after its performance at a functioning-physical level and entails long-term effects associated with pain. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3210933 Wed, 27 Jan 2010 00:00:00 +0100 3210933 http://www.medworm.com/index.php?rid=3204024&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F10 Conclusions: The APCA African POS has sound psychometric properties, is well comprehended and brief to use. Application of this tool offers the opportunity to at last address the omissions of palliative care research in Africa. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3204024 Mon, 25 Jan 2010 00:00:00 +0100 3204024 http://www.medworm.com/index.php?rid=3192205&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F8 This study carried out the cultural adaptation into Spanish of the 7-item self-administered GAD-7 scale, which is used to identify probable patients with GAD. Methods: The adaptation was performed by an expert panel using a conceptual equivalence process, including forward and backward translations in duplicate. Content validity was assessed by interrater agreement. Criteria validity was explored using ROC curve analysis, and sensitivity, specificity, predictive positive value and negative value for different cut-off values were determined. Concurrent validity was also explored using the HAM-A, HADS, and WHO-DAS-II scales. Results: The study sample consisted of 212 subjects (106 patients with GAD) with a mean age of 50.38 years (SD=16.76). Average completion time was 2'30''. No items of th... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3192205 Wed, 20 Jan 2010 00:00:00 +0100 3192205 http://www.medworm.com/index.php?rid=3184450&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F7 We read with interest the recently published paper by Na Guo et al. We concur that the qualitative evidence they present suggests these impacts persists despite microbiological 'cure' of tuberculosis disease. We however did not completely understand their statement in results, "A validated tuberculosis-specific quality of life instrument was not located". We recently validated and used the St George's Respiratory Questionnaire to ascertain HRQL in treated TB patients. We appreciate the authors' review of this topic and find from their analysis convincing support for expanding LTBI treatment guidelines. Currently only treatment of latent tuberculosis infection (LTBI) can prevent pulmonary impairment after tuberculosis (PIAT). (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3184450 Tue, 19 Jan 2010 00:00:00 +0100 3184450 http://www.medworm.com/index.php?rid=3174594&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F6 A response to Weis and Pasipanodya 'Measuring health-related quality of life in tuberculosis: a systemic review - Response'. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3174594 Fri, 15 Jan 2010 00:00:00 +0100 3174594 http://www.medworm.com/index.php?rid=3166083&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F4 We wish to correct a mistake in the abstract and conclusion of our published paper Pickard AS, Neary MP, Cella D: Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. Health Qual Life Outcomes. 2007, 5:70. In the abstract and conclusion, the MID for EQ-VAS score should be reported as 7 rather than 0.07. EQ-VAS scores range from 0 to 100, while EQ-5D index-based scores are anchored by 0 (dead) and 1 (perfect health). The specific wording in the conclusion of the abstract should read "Important differences in EQ-5D utility and VAS scores were similar for all cancers and lung cancer, with the lower end of the range of estimates closer to the MID, i.e. 0.08 for UK-index scores, 0.06 for US-index scores, and 7 for VAS scores. (Source: Health and Quality of Li... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3166083 Wed, 13 Jan 2010 00:00:00 +0100 3166083 http://www.medworm.com/index.php?rid=3152105&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F3 This study examined the quality of life (QOL), measured by the Functional Assessment of Cancer Therapy (FACT) questionnaire, among urban (n=277) and non-urban (n=323) breast cancer survivors and women from the general population (n=1140) in Queensland, Australia. Methods: Population-based samples of breast cancer survivors aged (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3152105 Thu, 07 Jan 2010 00:00:00 +0100 3152105 http://www.medworm.com/index.php?rid=3148108&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F1 Conclusions: Our study offered tentative evidence that pain and depression impacted differently on the mental and physical aspect of QoL. As these findings were based on a Chinese teacher sample, future studies should employ more representative sample across cultures to verify the present data. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3148108 Thu, 07 Jan 2010 00:00:00 +0100 3148108 http://www.medworm.com/index.php?rid=3148107&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F8%2F1%2F2 Conclusions: This study offers a tool allowing more complete and rapid evaluation of patients with fibromyalgia. The test intrinsically evaluates the emotional aspects: anxiety and depression, and their impact upon social aspects. It also evaluates patient functional capacity, fatigue, sleep quality, pain, and the way in which the patient copes with the disease. This is achieved by means of a self-assessment questionnaire based on elements from well known tests. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3148107 Thu, 07 Jan 2010 00:00:00 +0100 3148107 http://www.medworm.com/index.php?rid=3119977&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F104 Conclusions: The Chinese version of HFS-36 demonstrated a good reliability and validity in subscales of motility, ADL, emotion well-being, stigma and bodily discomfort. The HRQoL was significantly improved after BTX treatment assessed by HFS-36 or SF-36. Compared to SF-36, HFS-36 scale was more sensitive and specific to evaluate the HRQoL in HFS. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3119977 Thu, 24 Dec 2009 00:00:00 +0100 3119977 http://www.medworm.com/index.php?rid=3117807&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F103 Conclusions: Changes in mental health status affect children and adolescents' HRQOL. Improvements in mental health status protect against poorer HRQOL while a worsening in mental health status is a risk factor for poorer HRQOL. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3117807 Wed, 23 Dec 2009 00:00:00 +0100 3117807 http://www.medworm.com/index.php?rid=3113823&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F102 Conclusion: This review provides evidence for a positive relationship between quality of life data or some quality of life measures and the survival duration of cancer patients. Pre-treatment (baseline) quality of life data appeared to provide the most reliable information for helping clinicians to establish prognostic criteria for treating their cancer patients. It is recommended that future studies should use valid instruments, apply sound methodological approaches and adequate multivariate statistical analyses adjusted for socio-demographic characteristics and known clinical prognostic factors with a satisfactory validation strategy. This strategy is likely to yield more accurate and specific quality of life-related prognostic variables for specific cancers. (Source: Health and Quality ... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3113823 Wed, 23 Dec 2009 00:00:00 +0100 3113823 http://www.medworm.com/index.php?rid=3110265&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F101 Conclusions: The DHI-N total scale demonstrated satisfactory measurement properties. This is the first study that has addressed and demonstrated responsiveness to important change of the DHI, and provided values of SDD and MIC to help interpret change scores. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3110265 Mon, 21 Dec 2009 00:00:00 +0100 3110265 http://www.medworm.com/index.php?rid=3091633&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F100 Conclusions: This study reinforces the importance of parental subjective health status, along with other variables, as a significant factor for the adolescents' HRQoL. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3091633 Tue, 15 Dec 2009 00:00:00 +0100 3091633 http://www.medworm.com/index.php?rid=3069932&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F99 Background: The goal of cardiac rehabilitation programs is not only to prolong life but also to improve physical functioning, symptoms, well-being, and health-related quality of life (HRQL). The aim of this study was to document the long-term effect of a 1-month inpatient cardiac rehabilitation intervention on HRQL in Austria. Methods: Patients (N=487, 64.7% male, age 60.9+/-12.5 SD years) after myocardial infarction, with or without percutaneous interventions, coronary artery bypass grafting or valve surgery underwent inpatient cardiac rehabilitation and were included in this long-term observational study (two years follow-up). HRQL was measured with both the MacNew Heart Disease Quality of Life Instrument [MacNew] and EuroQoL-5D [EQ-5D]. Results: All MacNew scale scores improved signific... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3069932 Tue, 08 Dec 2009 00:00:00 +0100 3069932 http://www.medworm.com/index.php?rid=3065940&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F98 Background: Patients with respiratory disease experience disturbed sleep, but there is no widely accepted measure of sleep impairment due to respiratory disease. We developed and evaluated the psychometric performance of a patient-reported measure to assess the impact on sleep due to respiratory disease, the COPD and Asthma Sleep Impact Scale (CASIS). Methods: Identification of the items forming the CASIS was guided by patient interviews and focus groups. An observational study involving patients from the US and UK was then conducted to assess the psychometric characteristics of the measure. Results: Qualitative data from 162 patients were used to develop the CASIS (n=78 COPD; n=84 asthma). The observational study included 311 patients with COPD and 324 patients with asthma. The final seve... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3065940 Mon, 07 Dec 2009 00:00:00 +0100 3065940 http://www.medworm.com/index.php?rid=3051083&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F97 Conclusions: The German CFQ-R, Child and Parent versions, are reliable and valid measures of HRQoL. They should be administered in combination as both, child and parent, provide important information. The measure offers a new patient-reported outcome for clinical purposes as well as for national and international studies in schoolchildren. