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Roberts C, Blackwell EJ, Roe E, Murrell JC, Mullan S. Awareness and Use of Canine Quality of Life Assessment Tools in UK Veterinary Practice. Animals (Basel) 2023; 13:ani13061105. [PMID: 36978644 PMCID: PMC10044674 DOI: 10.3390/ani13061105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 02/21/2023] [Accepted: 03/06/2023] [Indexed: 03/30/2023] Open
Abstract
The use of formal canine quality of life (QOL) assessment tools in veterinary practice has been recommended. An online survey investigated awareness, use and barriers to use of these tools in the UK. An anonymous 24-question survey was advertised through veterinary groups and social media. Ninety veterinary surgeons and twenty veterinary nurses responded. Thirty-two respondents (29.1%) were aware of the existence of formal canine QOL assessment tools. Of the three tools listed, current use was less than four per cent. No statistically significant influence of respondent age, role (veterinary surgeon or nurse) or possession of additional qualifications was found on the awareness of QOL tools (p > 0.05). Over half of respondents (55.5%) would 'certainly' or 'probably' be willing to use a QOL assessment tool. The main barrier to use was lack of time. Other barriers included a perceived resistance from owners. Although current use and awareness of canine QOL assessment tools in UK veterinary practice is low, veterinary professionals appear willing to use the tools within their daily practice. This discrepancy implies that QOL assessment tools are not well disseminated to veterinary surgeons and nurses in practice and that various barriers inhibit their use.
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Affiliation(s)
- Claire Roberts
- Bristol Veterinary School, University of Bristol, Langford BS40 5DU, UK
| | - Emily J Blackwell
- Bristol Veterinary School, University of Bristol, Langford BS40 5DU, UK
| | - Emma Roe
- School of Geography and Environmental Sciences, University of Southampton, Highfield Campus, Univesity Road, Southampton SO17 IBJ, UK
| | - Joanna C Murrell
- Highcroft Veterinary Group, 615 Wells Road, Bristol BS14 9BE, UK
| | - Siobhan Mullan
- Bristol Veterinary School, University of Bristol, Langford BS40 5DU, UK
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Association between Experiences in Life and Quality of Life among Lebanese University Students in a Collapsing Country: The Moderating Role of Religious Coping and Positivity. Healthcare (Basel) 2023; 11:healthcare11010149. [PMID: 36611609 PMCID: PMC9819168 DOI: 10.3390/healthcare11010149] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/21/2022] [Accepted: 12/22/2022] [Indexed: 01/05/2023] Open
Abstract
(1) Background: No goal can be more important than optimal individual quality of life (QOL); life experiences, religious coping, and positivity play pivotal roles in achieving this goal. The aim is to assess the correlation between positive/negative experiences in life and QOL, taking into consideration the moderating role of positivity and positive/negative religious coping among a sample of Lebanese university students. (2) Methods: This cross-sectional study was carried out between November and December 2021, and enrolled 333 university students, aged between 18 and 30 years, from various areas in Lebanon’s governorates. The 12-item Short Form Health Survey, the brief religious coping methods scale, and the Scale of Positive and Negative Experience were included in the questionnaire. Forward linear regressions were conducted to check for correlates associated with physical and mental QOL scores. All variables that showed a correlation or effect size > |0.24| were entered in the multivariable and moderation models as independent ones. Significance was set at a p < 0.05. (3) Results: A linear regression, taking the physical QOL score as the dependent variable, showed that living in rural areas compared to urban and more positivity were significantly associated with a better physical QOL, whereas more negative religious coping was significantly associated with a lower physical QOL. More positivity and more positive religious coping were significantly associated with a better mental QOL. The moderation analysis showed that in people with high positive experiences, those with higher negative religious coping had lower mental QOL. (4) Conclusions: In a society as deeply religious as Lebanon, it is crucial to organize awareness programs to help in discriminating between religious coping mechanisms. Across order to stop further detrimental effects on QOL, our findings may serve as a solid foundation for future studies of QOL with additional variables, in other groups and nations.
