BREF Questionnaire Research Articles

Sociodemographic and Workplace Determinants of Quality of Life (Qol) Among Quarry Workers in Nigeria: A Cross Sectional Study

By engaging in one form of works, people earn means of support, establish their identities, perceive life as meaningful and establish social network with others. The quality of life is a product of several factors inherent in the work environment. Quality of life is an important topic in every organization as it determines the future of the organization. This study assessed the sociodemographic and workplace determinants of Quality of life (Qol) among quarry workers in Nigeria. A cross-sectional study was conducted among the respondents. Data were collected using self-administered questionnaires consisting of socio-demographic characteristics, Standard Nordic Musculoskeletal Questionnaire and World Health Organization Quality of life BREF questionnaires (WHOQOL-BREF). A total of 266 quarry workers involved in this study were selected through systematic random sampling technique. The data were analyzed using SPSS version 26. Simple and multiple logistic regression were used to identify the determinants of quality of life among the respondents. The result showed that majority of the respondents (74.1%) had poor quality of life with variation across four domains of physical, environmental, socio relationship and psychological. Following multiple logistic regression modeling, WRMSDs (ORadj 4.24, 95% CI [1.84, 9.77], p-value = .001) and the poor work design (ORadj 3.22, 95% CI [1.52, 6.82], p-value = .002) remained significant determinants of Qol. This study showed poor quality of life among quarry workers in Ebonyi state, Nigeria. Those with WRMSDs and had poor work design were more likely to have poor quality of life compared to those who had no WRMSDs and work in well-designed workplace.

Quality of Life Among Adults With Hearing Loss Who Were Prescribed Hearing Aids in Aseer Province, Saudi Arabia: A Cross-Sectional Tertiary Center-Based Study.

Introduction Hearing loss affects people of all ages, and it may become a burden for patients as well as for those around them. It leads to social isolation and impacts the quality of life (QOL). Many studies aim to investigate the outcome of hearing aids as an intervention to treat hearing loss. Our study's objective is to assess the QOL in participants and investigate the possible factors that have an impact on the outcomes of hearing aid use. Methods The study adopted a cross-sectional design and was carried out in the Armed Forces Hospital South Region, a tertiary care center in Aseer Province, Saudi Arabia. Participants were patients who presented to the ENT clinic with a complaint of hearing loss from 2017 to 2019and who were prescribed hearing aids as their treatment. The study uses the World Health Organization Quality of Life BREF (WHOQOL-BREF) questionnaire and the International Outcome Inventory for Hearing Aids (IOI-HA) to measure the QOL and its determinants in patients using hearing aids. Results A total of 210 patients were included in the study. Sensorineural hearing loss (SNHL) was found in 72.2%, and 20% of patients were found to have bilateral hearing loss. Moderate or severe hearing loss was found in 80% of the patients in the worst hearing ear. The overall QOL among the participants was satisfactory, with the highest domain score being the social relationship domain (85.9%). The QOL was significantly higher in participants who were in an intimate relationship (P =0.02). A positive correlation was found between the IOI-HA scores and the WHOQOL-BREF scores in general health (R = 0.14, P =0.034), psychological health (R = 0.16, P = 0.018), and the overall QOL score (R = 0.15, P = 0.035). Conclusion Hearing aids are a cost-effective intervention that improves QOL and prevents associated comorbidities. Compliance and adherence to hearing aids improve the QOL for patients, as well as for their spouses. Patients suffering from hearing loss while also in an intimate relationship had better QOL scores. A correlation was found in outcomes between the IOI-HA scores and the WHOQOL-BREF scores in general health, psychological health, and overall health.

The Relationship between Spiritual Support and Quality of Life in the Elderly in Rukun Damai Village, Mahakam Ulu Regency

The purpose of this study was to determine the relationship between Spiritual Support and Quality of Life in the Elderly in Rukun Damai Village, Mahakam Ulu District. The research design is a descriptive correlation with a cross-sectional approach carried out in Rukun Damai Village, Mahakam Ulu Regency on 77 respondents. The sampling technique in this study was purposive sampling. The instruments used in the study were questionnaires for spiritual support, for the quality of life questionnaire from the WHOQOL BREF questionnaire. The results showed that the results of the Chi Square test yielded 0.001 (<0.05, H0 was rejected), meaning that there was a relationship between spiritual support and quality of life in the elderly in Kampung Rukun Damai, Mahakam Ulu District. There is a relationship between spiritual support and quality of life for the elderly in Rukun Damai Village, Mahakam Ulu Regency.

Quality of life in men with Klinefelter syndrome: a multicentre study.