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3051083 Wed, 02 Dec 2009 00:00:00 +0100 3051083 http://www.medworm.com/index.php?rid=3032866&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F96 Conclusions: The EQ-5D index varies with coronary disease severity. The relationship between the EQ-5D index and an outcome measure used in cardiac intervention studies, ETT, was consistent across disease severity levels, but the relationship between demographic variables, CCS angina class and most of the SAQ scales and the EQ-5D index was heterogeneous for patients with different levels of coronary disease. Differences in the EQ-5D index associated with clinically important differences in cardiac measures can be quantified and vary between three important examples - angina class, ETT and SAQ. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=3032866 Thu, 26 Nov 2009 00:00:00 +0100 3032866 http://www.medworm.com/index.php?rid=2987791&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F93 Conclusions: Linking the meaningful concepts in the participation instruments to the ICF classification provided an objective and comprehensive method for analyzing the content. The content analysis revealed differences in how the concept of participation is operationalized and these differences should be considered when selecting an instrument. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2987791 Fri, 13 Nov 2009 00:00:00 +0100 2987791 http://www.medworm.com/index.php?rid=2987790&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F94 Background: After long term disease free follow up (FUp) patients reconsider quality of life (QOL) outcomes. Aim of this study is assess QoL in prostate cancer patients who are disease-free at least 5 years after radical prostatectomy (RP). Methods: 367 patients treated with RP for clinically localized pCa, without biochemical failure (PSA less than or equal to 0.2 ng/mL) at the follow up greater than or equal to 5 years were recruited.Urinary (UF) and Sexual Function (SF), Urinary (UB) and Sexual Bother (SB) were assessed by using UCLA-PCI questionnaire. UF, UB, SF and SB were analyzed according to: treatment timing (age at time of RP, FUp duration, age at time of FUp), tumor characteristics (preoperative PSA, TNM stage, pathological Gleason score), nerve sparing (NS) procedure, and hormo... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2987790 Fri, 13 Nov 2009 00:00:00 +0100 2987790 http://www.medworm.com/index.php?rid=2914990&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F91 Conclusions: We provide MID for HFS-II. Our findings indicate that the differences between having reported no hypoglycaemia, hypoglycaemia without need for assistance, and hypoglycaemia with need for assistance appear to be clinically important in patients with type 2 diabetes mellitus treated with oral anti-hyperglycaemic agents. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2914990 Wed, 21 Oct 2009 23:00:00 +0100 2914990 http://www.medworm.com/index.php?rid=2897603&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F90 Conclusion: GERD places a significant burden on primary care patients, in terms of work absenteeism and presenteeism and in daily life. The resulting costs to the local economy may be substantial. Improved management of GERD could be expected to lessen the impact of GERD on productivity and reduce costs. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2897603 Thu, 15 Oct 2009 23:00:00 +0100 2897603 http://www.medworm.com/index.php?rid=2889263&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F89 CONCLUSION: A substantial proportion of pregnant women experienced oral impacts. The OIDP impacts were most and least substantial regarding functional- and social concerns, respectively. The OIDP varied systematically with tooth loss in the molar region, reported chewing-and periodontal problems. Pregnant women's oral health should be addressed through antenatal care programs in societies with limited access to regular dental care facilities. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2889263 Tue, 13 Oct 2009 23:00:00 +0100 2889263 http://www.medworm.com/index.php?rid=2885476&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F88 Conclusions: The ALDS is a promising clinimetric instrument to measure disability in patients with various stages of peripheral arterial disease. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2885476 Sun, 11 Oct 2009 23:00:00 +0100 2885476 http://www.medworm.com/index.php?rid=2822937&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F85 Conclusion: The strong relationship between GSE and HRQOL indicates that GSE might be a resource for increasing the HRQOL for school children. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2822937 Tue, 22 Sep 2009 23:00:00 +0100 2822937 http://www.medworm.com/index.php?rid=2780923&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F83 Conclusion: Validation is an ongoing and iterative process. These findings are the first step in that process and have shown that both the TRIM-Diabetes and the TRIM-Diabetes Device have acceptable psychometric properties. Future research is needed to continue the validation process and examine responsiveness and the validity of the TRIM-Diabetes/Device in a clinical trial population. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2780923 Tue, 08 Sep 2009 23:00:00 +0100 2780923 http://www.medworm.com/index.php?rid=2773930&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F81 This study measured how myelodysplastic syndrome (MDS) patients value transfusion independence (TI), reduced transfusions (RT) and transfusion-dependence (TD) using health utility assessment methodology. Methods: 47 MDS patients were interviewed, US (n=8), France (n=9), Germany (n=9) and the UK (n=21), to elicit the utility value of TI, RT and TD. Health states were developed based on literature; patient forum discussions; and were validated by a hematologist. Face-to-face interviews used the feeling thermometer Visual Analogue Scale (VAS) and the Time Trade-Off (TTO) method to value the health states on a 0 (dead) to 1 (perfect health) scale. Socio-demographic, clinical, and quality-of-life (EQ-5D) characteristics were surveyed to describe the patient sample.Results and Discussion: The me... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2773930 Mon, 07 Sep 2009 23:00:00 +0100 2773930 http://www.medworm.com/index.php?rid=2740305&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F79 Conclusions: Majority of the subscales and total KINDL possess appropriate reproducibility for group comparisons. However, a CFA failed to confirm the structure of the original measurement model, indicating that the Serbian version should be revised before wider use for QOL assessments in healthy children and adolescent. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2740305 Thu, 27 Aug 2009 23:00:00 +0100 2740305 http://www.medworm.com/index.php?rid=2694225&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F76 Conclusions: The WURSS-44 and WURSS-21 perform well as illness-specific quality-of-life evaluative outcome instruments. Construct validity is supported by the data presented here. While the WURSS-44 covers more symptoms, the WURSS-21 exhibits similar performance in terms of reliability, responsiveness, importance-to-patients, and convergence with other measures. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2694225 Tue, 11 Aug 2009 23:00:00 +0100 2694225 http://www.medworm.com/index.php?rid=2687210&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F75 Conclusions: This study has shown good psychometric properties of the WHOQOL-Bref instrument in determining QOL of those with sickle cell disease. Its utility in this regard is comparable to that of the SF-36 and QOLS. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2687210 Sun, 09 Aug 2009 23:00:00 +0100 2687210 http://www.medworm.com/index.php?rid=2673502&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F74 Background: Self-rated health status has been shown to be related to physical function. Therefore, changes in functional ability should be associated with changes in general health. However, functional needs may vary greatly between individuals. The purpose of this study was to propose and test a model of association between patient identified functional problems and responses to global measures of health in low back pain patients. Methods: Participants in a low back pain clinical trial were followed up for 12 months. A series of analyses were undertaken using the Jonckheere-Terpstra test and chi-square for trends to determine the associations between two individualised items related to function, and measures of "overall improvement in condition", "general health status" and performance of... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2673502 Tue, 04 Aug 2009 23:00:00 +0100 2673502 http://www.medworm.com/index.php?rid=2656277&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F73 Background: Dental caries, dental pain and reported oral problems influence people's oral quality of life and thus their perceived need for dental care. So far there is scant information as to the psychosocial impacts of dental diseases and the perceived treatment need in child populations of sub-Saharan Africa. Objectives: Focusing on primary school students in Kilwa, Tanzania, a district deprived of dental services and with low fluoride concentration in drinking water, this study aimed to assess the prevalence of dental pain and oral impacts on daily performances (OIDP), and to describe the distribution of OIDP by socio-demographics, dental caries, dental pain and reported oral problems. The relationship of perceived need estimates with OIDP was also investigated. Methods: A cross-sectio... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2656277 Wed, 29 Jul 2009 23:00:00 +0100 2656277 http://www.medworm.com/index.php?rid=2633185&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F70 Background: Previous research on frailty in older adults has focused on morbidity and mortality. The purpose of this study was to elicit the relationship between being non-frail, pre-frail, or frail and health related quality of life in a representative sample of older Mexican Americans surveyed in 2005-2006.MethodData were from a representative subsample of the Hispanic Established Populations Epidemiologic Studies of the Elderly (EPESE) and included 1008 older adults living in the community (mean (sd) age=82.3(4.3)). Multiple regression analyses examined the relationship between frailty status and the eight SF-36 health related quality of life subscales and two summary scales. Models also adjusted for the participants' sociodemographic and health status. Results: We found that, after adj... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2633185 Wed, 22 Jul 2009 23:00:00 +0100 2633185 http://www.medworm.com/index.php?rid=2629091&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F69 Conclusion: Although pulmonary function did not significantly decline during the 6-month period, acute exacerbations were responsible for a decline in health status. To minimize deteriorations in health status, one must prevent recurrent acute exacerbations and reduce exacerbation frequencies in COPD subjects. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2629091 Tue, 21 Jul 2009 23:00:00 +0100 2629091 http://www.medworm.com/index.php?rid=2619517&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F67 Conclusions: Researchers and medical care providers of patients with chronic fatigue syndrome should be aware of polypharmacy as a problem in such patients, and the related potential iatrogenic effects and drug interactions. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2619517 Sun, 19 Jul 2009 23:00:00 +0100 2619517 http://www.medworm.com/index.php?rid=2619516&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F68 Conclusion: The participation in regular physical activity may positively influence fatigue, depression and quality of life scores in persons with MS. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2619516 Sun, 19 Jul 2009 23:00:00 +0100 2619516 http://www.medworm.com/index.php?rid=2609745&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F66 Background: There has been very little research on wellbeing, physical impairments and disability in older people in developing countries.MethodA community survey of 1147 older parents, one per household, aged sixty and over in rural Thailand. We used the Burvill scale of physical impairment, the Thai Psychological Wellbeing Scale and the brief WHO Disability Assessment Schedule. We rated received and perceived social support separately from children and from others and rated support to children. We used weighted analyses to take account of the sampling design. Results: Impairments due to arthritis, pain, paralysis, vision, stomach problems or breathing were all associated with lower wellbeing. After adjusting for disability, only impairment due to paralysis was independently associated wi... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2609745 Wed, 15 Jul 2009 23:00:00 +0100 2609745 http://www.medworm.com/index.php?rid=2604957&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F65 Conclusions The psychometric characteristics of the new short symptoms scale were found to have satisfactory reliability and validity. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2604957 Tue, 14 Jul 2009 23:00:00 +0100 2604957 http://www.medworm.com/index.php?rid=2590443&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F63 Conclusions: The results of this research appear to show that the SERVQUAL instrument is a useful measurement tool in assessing and monitoring service quality in LASIK service, and enabling staff to identify where improvements are needed, from the patients' perspective. There were service quality gaps in the reliability, assurance, and empathy. This study suggested that physicians should increase their discussions with patients; which has, of course, already been proven to be an effective way to increase patient's satisfaction with medical care, regardless of the procedure received. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2590443 Thu, 09 Jul 2009 23:00:00 +0100 2590443 http://www.medworm.com/index.php?rid=2590442&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F64 Conclusions: This study demonstrates the significant impact that FM has on patients' lives, particularly sleep. While patients with FM were not part of the development of the generic sleep assessments that were evaluated, this study provides evidence of their content validity, supporting their use in FM studies. Modifications to the MOS-Sleep may improve the psychometric properties and relevance to patients with FM. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2590442 Thu, 09 Jul 2009 23:00:00 +0100 2590442 http://www.medworm.com/index.php?rid=2575374&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F62 Conclusions: These analyses suggest that itch is one of the most important symptoms of psoriasis, contributing to diminished health-related quality of life (HRQoL) in patients with both mild and severe disease. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2575374 Sun, 05 Jul 2009 23:00:00 +0100 2575374 http://www.medworm.com/index.php?rid=2568024&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F61 Background: Obesity has adverse physical, social, and economic consequences that can negatively affect quality of life (QOL). Thus the aim of this study was to verify the effects of a long-term multidisciplinary lifestyle intervention on QOL, body image, anxiety, depression and binge eating in obese adolescents. Methods: Sixty-six obese adolescents (41 girls and 25 boys; BMI: 35.62+/-4.18kg/m2) were recruited from the Multidisciplinary Obesity Intervention Program outpatient clinic, and were submitted to a multidisciplinary lifestyle therapy (short-term = 12 weeks and long-term = 24 weeks), composed of medical, dietary, exercise and psychological programs. Validated self-report questionnaires were used to assess symptoms of anxiety Trait/State (STAI); depression (BDI); binge eating (BES), ... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2568024 Thu, 02 Jul 2009 23:00:00 +0100 2568024 http://www.medworm.com/index.php?rid=2568025&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F60 Conclusion: In this large European observational study, GERD was associated with a substantial impact on the daily lives of affected individuals managed in the primary care setting. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2568025 Wed, 01 Jul 2009 23:00:00 +0100 2568025 http://www.medworm.com/index.php?rid=2498912&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F59 Background: Current inventories on quality of life used in oncology mainly focus on functional aspects of patients in the context of disease adaption and treatments (side) effects (EORTC QLQ C30) or generically the status of common functions (Medical Outcome Study SF 36). Beyond circumscribed dimensions of quality of life (i.e., physical, emotional, social, cognitive etc.), there is a lack of inventories which also address other relevant dimensions such as the `sense of coherence' (SOC) in cancer patients. SOC is important because of its potential prognostic relevance in cancer patients, but the current SOC scale has mainly been validated for psychiatric and psychosomatic patients. Our two-step validation study addresses the internal coherence (ICS) scale, which is based on expert rating, ... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498912 Tue, 23 Jun 2009 23:00:00 +0100 2498912 http://www.medworm.com/index.php?rid=2498914&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F57 Conclusions: The four methods were consistent in determining the missingness mechanism. One hypothesis test was preferred as it is applicable with intermittent missingness. Some inconsistencies between the two data scenarios were found. Ignoring the reminder data could potentially give a distorted view of the missingness mechanism. Utilising reminder data allowed the possibility of MNAR to be considered. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498914 Sun, 21 Jun 2009 23:00:00 +0100 2498914 http://www.medworm.com/index.php?rid=2498913&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F58 Conclusions: In this first study to use Rasch analysis to fully assess the psychometric properties of the MSIS-29 support was found for the two subscales but not for the use of the total scale. Further use of Rasch analysis on the MSIS-29 in larger and broader samples is recommended to confirm these findings. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498913 Sun, 21 Jun 2009 23:00:00 +0100 2498913 http://www.medworm.com/index.php?rid=2498915&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F56 Background: Providing care for individuals with a progressive, debilitating condition such as dementia can adversely impact the quality of life (QOL) of informal caregivers. To date, there is no existing caregiver quality of life measure for dementia caregivers with breadth of coverage or that is applicable to caregivers of diverse ethnic backgrounds. The purpose of this study was to develop and evaluate a caregiver-targeted quality-of-life measure (CGQOL) for informal caregivers of persons with dementia that can be used with caregivers from a variety of ethnicities. Methods: 91 items were field tested by telephone interviews with 179 English-speaking and 21 monolingual Spanish-speaking caregivers of persons with dementia. Repeat interviews were conducted with 71 caregivers. Administration... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498915 Sat, 20 Jun 2009 23:00:00 +0100 2498915 http://www.medworm.com/index.php?rid=2498916&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F55 Conclusion: Results support the use of the PPSM as a measure of satisfaction in BPH patient groups. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498916 Thu, 18 Jun 2009 23:00:00 +0100 2498916 http://www.medworm.com/index.php?rid=2498917&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F54 This study reports psychometric properties of a single-item scale to assess sleep quality among individuals with FM. Methods: Analyses were based on data from two randomized, double-blind, placebo-controlled trials of pregabalin (studies 1056 and 1077). In a daily diary, patients reported the quality of their sleep on a numeric rating scale ranging from 0 ("best possible sleep") to 10 ("worst possible sleep"). Test re-test reliability of the Sleep Quality Scale was evaluated by computing intraclass correlation coefficients. Pearson correlation coefficients were computed between baseline Sleep Quality scores and baseline pain diary and Medical Outcomes Study (MOS) Sleep scores. Responsiveness to treatment was evaluated by standardized effect sizes computed as the difference between least sq... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2498917 Tue, 16 Jun 2009 23:00:00 +0100 2498917 http://www.medworm.com/index.php?rid=2466986&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F53 Conclusions: This study found differences between weight-related and generic measures of health-related quality of life in a one-year weight loss trial, reflecting the potential value of using more than one measure in a trial. Although weight loss was generally associated with improved IWQOL-Lite, physical SF-36 subscale and EQ-5D scores, a small amount of weight gain was associated with a slight improvement on weight-specific HRQOL and almost no change on the EQ-5D, suggesting the need for further research to more fully study these relationships. We believe our findings have relevance for weight loss patients and obesity clinicians/researchers in informing them of likely HRQOL outcomes associated with varying amounts of weight loss or gain. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2466986 Tue, 09 Jun 2009 04:00:00 +0100 2466986 http://www.medworm.com/index.php?rid=2454215&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F52 Conclusion: CHB infection had a negative impact on HRQOL. There was a progressive decrease in health preference values with CHB disease progression. The results can be used for the estimation of quality adjusted life years (QALYs) for CHB patients in cost effectiveness or cost utility studies.Trial Registration: www.hkclinicaltrials.com; HKCTR-151. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2454215 Fri, 05 Jun 2009 04:00:00 +0100 2454215 http://www.medworm.com/index.php?rid=2454217&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F50 Conclusions: The strong association between patient characteristics such as socio-economic status, age, and ethnicity and SF-12 physical and mental component summary scores underlines the importance of considering these factors in the management of chronically-ill patients in general practice. The SF-12 appears to be a valid measure for assessing HRQOL of Australian chronically-ill patients. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2454217 Wed, 03 Jun 2009 04:00:00 +0100 2454217 http://www.medworm.com/index.php?rid=2454216&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F51 Conclusions: This pilot study indicates that electronic HRQoL assessment is technically feasible in general practices. It can provide clinically significant information, which can either be used in the consultation for routine care, or for research purposes. While GPs, practice assistants and patients were generally positive about the electronic procedure, several barriers (e.g. practices' lack of time and routine in HRQoL assessment) need to be overcome to enable broader application of electronic questionnaires in every day medical practice. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2454216 Wed, 03 Jun 2009 04:00:00 +0100 2454216 http://www.medworm.com/index.php?rid=2445485&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F48 Conclusions: Telephone administration of the FAI and EQ-5D instruments provides comparable results to face-to-face administration amongst older adults deemed to have cognitive functioning intact at a basic level, indicating that this is a suitable alternate approach for collection of this information. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2445485 Fri, 29 May 2009 04:00:00 +0100 2445485 http://www.medworm.com/index.php?rid=2445484&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F49 Conclusions: Chronic ICBG harvest site pain and discomfort is reported by a significant percentage of patients undergoing this procedure more than three years following surgery, and these complications are associated with worse patient-reported disability. Future studies should consider employing a control group that does not include autologous bone graft harvest, e.g., a group utilizing rhBMP, to determine whether eliminating harvest-site morbidity does indeed lead to observable improvement in clinical outcome sufficient to justify the increased cost of bone graft substitutes. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2445484 Fri, 29 May 2009 04:00:00 +0100 2445484 http://www.medworm.com/index.php?rid=2445486&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F47 Conclusion: Among males in the United States Navy relative higher levels of CRF are associated with higher levels of HRQOL. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2445486 Thu, 28 May 2009 04:00:00 +0100 2445486 http://www.medworm.com/index.php?rid=2438631&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F46 Conclusions: Diminished health quality and excess health costs are prevalent among PSS patients. Health experiences and functional impact of PSS is similar among US and European patients. Delayed diagnosis, sicca related morbidity, fatigue, pain and depression are substantial suggesting unmet health needs and the importance of earlier recognition of PSS. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2438631 Wed, 27 May 2009 04:00:00 +0100 2438631 http://www.medworm.com/index.php?rid=2431318&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F44 Background: The Locomotor Capabilities Index (LCI) is a validated measure of lower-limb amputees' ability to perform activities with prosthesis. We have developed the LCI Swedish version and evaluated its validity and reliability. Methods: Cross-cultural adaptation to Swedish included forward/backward translations and field testing. The Swedish LCI was then administered to 144 amputees (55 women), mean age 74 (40-93) years, attending post-rehabilitation prosthetic training. Construct validity was assessed by examining the relationship between the LCI and Timed "Up-and-Go" (TUG) test and between the LCI and EQ-5D health utility index in 2 subgroups of 40 and 20 amputees, respectively. Discriminative validity was assessed by comparing scores in different age groups and in unilateral and bila... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2431318 Sat, 23 May 2009 04:00:00 +0100 2431318 http://www.medworm.com/index.php?rid=2431317&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F45 Conclusion: This study demonstrates that both English and Malay versions of the SF-NDI are reliable and probably valid instruments for measuring HRQoL in Malaysian patients with dyspepsia (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2431317 Sat, 23 May 2009 04:00:00 +0100 2431317 http://www.medworm.com/index.php?rid=2421580&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F42 Conclusions: The Japanese version of HADS indicated good factorial validity in our samples. However, ambiguous wording of item 7 should be clarified in future revisions. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2421580 Sun, 17 May 2009 04:00:00 +0100 2421580 http://www.medworm.com/index.php?rid=2421579&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F43 Conclusion: The Brazilian versions of CPQ11-14 ISF:8 and ISF:16 have satisfactory psychometric properties, similar to those of the original instrument. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2421579 Sun, 17 May 2009 04:00:00 +0100 2421579 http://www.medworm.com/index.php?rid=2395471&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F40 The objective of this study was to compare the empirical validity of two multi-attribute utility measures (EQ-5D and SF-6D) based on hypothetical preferences in a large maternity population in England. Methods: Women who participated in a randomised controlled trial of additional postnatal support provided by trained community support workers represented the study population for this investigation. The women were asked to complete the EQ-5D descriptive system (which defines health-related quality of life in terms of five dimensions: mobility, self care, usual activities, pain/discomfort and anxiety/depression) and the SF-36 (which defines health-related quality of life, using 36 items, across eight dimensions: physical functioning, role limitations (physical), social functioning, bodily p... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2395471 Wed, 06 May 2009 04:00:00 +0100 2395471 http://www.medworm.com/index.php?rid=2395472&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F39 Conclusions: This study found that mobile nursing services, placed at the bedsides of patients could, through the programmed VBA-Excel CAT module, reduce the burden to patients and save time, more so than the traditional NAT paper-and-pencil testing appraisals. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2395472 Tue, 05 May 2009 04:00:00 +0100 2395472 http://www.medworm.com/index.php?rid=2379385&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F38 A critique of Hankins, M: 'How discriminating are discriminative instruments?' Health and Quality of Life Outcomes 2008, 6:36. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2379385 Thu, 30 Apr 2009 04:00:00 +0100 2379385 http://www.medworm.com/index.php?rid=2373278&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F36 Conclusions: The IVRS-administered TSQM-9 was found to be a reliable and valid measure to assess treatment satisfaction in naturalistic study designs, in which there is potential that the administration of the side effects domain of the TSQM would interfere with routine clinical care. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2373278 Mon, 27 Apr 2009 04:00:00 +0100 2373278 http://www.medworm.com/index.php?rid=2352342&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F35 Conclusions: The results of this study will be of help to interpret the VSP-A AND KINDL-R questionnaires by comparing with the general population and also provide cut-off points to define adolescents with health problems. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2352342 Tue, 21 Apr 2009 04:00:00 +0100 2352342 http://www.medworm.com/index.php?rid=2337894&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F31 Conclusion: Although high violence frequency, low rate of post traumatic stress symptoms and low compassion satisfaction scores was found. High staff/patient ratio and emotional distance between staff and patients are discussed as protective factors. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2337894 Thu, 16 Apr 2009 04:00:00 +0100 2337894 http://www.medworm.com/index.php?rid=2337893&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F32 Conclusions: The PedsQL Family Impact module was reliable, however it displayed large ceiling effects and did not discriminate well between parents of children with and without sickle cell disease. Future research to evaluate the psychometric properties of the Family Impact Module for parents of healthy children may be helpful. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2337893 Thu, 16 Apr 2009 04:00:00 +0100 2337893 http://www.medworm.com/index.php?rid=2319807&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F30 Conclusions: The PACT-Q is a valid and reliable instrument that allows the assessment of patients' expectations and satisfaction regarding anticoagulant treatment, as well as their opinion about treatment convenience of use. Its two-part structure - assessment of expectations at baseline in the first part, and of convenience, burden and treatment satisfaction in the second - was validated and displays good and stable psychometric properties. These results are not sufficient to recommend the use of satisfaction as primary endpoint in clinical trials; further validation work is needed to support the interpretation of PACT-Q dimension scores. However, this first validation makes the PACT-Q an appropriate measure for use in clinical and pharmacoepidemiological research, as well as in real-life... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2319807 Tue, 07 Apr 2009 04:00:00 +0100 2319807 http://www.medworm.com/index.php?rid=2319812&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F28 Conclusions: With minimal training, physicians obtained a reliable and valid estimate of cognitive impairment in approximately 15 minutes from an application of the SCIP to type I BD patients. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2319812 Wed, 01 Apr 2009 04:00:00 +0100 2319812 http://www.medworm.com/index.php?rid=2319810&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F29 Conclusions: The validity of all three instruments appeared to be fair, and all showed rather high proportions of false predictions. Hence in fact none of the tested instruments could really be called satisfactory. Because the IPAQ showed to be the best in correctly predicting 'passive' CFS patients, which is most essentially related to treatment results, it was concluded that the IPAQ is the preferable alternative for an actometer when treating CFS patients in clinical practice. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2319810 Wed, 01 Apr 2009 04:00:00 +0100 2319810 http://www.medworm.com/index.php?rid=2319813&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F27 Conclusions: Our results suggest that models mapping the SF-36 onto the EQ-5D have similar predictions across inpatient and outpatient setting and medical conditions. However, the models overpredict for more severe EQ-5D states; this problem is also present in the existing mapping functions. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2319813 Tue, 31 Mar 2009 04:00:00 +0100 2319813 http://www.medworm.com/index.php?rid=2319814&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F26 Conclusion: The CCQ is a valid and reliable instrument for assessments of health status on the group level in patients treated for COPD in primary care but its reliability may not be sufficient for the monitoring of individual patients. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2319814 Wed, 25 Mar 2009 04:00:00 +0100 2319814 http://www.medworm.com/index.php?rid=2293363&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F26 Background: Patient centred outcomes, such as health status, are important in Chronic Obstructive Pulmonary Disease (COPD). Extensive questionnaires on health status have good measurement properties, but are not suitable for use in primary care. The newly developed, short Clinical COPD Questionnaire, CCQ, was therefore validated against the St George's Respiratory Questionnaire (SGRQ). Methods: 111 patients diagnosed by general practitioners as having COPD completed the questionnaires twice, 2-3 months apart, without systematic changes in treatment. Within this sample of patients with "clinical COPD" a subgroup of patients with spirometry verified COPD was identified. All analyses were performed on both groups. Results: The mean FEV1 (% predicted) was 58.1 % for all patients with clinic... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2293363 Wed, 25 Mar 2009 04:00:00 +0100 2293363 http://www.medworm.com/index.php?rid=2281147&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F25 Conclusions: Chronic IRD have a clearly detrimental effect on the HRQL in both sex and in age groups, and physical domain is more impaired than mental and social ones. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2281147 Wed, 18 Mar 2009 04:00:00 +0100 2281147 http://www.medworm.com/index.php?rid=2239776&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F22 Conclusion: The results showed that the French versions of the 12-item General Health Questionnaire (GHQ-12) and the Subjective Vitality Scale (VS) are reliable measures of psychological distress and vitality. They also confirm a significant negative correlation between these two instruments, lending support to their convergent validity in an elderly French population. The findings indicate that both measures have good structural characteristics. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2239776 Thu, 05 Mar 2009 05:00:00 +0100 2239776 http://www.medworm.com/index.php?rid=2222003&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F17 Background: To examine the effects of a 6 month lifestyle intervention on quality of life, depression, self-efficacy and eating behavior changes in overweight and obese endometrial cancer survivors. Methods: Early stage endometrial cancer survivors were randomized to intervention (n=23) or usual care (n=22) groups. Chi-square, Student's t-test and repeated measures analysis of variance were used in intent-to-treat analyses. Outcomes were also examined according to weight loss. Results: Morbidly obese patients had significantly lower self-efficacy, specifically when feeling physical discomfort. There was a significant improvement for self-efficacy related to social pressure (p=.03) and restraint (p=.02) in the LI group. There was a significant difference for emotional well-being quality o... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2222003 Wed, 25 Feb 2009 05:00:00 +0100 2222003 http://www.medworm.com/index.php?rid=2222002&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F18 Conclusions: In visually impaired older patients, visual acuity, musculoskeletal conditions, COPD/asthma and stroke predicted a relatively rapid decline in health-related QOL. With this risk profile, a specific referral by the ophthalmologist to another sub-specialty may have a beneficial effect on the patient's health-related QOL. A referral by the ophthalmologist or optometrist to a multidisciplinary rehabilitation service seems appropriate for some patients with co-morbidity. The current results need to be confirmed in studies using pre-structured questionnaires to assess co-morbidity. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2222002 Wed, 25 Feb 2009 05:00:00 +0100 2222002 http://www.medworm.com/index.php?rid=2222004&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F16 Conclusions: These additional data on criterion validity and community versus patient norms for PSSCAN serve to enhance its utility for clinical practice. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2222004 Tue, 24 Feb 2009 05:00:00 +0100 2222004 http://www.medworm.com/index.php?rid=2199795&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F15 Conclusions: A short 7 item version of WEMWBS was found to satisfy the strict unidimensionality expectations of the Rasch model, and be largely free of bias. This scale, SWEMWBS, provides a raw score-interval scale transformation for use in parametric procedures. In terms of face validity, SWEMWBS presents a more restricted view of mental well-being than the 14 item WEMWBS, with most items representing aspects of psychological and eudemonic well-being, and few covering hedonic well-being or affect. However, robust measurement properties combined with brevity make SWEMWBS preferable to WEMWBS for monitoring mental well-being in populations at present. Where face validity, is an issue there remain arguments for continuing to collect data on the full 14 item WEMWBS. (Source: Health and Qualit... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2199795 Thu, 19 Feb 2009 05:00:00 +0100 2199795 http://www.medworm.com/index.php?rid=2199796&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F14 Conclusions: Tuberculosis has substantially adverse impacts on patients' quality of life, which persist after microbiological 'cure'. A variety of instruments were used to assess quality of life in tuberculosis and there has been no well-established tuberculosis-specific instrument, making it difficult to fully understand the impact of the illness. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2199796 Wed, 18 Feb 2009 05:00:00 +0100 2199796 http://www.medworm.com/index.php?rid=2194531&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F13 This study determined the correlation of changes in bladder diary variables and other PROs in subjects with overactive bladder (OAB). Methods: Subjects with OAB, urinary frequency, and UUI were treated with 4 mg once daily tolterodine ER or placebo for 12 weeks. Subjects completed 7-day bladder diaries, the Patient Perception of Bladder Condition (PPBC), and the King's Health Questionnaire (KHQ) at baseline and week 12. Only subjects who reported at least some minor bladder-related problems at baseline (PPBC score [greater than or equal to]3) were included in this analysis. Results: Reductions in UUI episodes per week were significantly greater in the tolterodine ER group (n=500) compared with the placebo group (n=487) at week 12 (71% vs -33%, P (Source: Health and Quality of Life Outcome... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2194531 Wed, 18 Feb 2009 05:00:00 +0100 2194531 http://www.medworm.com/index.php?rid=2177290&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F12 Conclusions: A 1-week recall period is adequately reliable for use of the MOS-SS in studies evaluating sleep disturbance in patients with FM. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2177290 Tue, 10 Feb 2009 05:00:00 +0100 2177290 http://www.medworm.com/index.php?rid=2167140&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F9 Conclusions: The PACT-Q has been rigorously developed and linguistically validated. It is available in 14 languages for use with thromboembolic patients, including AF, PE and DVT patients. Its validation and psychometric properties have been tested and are presented in a separate manuscript. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2167140 Fri, 06 Feb 2009 05:00:00 +0100 2167140 http://www.medworm.com/index.php?rid=2167139&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F7%2F1%2F10 Conclusion: Our findings support the role of self-efficacy in the relationship between physical activity and QOL as well as an expanded QOL model including both health status indicators and global QOL. These findings further suggest future PA promotion programs should include strategies to enhance self-efficacy, a modifiable factor for improving QOL in this population. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2167139 Fri, 06 Feb 2009 05:00:00 +0100 2167139 http://www.medworm.com/index.php?rid=2052140&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F115 Conclusion: Symptoms are more important for the subjective health status of patients with COPD than demographics, physiological variables, or physical function. These findings should be considered in the treatment and care of these patients. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2052140 Thu, 18 Dec 2008 05:00:00 +0100 2052140 http://www.medworm.com/index.php?rid=2032781&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F111 Conclusions: Medical students have a tendency to value health states higher than the general public. Medical professionals should be continuously aware that their assessment of the patients health state can differ from the valuations of the general population. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2032781 Thu, 11 Dec 2008 05:00:00 +0100 2032781 http://www.medworm.com/index.php?rid=2032780&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F112 Conclusion: Changes in patient concerns mirror their early recovery from TKA surgery. Consistent with this, Participation restrictions become increasingly important to patients after discharge from acute care suggesting that clinicians should think of managing patient expectations for return to societal roles early in post-operative rehabilitation. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=2032780 Thu, 11 Dec 2008 05:00:00 +0100 2032780 http://www.medworm.com/index.php?rid=1996066&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F104 Conclusion: PRISM-RII appears a promising additional tool to assess the psychological burden of diabetes. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1996066 Thu, 27 Nov 2008 05:00:00 +0100 1996066 http://www.medworm.com/index.php?rid=1984471&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F102 Conclusions: The ICCAP is a reliable and valid instrument for clinical practice. It enables early signaling of parental quality of life as a result of early stress, and thus early intervention. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1984471 Sun, 23 Nov 2008 05:00:00 +0100 1984471 http://www.medworm.com/index.php?rid=1951345&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F98 Conclusions: The most important health factor in subjects with and without chronic musculoskeletal pain was feeling rested after sleep, but also emotional support, sleep structure, smoking and alcoholic habits appears to be important components. These health factors could be important to address in clinical work with painful musculoskeletal disorders. Since several health factors are common in both subjects with and without pain there could be a common strategy to be formed in public health programmes. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1951345 Tue, 11 Nov 2008 05:00:00 +0100 1951345 http://www.medworm.com/index.php?rid=1946794&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F97 Conclusions: This study was among the first to implement the complete procedure of routine computerized HRQoL measurements in clinical practice and to subsequently describe the feasibility issues encountered. It was shown that the attitudes of physicians were generally positive. Several barriers towards successful implementation of such a procedure were encountered, and subsequently solutions were provided. Most importantly, when implementing routine computerized HRQoL measurements in clinical practice, assistance of an IT professional for the development of a tailor-made computer program, availability of questionnaires in multiple languages and the use of touch-screen computers to optimise patient participation are essential. Also, all staff of the department concerned should approve of t... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1946794 Mon, 10 Nov 2008 05:00:00 +0100 1946794 http://www.medworm.com/index.php?rid=1938428&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F93 Conclusions: The quality of life of caregivers is correlated with the severity of behavioural disorders and duration of the Alzheimer's disease. The severity of the disease plays an important role in reorganization of the family environment in families, caring for patients not institutionalised. It is important to promote measures to soften the impact that the patient has on the caregiver, and that, at the same time, improves the quality of life of the patient. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1938428 Thu, 06 Nov 2008 05:00:00 +0100 1938428 http://www.medworm.com/index.php?rid=1927732&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F90 Conclusion: The hip fracture patients had lower GQOL before the fracture occurred than did controls, even after adjusting for known factors such as sociodemographics, clinical variables and health-focused QOL. The findings suggest that by identifying patients with low GQOL, in addition to other known risk factors for hip fracture, may raise the probability to target preventive health care activities. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1927732 Mon, 03 Nov 2008 05:00:00 +0100 1927732 http://www.medworm.com/index.php?rid=1900854&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F86 Conclusion: The Hausa version of IKHOAM meets the criteria for validity and internal consistency and may be used in the Hausa speaking parts of Nigeria and other West African countries. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1900854 Wed, 22 Oct 2008 04:00:00 +0100 1900854 http://www.medworm.com/index.php?rid=1894294&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F84 Background: Existing reports of utility values for metastatic non-small cell lung cancer (NSCLC) vary quite widely and are not all suitable for use in submissions in the UK. The aim of this study was to elicit UK societal based utility values for different stages of NSCLC and different grade III-IV toxicities commonly associated with chemotherapy treatments. Toxicities included neutropenia, febrile neutropenia, fatigue, diarrhoea, nausea and vomiting, rash and hair loss. Methods: Existing health state descriptions of metastatic breast cancer were revised to make them suitable as descriptions of metastatic NSCLC patients on second-line treatment. The existing health states were used in cognitive debrief interviews with oncologists (n=5) and oncology specialist nurses (n=5). Changes were m... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1894294 Tue, 21 Oct 2008 04:00:00 +0100 1894294 http://www.medworm.com/index.php?rid=1894293&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F85 Conclusion: These findings suggest that more coping resources improve HRQOL. This may indicate the importance of strengthening the residents' SOC to improve the perceived HRQOL. Such knowledge may help the international community in developing nursing regimens to improve HRQOL for older people living in NHs. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1894293 Tue, 21 Oct 2008 04:00:00 +0100 1894293 http://www.medworm.com/index.php?rid=1872814&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F79 Conclusions: The findings of this study indicate that care for patients with diabetes should address their physical, psychological, social and economic wellbeing and the findings point to the importance of taking individual coping strategies into account when evaluating the impact of diabetes on psychosocial wellbeing. Because of the mean of anxiety were not in normal range, for this study, health professionals need to pay attention to patient's psychological state. This is especially true for patients who are likely to use self-blame and behavioural disengagement as a coping strategy. Through psychosocial interventions, professionals need to assist patients in establishing positive self evaluations. Delineation of coping strategies might be useful for identifying patients in need of parti... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1872814 Mon, 13 Oct 2008 04:00:00 +0100 1872814 http://www.medworm.com/index.php?rid=1870424&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F78 Conclusion: According to French public health priorities, RTQ appears to be a reliable and valid questionnaire. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1870424 Mon, 13 Oct 2008 04:00:00 +0100 1870424 http://www.medworm.com/index.php?rid=1847585&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F75 ObjectiveTo evaluate the impact of adalimumab on health-related quality of life (HRQOL) for patients with moderate to severe plaque psoriasis. Background: Psoriasis is a chronic, inflammatory, immune-mediated disease that has a significant impact on patients' HRQOL. Adalimumab is a fully human monoclonal antibody that blocks tumor necrosis factor, a pro-inflammatory cytokine, and is effective and well-tolerated for patients with moderate to severe psoriasis. Methods: Data were obtained for a secondary analysis of patients in a randomized, controlled Phase III trial evaluating the effect of adalimumab in patients with psoriasis (N=1,205). Patients with moderate to severe psoriasis were randomized in a 2:1 ratio to adalimumab 80 mg (two 40 mg injections administered subcutaneously at baseli... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1847585 Thu, 02 Oct 2008 04:00:00 +0100 1847585 http://www.medworm.com/index.php?rid=1840542&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F74 Conclusion: AM patients were significantly more satisfied and rated their physicians as valuable partners in the treatment. This suggests that subject to certain limitations, AM therapy may be beneficial in primary care. To confirm this, more detailed qualitative studies would be necessary. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1840542 Tue, 30 Sep 2008 04:00:00 +0100 1840542 http://www.medworm.com/index.php?rid=1836975&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F72 The objective of this study was to compare the effect of incontinence surgery and pelvic floor training on quality of life (QOL), anxiety and depression in patients with stress urinary incontinence (SUI). Methods: In a prospective longitudinal study, females with proven SUI were asked to complete a set of standardized questionnaires (sociodemographic data sheet, FACT-G, I-QOL, HADS) before and eight weeks after treatment. The comparison groups consisted of a surgical treatment group and a conservative group that underwent supervised pelvic floor training for eight weeks. Results: From the 67 female patients included in the study a number of 53 patients completed both assessment time points (mean age 57.4, mean years of SUI 7.6). The surgical treatment group consisted of 32 patients of whi... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1836975 Mon, 29 Sep 2008 04:00:00 +0100 1836975 http://www.medworm.com/index.php?rid=1836974&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F73 Conclusions: Among respondents with and without diabetes, there was a demonstrable utility loss associated with hypoglycaemia. Using a utility loss of 0.03 as a minimum clinically important difference for persons with diabetes, the evidence from this study indicates that as low as ten symptomatic non-severe hypoglycaemic episodes per year are of clinical importance and that the importance increases with frequency of episodes. Integrating directly elicited utility values such as those reported here will improve the quality and applicability of economic evaluations of new treatments for diabetes . (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1836974 Mon, 29 Sep 2008 04:00:00 +0100 1836974 http://www.medworm.com/index.php?rid=1815081&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F70 Conclusion: Pain severity alone is a rather poor predictor of low life satisfaction. MPI and LiSat-11 partly supplement each other as tools to describe how functional impairments relate to life satisfaction domains, which may be relevant for identifying domains which the patients find important to improve. Furthermore, differences in life satisfaction between the MPI-S subgroups may help to identify functional domains that may be of particular importance in specialised rehabilitation programs. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1815081 Tue, 23 Sep 2008 04:00:00 +0100 1815081 http://www.medworm.com/index.php?rid=1815080&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F71 Conclusions: Since the Japan model showed more preferable psychometric properties than the UK and the US models and the differences in these EQ-5D scores had a small impact on ICUR, we recommended that for both clinical and policy purposes the Japan scheme should be used in Thai people. However, more research needs to be done. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1815080 Tue, 23 Sep 2008 04:00:00 +0100 1815080 http://www.medworm.com/index.php?rid=1794028&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F68 Background: Oral health-related quality of life (OHRQoL) measures are being increasingly used to introduce dimensions excluded by normative measures. Consequently, there is a need for an index which evaluates children's OHRQoL validated for Brazilian population, useful for oral health needs assessments and for the evaluation of oral health programs, services and technologies. The aim of this study was to do a cross-cultural adaptation of the Child Oral Impacts on Daily Performances (Child-OIDP) index, and assess its reliability and validity for application among Brazilian children between the ages of eleven and fourteen. Methods: For cross-cultural adaptation, a translation/back-translation method integrated with expert panel reviews was applied. A total of 342 students from four public s... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1794028 Mon, 15 Sep 2008 04:00:00 +0100 1794028 http://www.medworm.com/index.php?rid=1695777&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F61 Conclusions: Sleep quality appears to be severely affected in women with a migration background. Our data suggest that non-integration may be less stressful than integration. This result points to possible benefits of non-integration. The high preference for an information-seeking coping style may be related to the process of migration, representing the attempt at regaining control over an uncontrollable and stressful life situation. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1695777 Sun, 10 Aug 2008 04:00:00 +0100 1695777 http://www.medworm.com/index.php?rid=1679205&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F57 Conclusion: The use of the reminder data enabled the conclusion of possible MNAR data. Evaluating this mechanism was important in determining if imputation was useful. Simple imputation was shown to be inadequate if MNAR are likely and alternative strategies should be considered. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1679205 Mon, 04 Aug 2008 04:00:00 +0100 1679205 http://www.medworm.com/index.php?rid=1652101&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F53 Background: Immunosuppressive therapies have burdensome side effects which may lead to sub-therapeutic dosing and non-compliance. Patients on different immunosuppressant regimens may feel less bothered by Gastrointestinal (GI) side effects or report better health-related quality of life (HRQL). We evaluated the reliability and validity of two GI-specific outcome instruments (Gastrointestinal Symptom Rating Scale (GSRS; higher scores=increased severity) and Gastrointestinal Quality of Life Index (GIQLI; higher scores=better GI-specific HRQL )) in renal transplant patients in South America. Methods: Data from 5 South American centers participating in an international, longitudinal, observational study were analyzed. Patients were > 1 month post transplant and on mycophenolate mofetil (MMF) a... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1652101 Mon, 21 Jul 2008 04:00:00 +0100 1652101 http://www.medworm.com/index.php?rid=1496820&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F38 Conclusion: The present study demonstrated that data from cardiac patients to a large extent support the suggested model by Wilson and Cleary. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1496820 Thu, 29 May 2008 04:00:00 +0100 1496820 http://www.medworm.com/index.php?rid=1458088&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F35 Conclusion: The Brazilian version of the PedsQL Family Impact Module was considered reliable and valid for assessing the impact of a chronic pediatric health condition on the HRQOL of parents and family functioning. The instrument should be field tested on other chronic pediatric illnesses. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1458088 Tue, 20 May 2008 04:00:00 +0100 1458088 http://www.medworm.com/index.php?rid=1453920&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F34 Background: Comprehensive evidence exists regarding the discrepancy between children's reports and parents' by proxy reports on emotional and behavioural problems. However, little is yet known about factors influencing the extent to which child self- and parent by proxy reports differ in respect of child Quality of Life (QoL). The aim of the study was to investigate the degree of discrepancy between child and parent by proxy reports as measured by two different QoL instruments. Methods: A representative Norwegian sample of 1,997 school children aged 8-16 years, and their parents were studied using the Inventory of Life Quality (ILC) and the 'Kinder Lebensqualitat Fragebogen' (KINDL). Child and parent reports were compared by t-test, and correlations were calculated by Pearson product momen... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1453920 Mon, 19 May 2008 04:00:00 +0100 1453920 http://www.medworm.com/index.php?rid=1409465&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F31 Conclusions: The results provide strong evidence that the RDQ is amenable to translation and represents a viable instrument for assessing response to treatment, and symptom severity. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1409465 Wed, 30 Apr 2008 04:00:00 +0100 1409465 http://www.medworm.com/index.php?rid=1406635&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F30 Conclusions: This study suggests that older adults' participation level and obstacles in the physical environment differ according to level of activity. Quality of life and satisfaction with participation also differ but only when activity level is sufficiently disrupted. The study suggests the importance of looking beyond activity when helping older adults live in the community. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1406635 Tue, 29 Apr 2008 04:00:00 +0100 1406635 http://www.medworm.com/index.php?rid=1393631&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F29 Conclusions: Direct exposure to traumatic events was significantly associated with PTSD symptoms among women raising children. For those who had experienced armed conflict-related events, food security mitigated the occurrence of PTSD symptoms; however, support seeking behavior did not show a significant mitigating influence on PTSD. Means to alleviate the negative influence of exposure to armed conflicts on the quality of life of women should be developed from the viewpoint of quality of mental health support and avoidance of material hardship. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1393631 Wed, 23 Apr 2008 04:00:00 +0100 1393631 http://www.medworm.com/index.php?rid=1388618&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F28 Conclusions: The EDSIS instrument has good psychometric properties and may be of value to assess the impact of eating disorder symptoms on family members. It may be of value to highlight carers' needs and to monitor the effectiveness of family based interventions. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1388618 Mon, 21 Apr 2008 04:00:00 +0100 1388618 http://www.medworm.com/index.php?rid=1382184&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F27 Background: To test the ease of use, reliability, responsiveness and construct validity of the Patient Generated Index, an individualised quality of life score, in older people attending a Medicine for Older People Day Hospital Methods: Prospective longitudinal study in patients attending a specialist Medicine for Older People Day Hospital in Scotland. The Patient Generated Index was administered at baseline, one week later, and at the end of Day Hospital attendance. Functional Limitations Profile, Hospital Anxiety and Depression Score, Barthel index and global subjective impressions of change were also collected and compared with baseline scores and change in Patient Generated Index scores. Reliability was assessed using intraclass correlation coefficients in subjects reporting no change ... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1382184 Fri, 18 Apr 2008 04:00:00 +0100 1382184 http://www.medworm.com/index.php?rid=1335095&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F26 Conclusion: Tracheoesophageal speech significantly improved the quality of life and limited the voice handicap imposed by total laryngectomy. This method of voice restoration has been used for a number of years in other countries and now appears to be a viable alternative within Jordan. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1335095 Fri, 28 Mar 2008 04:00:00 +0100 1335095 http://www.medworm.com/index.php?rid=1328801&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F25 Conclusions: Though every chronic disorder must be regarded as restraining, it shows that PKU does not preclude healthy emotional adjustment when the disease is diagnosed early and treated well. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1328801 Wed, 26 Mar 2008 04:00:00 +0100 1328801 http://www.medworm.com/index.php?rid=1324261&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F22 Conclusions: The Chinese version of the MDAS has good psychometric properties and has the ability to assess, briefly, overall dental anxiety and two correlated but distinct aspects. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1324261 Tue, 25 Mar 2008 04:00:00 +0100 1324261 http://www.medworm.com/index.php?rid=1290905&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F20 Conclusions: The DoC was designed to be a flexible, integrated measure to determine individuals' salient service needs, help seeking and experiences in care. One of the many strengths of the assessment is its focus on specific problems in context, thus providing a more sensitive and informative way to understand processes in care from the patient's perspective. This approach can be used to direct new programs and resources to the patients and situations that require them. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1290905 Mon, 10 Mar 2008 04:00:00 +0100 1290905 http://www.medworm.com/index.php?rid=1264983&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F19 Conclusions: The MMQL-UK (PF) showed moderate to good correlations with the MMQL-UK (CF) component scores. The MMQL-UK (PF) will be of use when comparing child and parent/carer perception of the impact of a child's condition on their HRQL or where the child is too ill or young to provide their own report. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1264983 Thu, 28 Feb 2008 05:00:00 +0100 1264983 http://www.medworm.com/index.php?rid=1261449&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F18 Background: The EQ-5D was used to compare burden experienced by respondents with diabetes to those at risk for diabetes. Methods: A survey including the EQ-5D was mailed to individuals with self-reported diabetes, as well as those without diabetes but with the following risk factors (RFs): (1) abdominal obesity, (2) body mass index >28 kg/m2, (3) dyslipidemia, (4) hypertension, and (5) cardiovascular disease. Non-diabetes respondents were combined into 0-2 RFs and 3-5 RFs. Mean EQ-5D scores were compared across groups using analysis of variance. Multivariable linear regression modeling identified factors affecting respondents' EQ-5D scores. Results: Complete responses were available from >75% of each cohort. Mean EQ-5D index scores were significantly lower for respondents with type 2 diab... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1261449 Wed, 27 Feb 2008 05:00:00 +0100 1261449 http://www.medworm.com/index.php?rid=1256164&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F16 Conclusion: Based on these different clinimetric properties within the present study we conclude that the KOOS questionnaire seems to be suitable for patients with mild and moderate OA and for patients with a primary TKA. The Dutch version of the KOOS had a lower construct validity for patients with severe OA on a waiting list for TKA and patients after revision of a TKA. Further validation studies on the Dutch version of the KOOS should also include a knee specific questionnaire for assessing the construct validity. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1256164 Tue, 26 Feb 2008 05:00:00 +0100 1256164 http://www.medworm.com/index.php?rid=1217776&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F13 Conclusions: ITP affects various areas of HRQoL. This conceptual model will help inform the evaluation of therapeutic strategies for ITP. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1217776 Fri, 08 Feb 2008 05:00:00 +0100 1217776 http://www.medworm.com/index.php?rid=1191215&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F12 Conclusions: The psychometric characteristics of the different language versions of the GSRS and QOLRAD were found to be good, with acceptable reliability and validity. The GSRS and QOLRAD were found to be useful for evaluating dyspeptic symptoms and their impact on patients' daily lives in multinational clinical trials. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1191215 Thu, 31 Jan 2008 05:00:00 +0100 1191215 http://www.medworm.com/index.php?rid=1188354&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F11 ObjectiveTo assess how well the SF-36, a well-validated generic quality of life (QOL), compares with its shorter adaptation, the SF-12, in capturing differences in QOL among patients with and without obesity. Methods: We compared the correlation between the physical (PCS) and mental (MCS) component summary measures of the SF-12 and SF-36 among 356 primary care patients using Pearson coefficients (r) and conducted linear regression models to see how these summary measures differed across BMI. We used model R2 to assess qualitatively how well each measure explained the variation across BMI. Results: Correlations between SF-12 and SF-36 were higher for the PCS in obese (r=0.89) compared to overweight (r=0.73) and normal weight patients (r=0.75), p (Source: Health and Quality of Life Outcomes... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1188354 Wed, 30 Jan 2008 05:00:00 +0100 1188354 http://www.medworm.com/index.php?rid=1169240&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F7 The objective of the current paper was to evaluate the psychometric properties of the PedsQL 3.0 Cancer Module cross-culturally adapted for use in Brazil. Methods: A cross-sectional study was developed with 190 Brazilian families of individuals from 2 to 18 years of age, of both genders, with cancer in various phases of treatment or control. Subjects were recruited by means of convenience samples from the Pediatric Hematology/Oncology Centers at two public hospitals. 'In-treatment' status was defined as individuals who were receiving medical care to induce remission. 'Off-treatment' status was defined as individuals for whom all therapy was completed for a period of at least one month. Reliability was determined through test-retest reliability and internal consistency. The validity of the... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1169240 Tue, 22 Jan 2008 05:00:00 +0100 1169240 http://www.medworm.com/index.php?rid=1169239&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F8 The objectives of the study are: Firstly, to investigate contributing factors for disability in fibromyalgia. Secondly, to study psychological distress in patients with fibromyalgia as compared to other nonspecific pain syndromes. And finally, to explore the impact of fibromyalgia on a patient's quality of life. Methods: In this cross sectional study, explaining factors for disability were studied based on a regression analysis with gender, mental health, physical and social functioning as independent variables. For the assessment of disability in fibromyalgia the FIQ was used. The levels of psychological distress in patients with fibromyalgia, Complex Regional Pain Syndrome (CRPS) and chronic low back pain (CLBP) were compared based on scores on the Symptom Checklist (SCL90). Quality of l... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1169239 Tue, 22 Jan 2008 05:00:00 +0100 1169239 http://www.medworm.com/index.php?rid=1169238&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F9 Conclusions: These results suggest this French language version of the ECOHIS is valid. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1169238 Tue, 22 Jan 2008 05:00:00 +0100 1169238 http://www.medworm.com/index.php?rid=1166268&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F4 Conclusions: The ERDA questionnaire was found to be a reliable and valid assessment of disease acceptance strategies in patients with depressive disorders and drug abuses. The results indicate the preferential use of rational acceptance styles even in depression. Disease acceptance should not be regarded as a coping style with an attitude of fatalistic resignation, but as a complex and active process of dealing with a chronic disease. One may assume that an emotional acceptance of disease will result in a therapeutic coping process associated with higher level of life satisfaction and overall quality of life. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1166268 Mon, 21 Jan 2008 05:00:00 +0100 1166268 http://www.medworm.com/index.php?rid=1166267&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F5 Conclusions: The combination of classic and modern psychometric theories in a complementary way is fruitful for development and validation of instruments. The construction of a reliable Brazilian Attitudes to Aging Questionnaire is important for assessing cultural specificities of aging in a transcultural perspective and can be applied in international cross-cultural investigations running less risk of cultural bias. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1166267 Mon, 21 Jan 2008 05:00:00 +0100 1166267 http://www.medworm.com/index.php?rid=1160887&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F3 Conclusions: These data suggest that WE-CARE provides a reliable and valid measure of parents' well-being and treatment satisfaction related to their child's diabetes. While these results show promise, additional validation of WE-CARE is warranted. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1160887 Fri, 18 Jan 2008 05:00:00 +0100 1160887 http://www.medworm.com/index.php?rid=1149517&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F6%2F1%2F2 The objective of the current study was to carry out the cross-cultural adaptation of CPQ11-14 for the Brazilian Portuguese language. Methods: After translation and cross-cultural adaptation, the CPQ 11-14 was tested on 160 11-to-14-year-old children who were clinically and radiographically examined for the presence or absence of dental caries. The children were receiving dental care at the Pediatric Dental and Orthodontic clinics of the Federal University of Minas Gerais, Brazil. To test the quality of the translation, 17 children answered the questionnaire. The internal consistency of the instrument was assessed by Cronbachas Alpha Coefficient and the test-retest reliability by Intraclass Correlation Coefficient (ICC). Results: The mean CPQ11-14 score were 24.5 [standard deviation (SD) 18... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1149517 Mon, 14 Jan 2008 05:00:00 +0100 1149517 http://www.medworm.com/index.php?rid=1120509&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F5%2F1%2F71 Background: Over 500,000 spinal surgeries are performed annually in the United States. Although pain relief and improved health-related quality of life (HRQOL) are expectations following lumbar spinal surgery, there is limited research regarding this experience from the individual's perspective. In addition, no studies have examined the HRQOL of persons who have had this surgery using a comprehensive approach. The intent of this study was to address this deficiency by an assessment of both the individual and environmental factors that impact perceived HRQOL using the Wilson and Cleary Model for Health-Related Quality of Life in persons who have undergone lumbar spinal surgery. Methods: This was a pilot study of 57 adult patients undergoing elective lumbar spinal surgery for either herniate... Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1120509 Fri, 28 Dec 2007 05:00:00 +0100 1120509 http://www.medworm.com/index.php?rid=1111385&cid=s_34066_46_f&fid=34066&url=http%3A%2F%2Fwww.hqlo.com%2Fcontent%2F5%2F1%2F70 DiscussionImportant differences in EQ-5D utility and VAS scores were similar for all cancers and lung cancer, with the lower end of the range of estimates closer to the MID, i.e. 0.08 for UK-index scores, 0.06 for US-index scores, and 0.07 for VAS scores. (Source: Health and Quality of Life Outcomes) Health and Quality of Life Outcomes journals http://www.medworm.com/rss/comments.php?id=1111385 Fri, 21 Dec 2007 05:00:00 +0100 1111385