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Konrady J, Talarska D. Factors determining the quality of life of homeless people staying in support centers for people in the crisis of homelessness. Pilot study. BMC Public Health 2024; 24:347. [PMID: 38302897 PMCID: PMC10835943 DOI: 10.1186/s12889-024-17839-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 01/22/2024] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND The aim of the study was to discuss the issues of the homelessness crisis and to present the assessment of the quality of life of people experiencing a homelessness crisis, taking into account various aspects of life and everyday functioning. METHODS This was a pilot cross- sectional study carried out using an anonymous survey. The author's questionnaire, the WHOQOL-Bref scale and the Beck depression scale were used. From among the support centers for people in the homelessness crisis operating in the city of Poznań, the 2 largest centers were selected. The obtained results were based on the statistical analysis of the collected data. RESULTS The study group consisted only of people in the crisis of homelessness staying at the support centers at the time of the study. The analysis included data from 114 people, including 28 (24.6%) women. The youngest participant was 21 and the oldest 76 years old. The average period of homelessness was 86 months. 55.3% of respondents showed symptoms of depression. The main cause of homelessness was their family situation (59.6%), financial problems (36.0%) and the need to leave the apartment (13.2%). Abuse of alcohol before the homelessness crisis was reported by 96 (84.2%) respondents. The WHOQOL- Bref questionnaire was used to assess the quality of life. The psychological domain was rated the highest (62.09 ± 16.94 points, the lowest somatic domain (53.25 ± 18.71 points). The quality of life of homeless people was positively related to their economic situation, depression and health status. It was shown that sex, age and education had no influence (p > 0.05) on the assessment of the quality of life of people experiencing the crisis of homelessness. CONCLUSIONS The economic situation is the main factor affecting the quality of life within the psychological and social domain. Health status is the main factor affecting the quality of life within the somatic and environmental domain. The biggest dream of the respondents was to have a flat and improve their financial situation.
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Affiliation(s)
- Jakub Konrady
- Department of Preventive Medicine, University of Medical Sciences, Poznan, Poland
| | - Dorota Talarska
- Department of Preventive Medicine, University of Medical Sciences, Poznan, Poland.
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Flike K, Aronowitz T. Factors That Influence Quality of Life in People Experiencing Homelessness: A Systematic Mixed Studies Review. J Am Psychiatr Nurses Assoc 2022; 28:128-153. [PMID: 33478314 DOI: 10.1177/1078390320985286] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND An emerging category of morbidity in research among people experiencing homelessness (PEH) is quality of life (QoL). The Commission on Social Determinants of Health (CSDH) framework was used to explain the relationship between the resulting factors and their impact on QoL among PEH. AIMS The purpose of this systematic mixed studies review was to explore the factors that are associated with QoL among homeless individuals. METHOD A systematic mixed studies review was conducted using CINAHL, Medline, PubMed, and SocIndex databases. Quantitative, qualitative, and mixed methods studies were included and synthesized employing results-based convergent synthesis design. RESULTS The initial search resulted in 757 studies with 55 studies meeting the inclusion criteria. Thematic analysis revealed themes influencing QoL among PEH categorized by the CSDH determinants of structural, social cohesion and social capital, and intermediary determinants. Among these themes, higher social status, strong relationships, better reported physical and mental health, and a positive life outlook were associated with increased QoL. Social isolation, substance use, poorer life outlook, increased years spent homeless, and perceived quality of housing were associated with decreased QoL. Age, sex, and housing programs revealed inconsistent results on QoL. CONCLUSIONS While the factors presented in this review indicate some consistent relationships with QoL in PEH, this review has shown QoL among this population is complex and multifactorial. Future research should focus on relationships between the CSDH determinants, particularly the psychosocial factors and the QoL priorities defined by PEH, and how they may influence QoL among PEH.