Klinefelter syndrome (KS) is associated with an increased risk of lower socioeconomic status and a higher risk for morbidity and mortality, which may have a significant impact on quality of life (QOL). The objective of this study is to investigate QOL in a large European cohort of men with KS. Cross-sectional multicentre study. Two-hundred-eighteen men with KS were recruited from 14 clinical study centres in 6 European countries which participated in the European dsd-LIFE study. Male normative data from a healthy and a psychiatric reference population were used for comparison. The validated World Health Organization (WHO) QOL (WHOQOL)-BREF questionnaire was used to investigate five main domains of quality of life (WHOQOL): global, physical, psychological, environment, and social. The QOL physical domain score was lower for men with KS compared to the healthy reference population (KS: 66.9; s.d. 19.4, n = 193; healthy reference population: 76.5; s.d. 16.2, n = 1324, P < 0.001) but higher compared to the psychiatric reference population (54.6; s.d. 20.6; n = 77, P < 0.001). The WHOQOL-psychological domain score was lower for men with KS compared to the healthy reference population (KS: 63.6; s.d. 17.8, n = 193; healthy reference population: 67.8; s.d. 15.6, n = 1324, P < 0.05) but higher compared to the psychiatric reference population (45.9; s.d. 26.0), n = 77, P < 0.001). The social domain score on the WHOQOL questionnaire was found to be lower in men with Klinefelter syndrome (KS) compared to the healthy reference population (KS: 60.0; s.d. 21.6, n = 193; healthy reference population: 68.2; s.d. 13.8, n = 1324, P < 0.001). However, this score was similar to that of the psychiatric reference population (61.0; s.d. 17.0, n = 77, P = 0.5). The WHO environment domain score of men with KS (70.0; s.d. 15.0, n = 193) was similar to the healthy reference population (70.5; s.d. 20.7, n = 1324) but higher compared to the psychiatric reference population (61.9; s.d. 20.8, n = 77, P = 0.002). Experienced discrimination, less social activities, and the presence of chronic health problems were associated with significantly decreased QOL in men with KS. Overall QOL in European men with KS is significantly worse compared to a healthy European reference population. Especially, the presence of discrimination, less social activities, and chronic health problems is associated with lower physical, psychological, and social QOL. Further studies are necessary to investigate if a multidisciplinary approach may help to provide adequate counselling and psychosocial support to improve QOL.

Quality of life and its determinants in people living with Human Immunodeficiency Virus infection in Kannur District, Kerala

Introduction: The prevalence of Human Immunodeficiency Virus (HIV) infection in India is on decline. Since the introduction of Anti Retroviral Therapy, the survival of HIV positives has improved a lot. HIV/acquired immunodeficiency syndrome (AIDS) is now a chronic yet manageable disease. However, social factors like stigma and discrimination still exist, affecting the quality of life (QoL) of people living with HIV (PLHIV)/AIDS. The objectives of the study were to assess the QOL among HIV-positive patients using the World Health Organization-QOL BREF (WHO-QOL BREF) questionnaire, the factors determining the QoL of HIV-positive patients, and the stigma and discrimination faced by HIV positives in the medical field. Methods: A cross-sectional study was done during the study period of 1 year. A total of 150 PLHIV from Kannur district in Kerala participated in the study. The WHO-QOL BREF, Scale and the HIV stigma scale were used to collect the data. Results: The QoL score found in the study was 15.36 ± 2.18, 2.18. The overall QoL was influenced by education, the Stigma Scale score, having a constant income or an increased income after diagnosis, and a Perceived Social Support Scale score. The study also found that 22% (33) of the participants faced stigma and discrimination from the medical field in one form or another. Conclusion: The study found that the QOL of PLHIV in the Kannur district of Kerala revealed no difference between men and women. The determinant factors for QOL were found to vary in each domain. Education was found to have a negative impact on QOL.

Depression and anxiety among persons with type II diabetes mellitus and hypertension; A cross-sectional analytical study in the rural field practice area of a tertiary care center in Puducherry