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Mitsogiannis IC, Mitsogianni M, Bakalis V, Tzortzi de Paz A, Vlachostergios PJ, Tzortzis V. Health-Related Quality of Life Assessment in Daily Urologic Practice: A Survey of Greek Urologists. Res Rep Urol 2022; 14:71-78. [PMID: 35321536 PMCID: PMC8937306 DOI: 10.2147/rru.s354925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2021] [Accepted: 03/08/2022] [Indexed: 12/01/2022] Open
Abstract
Purpose Health-related quality of life (HRQoL) assessment has become an integral part of clinical research across different disciplines. However, the degree of incorporation of QoL standardized questionnaires in daily routine is variable. This survey study examined how HRQoL is perceived and utilized among urologists from the Hellenic Urological Association (HUA) in their daily practice. Methods A nationwide survey of Greek urologists registered with the HUA was conducted. Participants were asked to complete a questionnaire sent via email. The survey questionnaire consisted of demographic data including sex, age, working position and working environment and 11 Likert-scale questions regarding perception and use of HRQoL in clinical practice. Results A total of 1000 Greek urologists were contacted, of whom 400 (40%) responded. Participants were predominantly male (94.8%) with a mean age of 43.7 years and a mean working experience of 12.5 years. Most participants considered HRQoL assessment to be important in their clinical practice (95.3%) and valuable in both patient consultation (95.8%) and treatment follow-up (91.8%). Half of urologists (51%) agreed with the statement that there is limited time for HRQoL assessment in daily practice. Validated questionnaires were rated as useful by 75.5% of participants. Overall, only 26.7% of participants stated they have incorporated HRQoL questionnaires in their daily practice. A subgroup analysis of participants showed that experienced physicians (>10 years) were less likely to utilize HRQoL (OR 0.38, p=0.008, 95% CI 0.19–0.77) and experienced difficulty in distinguishing between HRQoL assessment and symptom-rating (OR 0.32, p<0.001, 95% CI 0.17–0.61). Lack of time for HRQoL assessment was a main concern for urologists in-training (OR 0.7, p<0.001, 95% CI 0.57–0.85). Conclusion HRQoL assessment is well-perceived by Greek urologists, although it has yet to achieve a substantial degree of integration in their daily practice.
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Affiliation(s)
- Iraklis C Mitsogiannis
- Second Department of Urology, National and Kapodistrian University of Athens, Sismanoglio General Hospital, Athens, Greece
| | - Maria Mitsogianni
- Second Department of Urology, National and Kapodistrian University of Athens, Sismanoglio General Hospital, Athens, Greece
| | - Vissarion Bakalis
- Department of Nursing, University of Thessaly, University Hospital of Larissa, Larissa, Greece
| | - Anna Tzortzi de Paz
- Department of Urology, University of Thessaly, Faculty of Medicine, University Hospital of Larissa, Larissa, Greece
| | - Panagiotis J Vlachostergios
- Division of Hematology and Medical Oncology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA
- Correspondence: Panagiotis J Vlachostergios, Division of Hematology and Medical Oncology, Department of Medicine, Weill Cornell Medicine, New York, NY, 10065, USA, Tel +1 646-962-2072, Email
| | - Vassilios Tzortzis
- Department of Urology, University of Thessaly, Faculty of Medicine, University Hospital of Larissa, Larissa, Greece
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Darcy L, Granlund M, Enskär K, Björk M. The development of the clinical assessment tool "Health and Everyday Functioning in Young Children with Cancer". Child Care Health Dev 2020; 46:445-456. [PMID: 31944353 DOI: 10.1111/cch.12744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 01/11/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Young children's experiences of everyday life with cancer are vital in guiding care. The universal and interdisciplinary language of the International Classification of Functioning (ICF) and the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) has wide reaching effects for the care of young children in need. The aim of this study was to select and validate the content of a clinical assessment tool (CAT) for health and everyday functioning in young children with cancer. METHODS A comprehensive set of ICF-CY codes (n = 70) mapping everyday function and health was previously identified from the transcripts of 12 interviews with young children with cancer and their parents at a paediatric oncology centre in the west of Sweden. Three transcripts were from data collected shortly after diagnosis, three transcripts from 6 months after diagnosis, three transcripts from 12 months after diagnosis, and three transcripts from 18 months after diagnosis. The present study involved the development of items based on the ICF-CY codes. RESULTS The CAT consists of 52 items grouped in four dimensions: "the child herself/himself," "the child's everyday life," "the child's need for support," and "the child's contacts with health care." CONCLUSION The questions correlate well with known research results and highlight areas that are important for health and everyday life for young children with cancer. This tool, based on children's experiences, can be used by both parents and health care personnel such as nurses to highlight aspects of health and function in everyday life for the young child with cancer that otherwise might be missed. This novel approach using the ICF-CY could be used to guide the delivery of care towards living an everyday life with a long-term illness.