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Affiliation(s)
- Kimberlee Flike
- Kimberlee Flike, MSN, UMass Boston, College of Nursing & Health Sciences, Boston, MA, USA
| | - Teri Aronowitz
- Teri Aronowitz, PhD, APRN, FNP-BC, FAAN, UMass Boston, College of Nursing & Health Sciences, Boston, MA, USA
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3
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Gadermann AM, Hubley AM, Russell LB, Thomson KC, Norena M, Rossa-Roccor V, Hwang SW, Aubry T, Karim ME, Farrell S, Palepu A. Understanding subjective quality of life in homeless and vulnerably housed individuals: The role of housing, health, substance use, and social support. SSM - MENTAL HEALTH 2021. [DOI: 10.1016/j.ssmmh.2021.100021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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van der Laan J, Boersma SN, Al Shamma S, Akkermans R, van Straaten B, Rodenburg G, van de Mheen D, Wolf JRLM. Differences in housing transitions and changes in health and self-determination between formerly homeless individuals. Eur J Public Health 2021; 30:900-905. [PMID: 32306030 PMCID: PMC7536254 DOI: 10.1093/eurpub/ckaa054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background To reduce homelessness, it is important to gain a better understanding of the differences between homeless people who remain in institutions and those who gain and can sustain independent housing. This longitudinal study explores differences in housing transitions and differences in changes in health and self-determination between formerly homeless people still living in institutions 2.5 years later and those now living in independent housing in the Netherlands. Methods This study mapped the housing transitions of 263 participants from when they entered the social relief system (SRS) to 2.5 years later when they were in independent housing or institutions. These individuals were compared at the 2.5-year mark in terms of gender, age and retrospectively in terms of duration of homelessness. They were also compared with regard to changes in psychological distress, perceived health, substance use and self-determination. Results Two and a half years after entering the SRS, 81% of participants were independently housed and 19% still lived in institutions. People in institutions had a longer lifetime duration of homelessness, were more often men, and their number of days of alcohol use had decreased significantly more, whereas independently housed people had shown a significant increase in their sense of autonomy and relatedness. Conclusion Formerly homeless people living in independent housing and in institutions show few health-related differences 2.5 years after entering the SRS, but changes in autonomy and relatedness are distinctly more prevalent, after the same period of time, in those who are independently housed.
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Affiliation(s)
- Jorien van der Laan
- Impuls-Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.,Amsterdam Research Institute for Societal Innovation, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Sandra N Boersma
- Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Sara Al Shamma
- Impuls-Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Reinier Akkermans
- Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.,Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Barbara van Straaten
- Erasmus Medical Centre, Rotterdam, The Netherlands.,IVO Addiction Research Institute, The Hague, The Netherlands
| | - Gerda Rodenburg
- IVO Addiction Research Institute, The Hague, The Netherlands.,Ecorys, Rotterdam, The Netherlands
| | - Dike van de Mheen
- Erasmus Medical Centre, Rotterdam, The Netherlands.,IVO Addiction Research Institute, The Hague, The Netherlands.,Scientific Center for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands
| | - Judith R L M Wolf
- Impuls-Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study. Health Qual Life Outcomes 2021; 19:74. [PMID: 33663538 PMCID: PMC7971123 DOI: 10.1186/s12955-021-01713-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 02/22/2021] [Indexed: 12/01/2022] Open
Abstract
Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness. Methods This study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes. Results The majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19–0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35–4.95). Conclusion In homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group. Trial registration At Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374.
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Buccieri K, Oudshoorn A, Waegemakers Schiff J, Pauly B, Schiff R, Gaetz S. Quality of Life and Mental Well-Being: A Gendered Analysis of Persons Experiencing Homelessness in Canada. Community Ment Health J 2020; 56:1496-1503. [PMID: 32124155 DOI: 10.1007/s10597-020-00596-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Accepted: 02/26/2020] [Indexed: 11/28/2022]
Abstract
Homelessness has negative implications for mental well-being and quality of life. This paper identifies the quality of life variables that contribute to positive or negative wellbeing, reporting on a regression analysis from 343 individuals experiencing homelessness in Canada. Results indicate that a lack of sleep duration and quality reduced mental well-being for both genders, not having access to food and/or hygiene facilities decreased men's well-being, and engaging in illegal subsistence strategies, such as selling drugs, negatively impacted women's mental well-being. For persons experiencing homelessness, mental well-being and quality-of-life are gendered outcomes of their limited access to social determinants of health.
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Affiliation(s)
- Kristy Buccieri
- Department of Sociology, Trent University, 1600 West Bank Dr, Peterborough, ON, K9L 0G2, Canada.
| | - Abram Oudshoorn
- Arthur Labatt Family School of Nursing, Western University, Room 3344 FNB, London, ON, N6A 5B9, Canada
| | - Jeannette Waegemakers Schiff
- Faculty of Social Work, University of Calgary, Professional Faculties 4242, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Bernadette Pauly
- Canadian Institute for Substance Use Research, University of Victoria, Technology Enterprise Facility Room 273, Victoria, BC, V8P 5C2, Canada
| | - Rebecca Schiff
- Health Sciences, Lakehead University, SN 1006B, 955 Oliver Rd, Thunder Bay, ON, P7B 5E1, Canada
| | - Stephen Gaetz
- Faculty of Education, York University, 631 York Research Tower, Keele Campus, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada
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Manthorpe J, Samsi K, Joly L, Crane M, Gage H, Bowling A, Nilforooshan R. Service provision for older homeless people with memory problems: a mixed-methods study. HEALTH SERVICES AND DELIVERY RESEARCH 2019. [DOI: 10.3310/hsdr07090] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background
Early or timely recognition of dementia is a key policy goal of the National Dementia Strategy. However, older people who are homeless are not considered in this policy and practice imperative, despite their high risk of developing dementia.