Objectives: To determine the proportion of depression and anxiety disorders; their association with sociodemographic, NCD-related factors and Quality of Life among persons with type II Diabetes Mellitus or Hypertension at a rural health center in Puducherry. Materials and Methods: This facility-based cross-sectional analytical study recruited 692 participants from May 2020 to September 2021. A structured questionnaire collected sociodemographic and NCD-related history; The Hospital Anxiety and Depression Scale (HADS) and The World Health Organization quality of life (WHOQOL) - BREF questionnaires for depression, anxiety and QOL assessment, respectively. Independent variables were assessed for relationship with depression and anxiety using univariate analysis. Multivariable logistic regression analysis was done to determine the predictors of depression and anxiety. Results: Nearly 17.8% (95% confidence interval [CI] - 13.8%–22.4%) had depression and 12.7% (95% CI - 9.5–16.7%) had anxiety. Age (adjusted odds ratio [aOR] - 0.97; 95% CI - 0.95–0.99), depression/anxiety disorders family history (aOR - 2.58; 95% CI - 1.26–5.26), overall QOL score reduction (aOR - 0.76; 95% CI - 0.60–0.97), and social domain score reduction (aOR - 0.98; 95% CI - 0.97–0.99) were the significant predictors of depression. No formal education (aOR - 10.84; 95% CI - 4.54–25.86), being homemaker (aOR - 3.49; 95% CI - 1.29–9.42), no DM/HTN family history (aOR - 1.51; 95% CI - 0.66–1.54), psychological domain score reduction (aOR - 0.97; 95% CI - 0.95–0.99) and environmental domain score reduction (aOR - 0.96; 95% CI - 0.94–0.98) were significant predictors of anxiety. Conclusion: Nearly one-fifth had depression and more than one-tenth had anxiety among the participants. A fair number of persons with HTN/DM have higher anxiety and depressive scores and most domains had a poor QOL score with depression alone having associated with a depression/anxiety family history.

Effect of Mindfulness Dhikr Breathing Therapy for Insomniacs on Quality of Life: A Randomized Controlled Trial

This study aims to investigate the impact of mindfulness dhikr breathing therapy on the quality of life among individuals suffering from insomnia. This study involved forty-seven participants who were randomly allocated into three groups: mindfulness dhikr breathing (MDB), progressive muscle relaxation (PMR), and a Control group that did not receive any treatment. The participants were adults aged between 20 and 35 years, with 78.72% female and 21.28% male. Among the participants, 91.49% were students, while 8.51% were employees. The treatment period spanned 28 days, with four sessions conducted every Saturday. The primary outcome measure was the assessment of the quality of life, which was evaluated using a valid and reliable World Health Organization-Quality of Life (WHOQOL) BREF questionnaire. Statistical analysis involved the utilization of various tests, including paired t-tests, Wilcoxon tests, independent t-tests, Mann-Whitney tests, and one-way ANOVA tests. Significant differences were observed in the effects of the three intervention groups on overall QoL (p=.035), general health (p=.008), physical well-being (p=.006), psychological well-being (p=.000), and environmental factors (p=.007), except for the social relationship domain (p=.269). However, no significant differences were found in the effects of MDB and PMR treatments on overall QoL (p=.922), general health (p=.756), physical well-being (p=.497), psychological well-being (p=.883), social relationships (p=.569), and environmental factors (p=.618). In conclusion, mindfulness dhikr breathing therapy has demonstrated its effectiveness in enhancing the quality of life for individuals with insomnia. It holds the potential to serve as a suitable alternative to commonly used insomnia therapies, such as progressive muscle relaxation.

Effects of Corrective Exercises on Work-Related Musculoskeletal Disorders and Quality of Life in Surgical Residents: A Pilot, Quasi-Experimental Study

Work-related musculoskeletal disorders (WMSDs) are one of the most important reasons for absenteeism, high costs of health care and human injuries; the latter are very common in medical staff. The present study was designed to evaluate the effects of corrective exercises on quality of life and work-related musculoskeletal disorders in surgical residents. In a quasi-experimental study with a one-group pretest-posttest design, we assessed the eligibility of 135 surgical assistants. All recruited participants performed corrective exercises and were followed for 12 months. The primary outcome of the study was any change in the surgical residents' work-related musculoskeletal disorders, which was assessed using the Nordic Musculoskeletal Questionnaire(NMQ) and the Numerical Pain Rating Scale (NPRS) prior to, and 3, 6, and 12 months after intervention. The secondary outcome was any change in the surgical residents' quality of life (QOL) score, which was assessed at baseline, 6 and 12 months after the intervention using the World Health Organization Quality of Life - BREF (WHOQOL-BREF) questionnaire. One hundred eligible surgical residents were enrolled, of whom 67 (67%) completed the study. At baseline the majority of the participants were female and >30 years of age. Fifty-five percent of them used analgesic drugs. The use of analgesic drugs per week fell by 14.7% from baseline to 12 months; the change was statistically significant (p = 0.042). The effect of corrective exercises on the intensity of pain in the shoulder (p = 0.002), hand/wrist (p = 0.001), upper back (p = 0.03), lower back (p = 0.02) and knee (p = 0.01) was significant. Corrective exercises also led to a significant rise in the quality-of-life score (p < 0.019). This study demonstrated the effectiveness of corrective exercises in reducing work-related musculoskeletal disorders and improving quality of life among surgical residents.