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Affiliation(s)
- Laura Darcy
- Department of Caring Science, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Mats Granlund
- CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Karin Enskär
- CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Maria Björk
- CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden
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Caillault P, Bourdon M, Hardouin JB, Moret L. How do doctors perceive and use patient quality of life? Findings from focus group interviews with hospital doctors and general practitioners. Qual Life Res 2020; 29:1895-1901. [PMID: 32185591 DOI: 10.1007/s11136-020-02451-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE While studies on patients' quality of life (QoL) are numerous, to date few have addressed the issue of what QoL means for doctors and how they use patient-reported QoL. This study aimed to explore how doctors define the concept of "patient QoL" and how they use QoL assessments in clinical practice. METHODS Focus group (FG) interviews were conducted with French hospital doctors and general practitioners. Transcripts of the FGs were explored using inductive thematic and lexical analyses. RESULTS Twenty-one clinicians participated in four FGs. They all agreed that QoL was a subjective and unstable concept, different from that of health status. In practice, the assessment of patient QoL was conducted using an intuitive and non-structured approach. Most participants thought that it would give them more confidence in making decisions and provide better patient care. But it was also seen in some cases as putting them in an uncomfortable position. The assessment of QoL requires a favourable work and organizational setting. CONCLUSIONS Patient QoL provides useful data for clinicians. Yet assessments are made without standardized tools. The use of such tools could be very valuable for some practitioners or in some situations, and a real source of problems for others. These problems could, however, be easily overcome with experience-sharing and training clinicians.
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Affiliation(s)
- Pierre Caillault
- Public Health Department, University Hospital, Saint-Jacques Hospital, 85 rue Saint-Jacques, 44093, Nantes Cedex, France.
| | - Marianne Bourdon
- UMR 1246 INSERM SPHERE "MethodS in Patients-centered outcomes and HEalth ResEarch", Universities of Nantes and Tours, Bd Benoni-Goullin, 44200, Nantes, France.,Integrated Center for Oncology, Boulevard Jacques Monod, 44805, Nantes, Saint-Herblain, France
| | - Jean-Benoit Hardouin
- UMR 1246 INSERM SPHERE "MethodS in Patients-centered outcomes and HEalth ResEarch", Universities of Nantes and Tours, Bd Benoni-Goullin, 44200, Nantes, France
| | - Leïla Moret
- Public Health Department, University Hospital, Saint-Jacques Hospital, 85 rue Saint-Jacques, 44093, Nantes Cedex, France.,UMR 1246 INSERM SPHERE "MethodS in Patients-centered outcomes and HEalth ResEarch", Universities of Nantes and Tours, Bd Benoni-Goullin, 44200, Nantes, France
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Krzepota J, Sadowska D, Biernat E. Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122745. [PMID: 30563083 PMCID: PMC6313753 DOI: 10.3390/ijerph15122745] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Revised: 12/01/2018] [Accepted: 12/03/2018] [Indexed: 11/16/2022]
Abstract
BACKGROUND The problem of an inadequate level of physical activity (PA) is important in the context of its relationship with the quality of life (QoL) of pregnant women. The aim of this study was to analyze the relationships between PA and QoL among pregnant women. METHODS The study analyzed 346 questionnaires filled in by pregnant women (157 in the second trimester and 189 in the third). The tool used for assessment of PA was the Pregnancy Physical Activity Questionnaire-Polish version (PPAQ-PL). The quality of life (QoL) was assessed by the World Health Organization Quality of Life Questionnaire-short form (WHOQoL-Bref). The results obtained from the PPAQ-PL and WHOQoL-Bref questionnaires for women in the second and third trimesters of pregnancy and intergroup differences were analyzed. RESULTS There was a significant correlation in the group of women in the second trimester of pregnancy between quality of life in the physical health domain and the intensity and type of physical activity. The women who rated their quality of life higher in this domain declared higher energy expenditures (EE) associated with vigorous activity (R = 0.159, p ≤ 0.05), as well as with occupational activity (R = 0.166; p ≤ 0.05) and sport/exercise activity (R = 0.187; p ≤ 0.05). In women in the third trimester, higher EE related to sport/exercise activity coincided with higher assessments of the overall quality of life (R = 0.149, p ≤ 0.05) and general health (R = 0.170, p ≤ 0.05). In the case of the psychological domain (R = 0.161, p ≤ 0.05) and social relationship domain (R = 0.188; p ≤ 0.05) of QoL, positive correlations occurred with EE related to vigorous activity. In contrast, high assessment of physical health domain coincided with higher EE related to occupational activity (R = 0.174; p ≤ 0.05). CONCLUSIONS Our study makes an important contribution to knowledge concerning the correlations between PA and QoL in pregnancy. The results suggest the need for improvement in prenatal care and promotion of PA programs for pregnant women.
