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Abbas M, Patrizia C, Fabienne M, Marc B, Lucia P, Fabrice C, Martin D, Camelia P. Minimal clinically important differences in health-related quality of life after treatment with direct-acting antivirals for chronic hepatitis C: ANRS CO22 HEPATHER cohort (PROQOL-HCV). Qual Life Res 2024:10.1007/s11136-024-03622-2. [PMID: 38580786 DOI: 10.1007/s11136-024-03622-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2024] [Indexed: 04/07/2024]
Abstract
PURPOSE Patient Reported Outcomes Quality of Life survey for HCV (PROQOL-HCV) is a specific tool developed to assess health-related quality of life (HRQoL) in patients with chronic hepatitis C receiving direct-acting antivirals (DAA). Thresholds for clinically meaningful changes in PROQOL-HCV scores should be documented to improve the tool's use in clinical practice. This study aimed to estimate the minimal clinically important differences (MCIDs) in PROQOL-HCV scores before and after HCV cure by DAA among participants in the prospective cohort ANRS-CO22 HEPATHER. METHODS Data from 460 chronic HCV patients were collected at DAA initiation (baseline) and 24 weeks after treatment end. MCIDs were estimated for the six HRQoL dimensions (Physical Health (PH), Emotional Health (EH), Future Uncertainty (FU), Intimate Relationships (IR), Social Health (SH), and Cognitive Functioning (CF)) using two approaches: anchor-based and score distribution-based. Each MCID was estimated for improvement/deterioration both globally and separately for patients with a baseline PRQoL-HCV score ≤ 50 (group1) and patients with a baseline PRQoL-HCV score > 50 (group2). RESULTS The pooled MCIDs for improvement/deterioration globally, in group1, and in group2, respectively, were as follows: 8.8/- 7.6, 9.7/- 9.5, and 6.0/- 6.9 for PH; 7.1/- 4.6, 7.7/- 9.6, and 6.6/- 6.7 for EH; 6.7/- 6.7, 8.2/- 8.2, and 6.0/- 6.0 for FU; 7.0/- 7.0, 5.4/- 5.4, and 6.2/- 6.2 for IR; 7.7/- 7.7, 8.6/- 8.6, and 6.5/- 6.5 for SH; 7.3/- 5.6, 9.1/- 8.0, and 6.5/- 6.3 for CF. CONCLUSIONS The overall MCID for the PROQOL-HCV scores ranged from 6.7 to 8.8 for improvement and from - 7.7 to - 4.6 for deterioration. The effect of DAA on PROQOL-HCV scores seemed particularly beneficial for patients with lower baseline scores. This subgroup could be motivated to take DAA if they are informed of the benefits for their HRQoL.
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Affiliation(s)
- Mourad Abbas
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France
| | - Carrieri Patrizia
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
- Faculté de Médecine, Inserm UMR 1252 SESSTIM, Aix-Marseille Univ, 27 Bd Jean Moulin, 13385, Marseille, France.
| | - Marcellin Fabienne
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France
| | - Bourliere Marc
- Department of Hepatology and Gastroenterology, Hôpital Saint Joseph, Marseille, France
| | - Parlati Lucia
- Institut Cochin, CNRS, INSERM, Université de Paris, 75014, Paris, France
- Hôpital Cochin, 24, Rue du Faubourg Saint Jacques, 75014, Paris, France
| | - Carrat Fabrice
- Unité de Santé Publique, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Institut National de La Santé Et de La Recherche Médicale, Institut Pierre Louis d'Epidémiologie Et de Santé Publique, Sorbonne Université, 75012, Paris, France
| | - Duracinsky Martin
- Unité de Recherche Clinique en Economie de La Santé (URC-ECO), Hôpital Hôtel-Dieu, APHP, UMR1123, Université de Paris, Inserm, Paris, France
| | - Protopopescu Camelia
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France
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Anne-Laure CB, Jocelyn R, Nathanaël L, Fabrice C, Michel S. Predictors of IV behaviors during and after the 2009 influenza pandemic in France. Vaccine 2014; 32:2007-15. [PMID: 24434043 DOI: 10.1016/j.vaccine.2013.12.045] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2013] [Revised: 11/26/2013] [Accepted: 12/18/2013] [Indexed: 11/18/2022]
Abstract
BACKGROUND Controversies about the 2009 H1N1 pandemic influenza vaccination might have impacted the motivational processes that underlie individual immunization against seasonal influenza. The purpose of this article is to investigate correlates of vaccine uptake during and after the pandemic. METHODS Data from the 1174 subjects of the CoPanFlu France cohort aged 15 and over were used. We used logistic regression models to identify social and behavioral predictors of getting vaccinated against seasonal influenza in 2009-2010 and in 2010-2011 and against H1N1 influenza in 2009-2010. RESULTS This study points out that correlates of vaccination behaviors varied according to the vaccine. Respondents under 65 years who adopted the seasonal influenza vaccine were, as usual, more likely to belong to a target group and have a lower education, contrary to subjects who chose the pandemic vaccine. Exceptionally during the pandemic, a higher socioeconomic status also led to adoption of either vaccine. Motivational processes differed by vaccine. Uptaking the "new" pandemic vaccine was the result of a deliberative decision-making process, influenced by cognitive factors related to the pandemic context (such as perceived severity of the H1N1 flu strain and trust in public health authorities). In contrast, respondents got the seasonal flu vaccine without relying on explicit justifications, but instead through habit of performing this behavior in the past. CONCLUSIONS Target groups for seasonal influenza but not those for pandemic influenza were more likely to adopt the pandemic vaccine, which is a cause for great concern. This may be due to large extent to the automatic and habitual nature of influenza vaccination decisions. Public health authorities, should pay more attention to situational than informational cues to facilitate vaccine uptake among priority groups, especially in case of mild pandemic influenza.
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Affiliation(s)
- Caille-Brillet Anne-Laure
- Department of Social and Behavioral Sciences, EHESP French School of Public Health, Sorbonne Paris Cité, Rennes, France; UMR190 "Emergence des Pathologies Virales" (Aix-Marseille Univ. - IRD French Institute of Research for Development-EHESP French School of Public Health), Marseille, France.
| | - Raude Jocelyn
- Department of Social and Behavioral Sciences, EHESP French School of Public Health, Sorbonne Paris Cité, Rennes, France; UMR190 "Emergence des Pathologies Virales" (Aix-Marseille Univ. - IRD French Institute of Research for Development-EHESP French School of Public Health), Marseille, France.
| | - Lapidus Nathanaël
- Institut National de la Santé et de la Recherche Médicale (INSERM; French National Institute of Health and Medical Research), UMR-S 707, Paris, France; University Pierre et Marie Curie-Paris 6, UMR-S 707, Paris, France.
| | - Carrat Fabrice
- Institut National de la Santé et de la Recherche Médicale (INSERM; French National Institute of Health and Medical Research), UMR-S 707, Paris, France; Assistance Publique-Hôpitaux de Paris (Public Assistance-Paris Hospitals), Hospital Saint, Antoine, Public Health Unit, Paris, France.
| | - Setbon Michel
- Department of Social and Behavioral Sciences, EHESP French School of Public Health, Sorbonne Paris Cité, Rennes, France; UMR190 "Emergence des Pathologies Virales" (Aix-Marseille Univ. - IRD French Institute of Research for Development-EHESP French School of Public Health), Marseille, France; Centre national de la recherche scientifique (National Center for Scientific Research), Paris, France.
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