Study of Exercise Capacity and Quality of Life after SARS-CoV-2 Infection among the Elderly

COVID-19 significantly impacted the population by affecting physical health; social distancing and isolation influenced psychological health. This may have negative consequences, especially for older people. There is a lack of studies about the association between COVID-19 and exercise capacity among the elderly and improving quality of life after SARS-CoV-2 infection. This study aims to identify the potential sequelae of the COVID-19 disease regarding physical function and quality of life among people over 65 years old. This study recruited a total of 30 participants. A 6-minute walking test, somatic and functional measurements (including weight, height, HR, blood pressure and SpO2%) and the World Health Organisation Quality of Life-BREF Questionnaire were used to assess aerobic capacity and quality of life. Experiencing COVID-19 can negatively impact exercise capacity. The results suggest that men may have worse sequelae than women after experiencing COVID-19. The lower values of SpO2 in the COVID-19 group during the 6-MWT indicate a reduction in the gas diffusion capacity, which can be attributed to potential lung damage following having contracted the disease. Lockdown periods seem to have had a significant impact on the physical health, relationships and environment of the elderly people included in this study. We can conclude that physical effort may potentially impact exercise capacity and quality of life among post-COVID-19 elderly in a positive way, but further studies are needed to confirm its benefits.

A Telemedicine System Intervention for Patients With Type 1 Diabetes: Pilot Feasibility Crossover Intervention Study.

Today's diabetes-oriented telemedicine systems can gather and analyze many parameters like blood glucose levels, carbohydrate intake, insulin doses, and physical activity levels (steps). Information collected can be presented to patients in a variety of graphical outputs. Despite the availability of several technical means, a large percentage of patients do not reach the goals established in their diabetes treatment. The objective of the study was to evaluate the benefits of the Diani telemedicine system for the treatment of patients with type 1 diabetes mellitus. Data were collected during a 24-week feasibility study. Patients responded to the World Health Organization Quality of Life - BREF (WHOQOL-BREF) questionnaire and a system evaluation questionnaire. The level of glycated hemoglobin (HbA1c) and the patient's body weight were measured, and the patient's use of the telemedicine system and their daily physical activity level were monitored. All data were sent from the patient's device to the Diani server using a real-time diabetes diary app. Wilcoxon and Friedman tests and the linear mixed effects method were used for data analysis. This study involved 10 patients (men: n=5; women: n=5), with a mean age of 47.7 (SD 19.3) years, a mean duration of diabetes of 10.5 (SD 8.6) years, and a mean HbA1c value of 59.5 (SD 6.7) mmol/mol. The median number of days the patients used the system was 84. After the intervention, the mean HbA1c decreased by 4.35 mmol/mol (P=.01). The patients spent 18.6 (SD 6.8) minutes on average using the app daily. After the intervention, the number of patients who measured their blood glucose level at least 3 times a day increased by 30%. The graphical visualization of the monitored parameters, automatic transmission of measured data from the glucometer, compatibility, and interconnection of individual devices when entering data were positively evaluated by patients. The Diani system was found to be beneficial for patients with type 1 diabetes mellitus in terms of managing their disease. Patients perceived it positively; it strengthened their knowledge of diabetes and their understanding of the influences of the measured values on the management of their disease. Its use had a positive effect on the HbA1c level.

The Impact of Hypothyroidism on the Quality of Life of Adults in Riyadh, Saudi Arabia.