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Affiliation(s)
- Justyna Krzepota
- Department of Physical Culture and Health Promotion, University of Szczecin, al. Piastów 40b, blok 6, 71-065 Szczecin, Poland.
| | - Dorota Sadowska
- Department of Physiology, Institute of Sport-National Research Institute, ul. Trylogii 2/16, 01-982 Warsaw, Poland.
| | - Elżbieta Biernat
- Department of Tourism, Collegium of World Economy, Warsaw School of Economics, al. Niepodległości 162, 02-554 Warsaw, Poland.
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Schmick A, Juergensen M, Rohde V, Katalinic A, Waldmann A. Assessing health-related quality of life in urology - a survey of 4500 German urologists. BMC Urol 2017. [PMID: 28629351 PMCID: PMC5477301 DOI: 10.1186/s12894-017-0235-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Urological diseases and their treatment may negatively influence continence, potency, and health-related quality of life (HRQOL). Although current guidelines recommend HRQOL assessment in clinical urology, specific guidance on how to assess HRQOL is frequently absent. We evaluated whether and how urologists assess HRQOL and how they determine its practicality. METHODS A random sample of 4500 (from 5200 identified German urologists) was drawn and invited to participate in a postal survey (an initial letter followed by one reminder after six weeks). The questionnaire included questions on whether and how HRQOL is assessed, general attitudes towards the concept of HRQOL, and socio-demographics. Due to the exploratory character of the study we produced mainly descriptive statistics. Chi2-tests and logistic regression were used for subgroup-analysis. RESULTS 1557 urologists (85% male, with a mean age of 49 yrs.) participated. Most of them (87%) considered HRQOL assessment as 'important' in daily work, while only 7% reported not assessing HRQOL. Patients with prostate carcinoma, incontinence, pain, and benign prostate hyperplasia were the main target groups for HRQOL assessment. The primary aim of HRQOL assessment was to support treatment decisions, monitor patients, and produce a 'baseline measurement'. Two-thirds of urologists used questionnaires and interviews to evaluate HRQOL and one-quarter assessed HRQOL by asking: 'How are you?'. The main barriers to HRQOL assessment were anticipated questionnaire costs (77%), extensive questionnaire length (52%), and complex analysis (51%). CONCLUSIONS The majority of German urologists assess HRQOL as part of their clinical routine. However, knowledge of HRQOL assessment, analysis, and interpretation seems to be limited in this group. Therefore, urologists may benefit from a targeted education program. TRIAL REGISTRATION The clinical trial was registered with the code VfD_13_003629 at the German Healthcare Research Registry ( www.versorgungsforschung-deutschland.de ).
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Affiliation(s)
- A Schmick
- Institute for Social Medicine and Epidemiology, University Luebeck, Ratzeburger Allee 160 (Hs 50), 23562, Luebeck, Germany. .,Department of Emergency Medicine, Klinik Hirslanden, Witellikerstrasse 40, 8032, Zurich, Switzerland.