Objectives and study design
This 24-month study was designed to (1) determine the prevalence of memory problems among hostel-dwelling homeless older people and the extent to which staff are aware of these problems; (2) identify help and support received, current care and support pathways; (3) explore quality of life among older homeless people with memory problems; (4) investigate service costs for older homeless people with memory problems, compared with services costs for those without; and (5) identify unmet needs or gaps in services.
Participants
Following two literature reviews to help study development, we recruited eight hostels – four in London and four in North England. From these, we first interviewed 62 older homeless people, exploring current health, lifestyle and memory. Memory assessment was also conducted with these participants. Of these participants, 47 were included in the case study groups – 23 had ‘memory problems’, 17 had ‘no memory problems’ and 7 were ‘borderline’. We interviewed 43 hostel staff who were participants’ key workers. We went back 3 and 6 months later to ask further about residents’ support, service costs and any unmet needs.
Findings
Overall, the general system of memory assessment for this group was found to be difficult to access and not patient-centred. Older people living in hostels are likely to have several long-term conditions including mental health needs, which remain largely unacknowledged. Participants frequently reported experiences of declining abilities and hostel staff were often undertaking substantial care for residents.
Limitations
The hostels that were accessed were mainly in urban areas, and the needs of homeless people in rural areas were not specifically captured. For many residents, we were unable to access NHS data. Many hostel staff referred to this study as ‘dementia’ focused when introducing it to residents, which may have deterred recruitment.
Conclusions
To the best of our knowledge, no other study and no policy acknowledges hostels as ‘dementia communities’ or questions the appropriateness of hostel accommodation for people with dementia. Given the declining number of hostels in England, the limits of NHS engagement with this sector and growing homelessness, this group of people with dementia are under-recognised and excluded from other initiatives.
Future work
A longitudinal study could follow hostel dwellers and outcomes. Ways of improving clinical assessment, record-keeping and treatment could be investigated. A dementia diagnosis could trigger sustained care co-ordination for this vulnerable group.
Funding
The National Institute for Health Research Health Services and Delivery Research programme.
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Affiliation(s)
- Jill Manthorpe
- National Institute for Health Research Health and Social Care Workforce Research Unit, King’s College London, London, UK
| | - Kritika Samsi
- National Institute for Health Research Health and Social Care Workforce Research Unit, King’s College London, London, UK
| | - Louise Joly
- National Institute for Health Research Health and Social Care Workforce Research Unit, King’s College London, London, UK
| | - Maureen Crane
- National Institute for Health Research Health and Social Care Workforce Research Unit, King’s College London, London, UK
| | - Heather Gage
- Surrey Health Economics Centre, School of Economics, University of Surrey, Guildford, UK
| | - Ann Bowling
- Health Sciences, University of Southampton, Southampton, UK
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van der Laan J, Boersma SN, van Straaten B, Rodenburg G, van de Mheen D, Wolf JRLM. Personal goals and factors related to QoL in Dutch homeless people: what is the role of goal-related self-efficacy? HEALTH & SOCIAL CARE IN THE COMMUNITY 2017; 25:1265-1275. [PMID: 28122408 DOI: 10.1111/hsc.12429] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/19/2016] [Indexed: 06/06/2023]
Abstract
Very little is known about the personal goals of homeless people and how these relate to their quality of life (QoL). By using survey data on 407 homeless adults upon entry to the social relief system in 2011, we examined the personal goals of homeless adults and the association between their perceived goal-related self-efficacy and their QoL. A hierarchical regression analysis was used to analyse the association between QoL and goal-related self-efficacy, relative to factors contributing to QoL, such as demographic characteristics, socioeconomic resources, health and service use. Results indicate that the majority of homeless adults had at least one personal goal for the coming 6 months and that most goals concerned housing and daily life (94.3%) and finances (83.6%). The QoL of homeless adults appeared to be lower in comparison with general population samples. General goal-related self-efficacy was positively related to QoL (β = 0.09, P = 0.042), independent of socioeconomic resources (i.e. income and housing), health and service use. The strongest predictors of QoL were psychological distress (β = -0.45, P < 0.001), income (β = 0.14, P = 0.002) and being institutionalised (β = 0.12, P = 0.004). In conclusion, the majority of homeless adults entering the social relief system have personal goals regarding socioeconomic resources and their goal-related self-efficacy is positively related to QoL. It is therefore important to take the personal goals of homeless people as the starting point of integrated service programmes and to promote their goal-related self-efficacy by strength-based interventions.