| | - M Juergensen
- Institute for Social Medicine and Epidemiology, University Luebeck, Ratzeburger Allee 160 (Hs 50), 23562, Luebeck, Germany.,Institute for History of Medicine and Science Studies, University Luebeck, Koenigstr. 42, 23552, Luebeck, Germany
| | - V Rohde
- Medical Practice of Urology, Auguststr. 4, 23611, Bad Schwartau, Germany
| | - A Katalinic
- Institute for Social Medicine and Epidemiology, University Luebeck, Ratzeburger Allee 160 (Hs 50), 23562, Luebeck, Germany.,Institute for Cancer Epidemiology, University Luebeck, Ratzeburger Allee 160 (Hs 50), 23562, Luebeck, Germany
| | - A Waldmann
- Institute for Social Medicine and Epidemiology, University Luebeck, Ratzeburger Allee 160 (Hs 50), 23562, Luebeck, Germany
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The Short Demoralization Scale (SDS): A new tool to appraise demoralization in palliative care patients. Palliat Support Care 2017; 15:516-523. [DOI: 10.1017/s1478951516000973] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
ABSTRACTObjective:The Demoralization Scale (DS) is the most widely used measure for assessing demoralization. Following the recent clamor for brief assessment tools, and taking into account that demoralization has proved to be a symptom that needs to be controlled and treated in the palliative care setting, a shorter scale is needed. The aim of the present research is to introduce and evaluate the Short Demoralization Scale (SDS).Method:We employed a cross-sectional design that included a survey of 226 Spanish palliative care patients from the Hospital General Universitario de Valencia. We employed the SDS, the DS, and the Hospital Anxiety and Depression Scale (HADS).Results:The confirmatory factor analysis supported the one-factor structure of the SDS (χ2(5) = 12.915; p = 0.024; CFI = 0.999; RMSEA = 0.084; CI95% = [0.028, 0.141]). The reliability was found to be appropriate, with a value of Cronbach's alpha (α) equal to 0.920. A cutoff criterion of 10 was established, which favored the interpretability of the instrument.Significance of results:The SDS corrects previous limitations, has a simple scoring system, is cost-effective, and is widely and fully available. In addition, our findings demonstrate that the SDS can be employed effectively in the clinical context.
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Llewellyn AM, Skevington SM. Evaluating a new methodology for providing individualized feedback in healthcare on quality of life and its importance, using the WHOQOL-BREF in a community population. Qual Life Res 2015; 25:605-14. [PMID: 26370098 DOI: 10.1007/s11136-015-1132-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/02/2015] [Indexed: 11/29/2022]
Abstract
PURPOSE We conducted an evaluation to find out how a novel quality of life (QoL) intervention containing guided individualized feedback was appraised. The importance of QoL was matched with QoL assessment for each subjective dimension, using graphical feedback. We examined whether this information was acceptable, feasible and valued beyond the clinical context, among the community. METHODS Using a mixed-methods cross-sectional design, the intervention was piloted with 129 participants from communities and registered in primary care. WHOQOL-BREF and WHOQOL Importance scores were graphically matched by dimension. Results were inspected and interpreted with directed guidance to identify good and poor QoL. We report the post-intervention evaluation of feedback, including qualitative themes. Follow-up interviews among those expecting feedback to be helpful explored potential self-management and healthcare uses. RESULTS After feedback, 65 % reported changes in thoughts and perceptions of QoL, often describing insights as self-affirming. Goals or expectations changed for 34 %, and motivation to change was reported. Over 50 % evaluated the feedback as helpful in the short term or for the future. Follow-up interviews endorsed the value of the feedback and its usefulness in sharing with a healthcare professional (92 %), suggesting it would facilitate professionals' understandings of patients and enable health advice to be targeted. CONCLUSIONS The benefits of using this novel feedback can be extended to the general population, as directed guidance aids interpretation, thereby saving health service costs. This complex pilot intervention needs testing in a blinded fully randomized controlled trial. Beyond independent self-management, graphs could be used during clinical decision-making.
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Affiliation(s)
- Alison M Llewellyn
- Faculty of Health and Applied Sciences, Centre for Health and Clinical Research, University of the West of England, Glenside Campus, Blackberry Hill, Bristol, BS16 1DD, UK.
| | - Suzanne M Skevington
- Faculty of Medicine and Human Sciences, Manchester Centre for Health Psychology, School of Psychological Sciences, University of Manchester, Manchester, M13 9PL, UK.
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Antunes B, Harding R, Higginson IJ. Implementing patient-reported outcome measures in palliative care clinical practice: a systematic review of facilitators and barriers. Palliat Med 2014; 28:158-75. [PMID: 23801463 DOI: 10.1177/0269216313491619] [Citation(s) in RCA: 241] [Impact Index Per Article: 24.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Many patient-reported outcome measures have been developed in the past two decades, playing an increasingly important role in palliative care. However, their routine use in practice has been slow and difficult to implement. AIM To systematically identify facilitators and barriers to the implementation of patient-reported outcome measures in different palliative care settings for routine practice, and to generate evidence-based recommendations, to inform the implementation process in clinical practice. DESIGN Systematic literature review and narrative synthesis. DATA SOURCES Medline, PsycInfo, Cumulative Index to Nursing and Allied Health Literature, Embase and British Nursing Index were systematically searched from 1985. Hand searching of reference lists for all included articles and relevant review articles was performed. RESULTS A total of 3863 articles were screened. Of these, 31 articles met the inclusion criteria. First, data were integrated in the main themes: facilitators, barriers and lessons learned. Second, each main theme was grouped into either five or six categories. Finally, recommendations for implementation on outcome measures at management, health-care professional and patient levels were generated for three different points in time: preparation, implementation and assessment/improvement. CONCLUSIONS Successful implementation of patient-reported outcome measures should be tailored by identifying and addressing potential barriers according to setting. Having a coordinator throughout the implementation process seems to be key. Ongoing cognitive and emotional processes of each individual should be taken into consideration during changes. The educational component prior to the implementation is crucial. This could promote ownership and correct use of the measure by clinicians, potentially improving practice and the quality of care provided through patient-reported outcome measure data use in clinical decision-making.
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Affiliation(s)
- Bárbara Antunes
- Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, London, UK
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Amini A, Munesan MR, Kariman H, Arhami Dolatabadi A, Hatamabadi HR, Shahrami A, Shojaee M. Quality of Life in Emergency Medicine Specialists of Teaching Hospitals. EMERGENCY (TEHRAN, IRAN) 2014; 2:134-7. [PMID: 26495365 PMCID: PMC4614579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Quality of life (QOL) of emergency medicine specialists can be effective in providing services to patients. The aim of the present study was evaluating the lifestyle of emergency medicine practitioners, understanding their problems, and addressing the solutions to enhance and improve their lifestyles, in teaching hospitals in Iran. METHOD This descriptive cross-sectional study was conducted on emergency medicine physicians in 10 teaching hospitals of Iran in 2011. Emergency physicians with at least three years of experience, who interested in the study, were enrolled in the project. All participants filled out the consent form and QOL questionnaires, and then underwent physical examinations and some medical laboratory tests. Categorical variables were reported as percentages, while continuous variables expressed as means and standard deviations. p <0.05 was considered statistically significant. RESULTS Totally, 100 subjects participated in the study, of whom 48 were male. The mean and standard deviation of the physicians' age were 38.7±5.1 years. 43% of physicians had an average QOL, while 37% good. 96% of studied physicians had a good condition regarding habitual history, while 93% of them had a poor condition in performing screening tests. Exercise program and personal health in individuals with normal BMI were correlated with higher levels of QOL. BMI was higher in 40-50 years old subjects than youth. Hypertension was present in five cases (5%), hypercholesterolemia in six (6%), hypertriglyceridemia in six (6%), increased LDL in four (4%), low HDL in four (4%), and impaired FBS in 4 (4%). CONCLUSION The findings showed that 63% of studied emergency physicians had an average level of QOL and other ones good. The majority of physicians had undesirable situation regarding the performance of screening tests.