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Affiliation(s)
- Jorien van der Laan
- Impuls - Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
- Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Sandra N Boersma
- Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Barbara van Straaten
- IVO, Addiction Research Institute, Rotterdam, The Netherlands
- Erasmus Medical Centre, Rotterdam, the Netherlands
| | - Gerda Rodenburg
- IVO, Addiction Research Institute, Rotterdam, The Netherlands
- Erasmus Medical Centre, Rotterdam, the Netherlands
| | - Dike van de Mheen
- IVO, Addiction Research Institute, Rotterdam, The Netherlands
- Erasmus Medical Centre, Rotterdam, the Netherlands
- Department of Health Promotion, Maastricht University, the Netherlands
| | - Judith R L M Wolf
- Impuls - Netherlands Center for Social Care Research, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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Biscotto PR, Jesus MCPD, Silva MHD, Oliveira DMD, Merighi MAB. Understanding of the life experience of homeless women. Rev Esc Enferm USP 2016; 50:749-755. [DOI: 10.1590/s0080-623420160000600006] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 08/31/2016] [Indexed: 11/22/2022] Open
Abstract
Abstract OBJECTIVE To understand the life experience of homeless women. METHOD A social phenomenological study was conducted with 10 women assisted by a shelter. The analysis of the interviews was based on the theoretical framework of social phenomenology of Alfred Schütz and thematic literature. RESULTS The participants face adversities in the street context, with emphasis on the risk of physical and sexual abuse, and seek shelters as a possibility for minimizing difficulties experienced. They hope to leave the streets; however, they see themselves trapped in this social reality, due to the addiction to alcohol and other drugs. CONCLUSION The understanding of the life experience of homeless women shows daily confrontations and reveals the conflict between the desire for leaving and remaining on the streets, given the complexity of the reality that keeps them in this condition.
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Barata RB, Carneiro Junior N, Ribeiro MCSDA, Silveira C. Desigualdade social em saúde na população em situação de rua na cidade de São Paulo. SAUDE E SOCIEDADE 2015. [DOI: 10.1590/s0104-12902015s01019] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Descrever as características sociodemográficas, o estado de saúde e o acesso a serviços na população em situação de rua em uma amostra em três albergues do centro da cidade de São Paulo. Amostra de 251 indivíduos: 171 do sexo masculino, 78 do sexo feminino e duas pessoas que se autodenominaram transexuais. Foi aplicado um questionário estruturado contendo dados sociodemográficos, trajetória e tempo de vida na rua, atividade física, discriminação, rede e suporte social, estado de saúde, consumo de álcool ou drogas, violência e acesso a serviços de saúde. Verificou-se o predomínio de adultos do sexo masculino, não brancos, com baixo nível de escolaridade, e com renda mensal menor que 1/2 (meio) salário mínimo. Um terço dos entrevistados já se encontrava nessa situação há mais de cinco anos. 45% dos entrevistados consideraram sua saúde boa ou muito boa. A maioria prefere utilizar as unidades básicas de saúde quando tem necessidade. As precárias condições financeiras e ausência de família somam-se às situações de violência física sofrida. Discriminação, péssimas condições de higiene e incapacidade física ou mental são comuns em suas vidas. O desafio que se coloca para a formulação da política de saúde é incorporar as representações e as práticas de cuidados desses sujeitos, como também dos serviços, como ponto de partida para a organização da assistência.