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Affiliation(s)
- Afshin Amini
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
| | - Mohammad Reza Munesan
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
| | - Hamid Kariman
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
| | - Ali Arhami Dolatabadi
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
| | - Hamid Reza Hatamabadi
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran,Safety promotion and injury prevention research center, Shahid Beheshti University of medical sciences, Tehran, Iran,Corresponding Author: Hamid Reza Hatamabadi; Department of Emergency Medicine, Imam Hossain Hospital, Shahid Madani Avenue, Tehran, Iran. Tel/Fax: +9821713432380;
| | - Ali Shahrami
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
| | - Majid Shojaee
- Department of Emergency , Imam Hossein hospital, Faculty of medicine, Shahid Beheshti University of medical sciences, Tehran, Iran
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12
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Horlemann J. [Pain treatment decisions--relevance of health-related quality of life in family medicine]. MMW Fortschr Med 2013; 155 Suppl 2:56-62. [PMID: 24930323 DOI: 10.1007/s15006-013-1055-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND The reduction of pain is no longer regarded as the predominant objective of pain therapy. Pain-related impairments in quality of life or daily activities, and anxietyand depression--all of which worsen with progressing pain chronification--increasingly gain importance. Impairments in quality of life in particular often have a greater impact on patients afflicted by pain than by other chronic diseases. METHOD The present overview explains the importance of the parameter health-related quality of life in the treatment of pain patients in family medicine; in addition, a variety of tools forthe initial and follow-up assessment of pain and pain-related impairments are introduced. RESULTS AND CONCLUSION In addition to a mandatory comprehensive pain diagnostic work-up, pain-related restrictions in daily activities and in quality of life should be documented in primary care facilities and considered in pain management approaches. In a multimodal therapy setting, family practitioners have a key role in thediagnosis of pain and in particularalso in the diagnosis of additional symptoms and impairments accompanying pain.
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Holzner B, Giesinger JM, Pinggera J, Zugal S, Schöpf F, Oberguggenberger AS, Gamper EM, Zabernigg A, Weber B, Rumpold G. The Computer-based Health Evaluation Software (CHES): a software for electronic patient-reported outcome monitoring. BMC Med Inform Decis Mak 2012; 12:126. [PMID: 23140270 PMCID: PMC3529695 DOI: 10.1186/1472-6947-12-126] [Citation(s) in RCA: 106] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2011] [Accepted: 11/05/2012] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Patient-reported Outcomes (PROs) capturing e.g., quality of life, fatigue, depression, medication side-effects or disease symptoms, have become important outcome parameters in medical research and daily clinical practice. Electronic PRO data capture (ePRO) with software packages to administer questionnaires, storing data, and presenting results has facilitated PRO assessment in hospital settings. Compared to conventional paper-pencil versions of PRO instruments, ePRO is more economical with regard to staff resources and time, and allows immediate presentation of results to the medical staff.The objective of our project was to develop software (CHES - Computer-based Health Evaluation System) for ePRO in hospital settings and at home with a special focus on the presentation of individual patient's results. METHODS Following the Extreme Programming development approach architecture was not fixed up-front, but was done in close, continuous collaboration with software end users (medical staff, researchers and patients) to meet their specific demands. Developed features include sophisticated, longitudinal charts linking patients' PRO data to clinical characteristics and to PRO scores from reference populations, a web-interface for questionnaire administration, and a tool for convenient creating and editing of questionnaires. RESULTS By 2012 CHES has been implemented at various institutions in Austria, Germany, Switzerland, and the UK and about 5000 patients participated in ePRO (with around 15000 assessments in total). Data entry is done by the patients themselves via tablet PCs with a study nurse or an intern approaching patients and supervising questionnaire completion. DISCUSSION During the last decade several software packages for ePRO have emerged for different purposes. Whereas commercial products are available primarily for ePRO in clinical trials, academic projects have focused on data collection and presentation in daily clinical practice and on extending cancer registries with PRO data. CHES includes several features facilitating the use of PRO data for individualized medical decision making. With its web-interface it allows ePRO also when patients are home. Thus, it provides complete monitoring of patients'physical and psychosocial symptom burden.
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Affiliation(s)
- Bernhard Holzner
- Department of Psychiatry and Psychotherapy, Innsbruck Medical University, Anichstr. 35, Innsbruck A-6020, Austria
- Evaluation Software Development OG, Feldstraße 2, Rum, A-6063, Austria
| | - Johannes M Giesinger
- Department of Psychiatry and Psychotherapy, Innsbruck Medical University, Anichstr. 35, Innsbruck A-6020, Austria
| | - Jakob Pinggera
- Institute of Computer Science, University of Innsbruck, Technikerstraße 21a, Innsbruck, A-6020, Austria
| | - Stefan Zugal
- Institute of Computer Science, University of Innsbruck, Technikerstraße 21a, Innsbruck, A-6020, Austria
| | - Felix Schöpf
- Evaluation Software Development OG, Feldstraße 2, Rum, A-6063, Austria
- Oncotyrol – Center for Personalized Cancer Medicine GmbH, Karl-Kapferer-Straße 5, Innsbruck, A-6020, Austria
| | - Anne S Oberguggenberger
- Department of Psychiatry and Psychotherapy, Innsbruck Medical University, Anichstr. 35, Innsbruck A-6020, Austria
| | - Eva M Gamper
- Department of Psychiatry and Psychotherapy, Innsbruck Medical University, Anichstr. 35, Innsbruck A-6020, Austria
| | - August Zabernigg
- Department of Internal Medicine, Kufstein County Hospital, Endach 27, Kufstein, A-6330, Austria
| | - Barbara Weber
- Institute of Computer Science, University of Innsbruck, Technikerstraße 21a, Innsbruck, A-6020, Austria
| | - Gerhard Rumpold
- Evaluation Software Development OG, Feldstraße 2, Rum, A-6063, Austria
- Department of Medical Psychology, Innsbruck Medical University, Schöpfstraße 23a, Innsbruck, A-6020, Austria
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[The benefits of using patient-reported outcomes in cancer treatment: an overview]. Wien Klin Wochenschr 2012; 124:293-303. [PMID: 22538839 DOI: 10.1007/s00508-012-0168-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2011] [Accepted: 04/03/2012] [Indexed: 10/28/2022]
Abstract
The patient's perspective evaluated by patient-reported outcomes (PROs) gains more and more importance, since treatment efficacy is no longer solely linked to clinical outcomes like cure and overall survival. Ailments like pain, fatigue and social isolation can only be assessed by patients' direct expression without any interpretation made by medical staff. PROs facilitate the disclosure of quality of life issues and patients feel a stronger support due to improved communication. PROs offer many further advantages like saving of time, cost and staff, targeted intervention and sensitizing of clinicians. Also, internationally validated questionnaires are available and the development of electronic PROs eases data-collection, calculation and storage. PROs collected within clinical routine are versatile concerning their applicability: They can be used for scientific analyses, quality assurance, and health technology assessment.
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Simonen O, Blom M, Viitanen E. Knowledge of effectiveness and its application in secondary healthcare management. INTERNATIONAL JOURNAL OF PRODUCTIVITY AND PERFORMANCE MANAGEMENT 2011. [DOI: 10.1108/17410401111182198] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Bausewein C, Simon ST, Benalia H, Downing J, Mwangi-Powell FN, Daveson BA, Harding R, Higginson IJ. Implementing patient reported outcome measures (PROMs) in palliative care--users' cry for help. Health Qual Life Outcomes 2011; 9:27. [PMID: 21507232 PMCID: PMC3112059 DOI: 10.1186/1477-7525-9-27] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2010] [Accepted: 04/20/2011] [Indexed: 11/19/2022] Open
Abstract
Background Patient-reported outcome measurement (PROM) plays an increasingly important role in palliative care. A variety of measures exists and is used in clinical care, audit and research. However, little is known about professionals' views using these measures. The aim of this study is to describe the use and experiences of palliative care professionals with outcome measures. Methods A web-based online survey was conducted in Europe and Africa. Professionals working in clinical care, audit and research in palliative care were invited to the survey via national palliative care associations and various databases. Invitation e-mails were sent with a link to the questionnaire. Results Overall participation rate 42% (663/1592), overall completion rate 59% (392/663). The majority of respondents were female (63.4%), mean age 46 years (SD 9). 68.1% respondents from Europe and 73.3% from Africa had experiences with outcome measures in palliative care. Non-users reported time constraints, burden, lack of training and guidance as main reasons. In clinical care/audit, assessment of patients' situation, monitoring changes and evaluation of services were main reasons for use. Choice of OMs for research was influenced by validity of the instrument in palliative care and comparability with international literature. Main problems were related to patient characteristics, staff, and outcome measures. Participants expressed the need for more guidance and training in the use of PROMs. Conclusions Professionals need more support for the use and implementation of PROMs in clinical practice and research through training and guidance in order to improve patient care.
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Affiliation(s)
- Claudia Bausewein
- King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, London, UK.
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Dubois DJ. Grand challenges in pharmacoeconomics and health outcomes. Front Pharmacol 2010; 1:7. [PMID: 21713104 PMCID: PMC3112283 DOI: 10.3389/fphar.2010.00007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2010] [Accepted: 05/28/2010] [Indexed: 11/13/2022] Open
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