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Boyer L, Baumstarck K, Iordanova T, Fernandez J, Jean P, Auquier P. A poverty-related quality of life questionnaire can help to detect health inequalities in emergency departments. J Clin Epidemiol 2014; 67:285-95. [PMID: 24411312 DOI: 10.1016/j.jclinepi.2013.07.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 07/19/2013] [Accepted: 07/22/2013] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study aimed to develop a self-administered, multidimensional, poverty-related quality of life (PQoL) questionnaire for individuals seeking care in emergency departments (EDs): the PQoL-17. STUDY DESIGN AND SETTING The development of the PQoL was undertaken in three steps: item generation, item reduction, and validation. The content of the PQoL was derived from 80 interviews with patients seeking care in EDs. Using item response and classical test theories, item reduction was performed in 3 EDs on 300 patients and validation was completed in 10 EDs on 619 patients. RESULTS The PQoL contains 17 items describing seven dimensions (self-esteem/vitality, psychological well-being, relationships with family, relationships with friends, autonomy, physical well-being/access to care, and future perception). The seven-factor structure accounted for 75.1% of the total variance. This model showed a good fit (indices from the LISREL model: root mean square error of approximation, 0.055; comparative fit index, 0.97; general fit index, 0.96; standardized root mean square residual, 0.058). Each item achieved the 0.40 standard for item internal consistency, and Cronbach α coefficients were >0.70. Significant associations with socioeconomic and clinical indicators showed good discriminant and external validity. Infit statistics ranged from 0.82 to 1.16. CONCLUSION The PQoL-17 presents satisfactory psychometric properties and can be completed quickly, thereby fulfilling the goal of brevity sought in EDs.
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Affiliation(s)
- Laurent Boyer
- Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life-Research Unit, 27 Boulevard Jean Moulin,13005 Marseille, France.
| | - Karine Baumstarck
- Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life-Research Unit, 27 Boulevard Jean Moulin,13005 Marseille, France
| | - Teodora Iordanova
- Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life-Research Unit, 27 Boulevard Jean Moulin,13005 Marseille, France
| | - Jessica Fernandez
- Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life-Research Unit, 27 Boulevard Jean Moulin,13005 Marseille, France
| | - Philippe Jean
- Emergency Department, La Conception Hospital, 147 boulevard Baille, 13005 Marseille, France
| | - Pascal Auquier
- Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life-Research Unit, 27 Boulevard Jean Moulin,13005 Marseille, France
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Auquier P, Tinland A, Fortanier C, Loundou A, Baumstarck K, Lancon C, Boyer L. Toward meeting the needs of homeless people with schizophrenia: the validity of quality of life measurement. PLoS One 2013; 8:e79677. [PMID: 24205390 PMCID: PMC3808288 DOI: 10.1371/journal.pone.0079677] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 09/06/2013] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To provide new evidence regarding the suitability of using quality of life (QoL) measurements in homeless people with schizophrenia, we assess the acceptability and psychometric properties of a specific QoL instrument (S-QoL 18) in a population of homeless people with schizophrenia, and we compare their QoL levels with those observed in non-homeless people with schizophrenia. METHODS This multi-centre prospective study was conducted in the following 4 French cities: Lille, Marseille, Paris and Toulouse. Two hundred and thirty-six homeless patients with schizophrenia were recruited over a 12 month-period. The S-QoL 18 was tested for construct validity, reliability, external validity and sensitivity to change. The QoL of the 236 homeless patients was compared with 236 French age- and sex-matched non-homeless patients with schizophrenia. RESULTS The eight-factor structure of the S-QoL 18 was confirmed by confirmatory factor analysis (RMSEA = 0.035, CFI = 0.95, GFI = 0.99 and SRMR = 0.015). Internal consistency, reliability and sensitivity to change were satisfactory. External validity was confirmed via correlations between S-QoL 18 dimension scores and SF-36, symptomatology and recovery scores. The percentage of missing data did not exceed 5%. Finally, homeless patients had significantly lower QoL levels than non-homeless patients with schizophrenia. CONCLUSIONS These results demonstrate the satisfactory acceptability and psychometric properties of the S-QoL 18, suggesting the validity of QoL measurement among homeless patients with schizophrenia. Our study also reported that QoL levels in homeless patients with schizophrenia were dramatically low, highlighting the need for new policies to eradicate homelessness and tackle poverty.
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Affiliation(s)
- Pascal Auquier
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
- Department of Public Health, University Hospital, Marseille, France
| | - Aurelie Tinland
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
- Department of Psychiatry, Sainte-Marguerite University Hospital, Marseille, France
| | - Cecile Fortanier
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
| | - Anderson Loundou
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
| | | | - Christophe Lancon
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
- Department of Psychiatry, Sainte-Marguerite University Hospital, Marseille, France
| | - Laurent Boyer
- Aix-Marseille University, EA 3279 Research Unit, Marseille, France
- * E-mail:
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Sabbah I, Sabbah H, Khamis R, Sabbah S, Droubi N. Health related quality of life of university students in Lebanon: Lifestyles behaviors and socio-demographic predictors. Health (London) 2013. [DOI: 10.4236/health.2013.57a4001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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