Background and objective Hypothyroidism is extremely commonand associated with far-reaching health consequences. The negative effects of hypothyroidism on patients' quality of life (QoL) are well-documented. It is said to be common in the countries of the Arabian Gulf, although it is often misdiagnosed and treated in an inconsistent manner. Hence, understanding how an illness like this affects a patient's life might help us enhance their QoL and get us closer to the healthcare transformation goals of Saudi Arabia's Vision 2030. Methodology Thiscross-sectional study was conducted in Riyadh, Saudi Arabia, between June 2022 and February 2023. A convenience non-probability sampling method was used.The WHO Quality of Life (WHOQOL)-BREF questionnaire in Arabic was used to compile the data. Data were collected using a standardized form, refined using Google Forms, and then documented in an Excel spreadsheet. The descriptive statistics were shown as means and standard deviations (SD). To assess the numerical data, a t-test was used, while the chi-square test was employed to examine the relationshipbetween the qualitative factors. Results A total of 394 adultsfrom the general population with hypothyroidism were surveyed, including 105 men and 289 women. Of them, 151 (38.3%) patients had not sought therapy for their hypothyroidism, while 243 (61.7%)patients had. When asked about the QoL, a significant segment (37.6%) of patients reported that it was high, and29.7% reported being totally satisfied with their health. The WHOQOL-BREF domain scores revealed that environmental health had the highest value (24.04 ±4.62), followed by physical health (22.24 ±3.23), and then psychological health (18.08 ±2.82), and the lowest scores were reported for the rate of QoLand satisfaction with health (2.64 ±1.36 and 2.80 ±1.68), respectively. Each domain of the WHOQOL-BREF had its own set of variables that differed from one another in a statistically significant manner (p<0.001). Conclusions Based on our findings, we recommend expert physician monitoring and implementing educational programs as well as placing a greater emphasis on patients' QoL in the management of hypothyroidism.

PD03-08 SURGICAL AND FUNCTIONAL OUTCOMES OF BILATERAL SYNCHRONOUS ADRENALECTOMY FOR FUNCTIONAL TUMORS: A COHORT STUDY

You have accessJournal of UrologyCME1 Apr 2023PD03-08 SURGICAL AND FUNCTIONAL OUTCOMES OF BILATERAL SYNCHRONOUS ADRENALECTOMY FOR FUNCTIONAL TUMORS: A COHORT STUDY Keshav Agarwal, Rashmi Ramachandran, Nikhil Tandon, and Rajeev Kumar Keshav AgarwalKeshav Agarwal More articles by this author , Rashmi RamachandranRashmi Ramachandran More articles by this author , Nikhil TandonNikhil Tandon More articles by this author , and Rajeev KumarRajeev Kumar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003220.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bilateral synchronous adrenalectomy has the potential for significant surgical and functional morbidity. We reviewed our 15-year experience with bilateral synchronous adrenalectomy to assess safety, surgical outcomes, morbidity and impact on health-related quality of life. METHODS: In an IRB approved study, we reviewed our prospective database of patients who underwent bilateral synchronous adrenalectomy for functional tumours between April 2008 and August 2022. Demographic profile, metabolic and radiological parameters, operative details and complications were recorded. Follow-up was obtained either in-person or telephonically and analysed for resolution of symptoms, quality of life using the WHO-QoL BREF questionnaire and complications of chronic steroid intake. RESULTS: During the study period, 337 adrenalectomies were performed which were bilateral in 51 patients, 48 undergoing both surgeries synchronously. 33 of these 48 patients had bilateral pheochromocytomas and 15 had Cushing’s syndrome. Among patients with Cushing’s syndrome, three had life-threatening symptoms requiring urgent bilateral surgery. Clinical details are given in Table 1. 40 patients had transperitoneal laparoscopic surgery and 8 underwent open surgery (Table 2). There were two intraoperative and 7 post-operative complications. 43 patients were available for follow-up. All had resolution of symptoms, BMI changes, and only two patients continued to receive one antihypertensive medication. Episodes of steroid deficiency occurred in 7 patients while steroid excess occurred in 3 patients. Quality of life was satisfactory in all patients in all domains. CONCLUSIONS: Bilateral synchronous adrenalectomy is safe and feasible in patients with functional adrenal tumors. It leads to symptom resolution with amelioration of hypertension and BMI changes with satisfactory overall quality of life. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e77 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Keshav Agarwal More articles by this author Rashmi Ramachandran More articles by this author Nikhil Tandon More articles by this author Rajeev Kumar More articles by this author Expand All Advertisement PDF downloadLoading ...

Quality of life and its associated factors among home-dwelling older people residing in the District of Colombo, Sri Lanka: a community-based cross-sectional study

IntroductionThis community-based cross-sectional study explored the factors affecting overall and domain-specific (physical health, psychological health, social relationships and environmental) quality of life (QOL) of home-dwelling older residents of the District...

A Study on Assessment of Prescription Pattern and Quality of Life in Hypertensive Patients in a Tertiary Care Hospital

Abstract: Aim: The study aims to assess the prescription pattern and quality of life in hypertensive patients in a tertiary care hospital. Materials and Methods: A prospective observational study of a six- month duration was conducted. All the data were documented and analyzed based on a standard protocol and entered into Microsoft Excel. Quality of life was collected using World Health Organization Quality of Life (WHOOQL)-BREF Questionnaire. The statistical analysis was done by IBM Statistical Package for the Social Sciences (SPSS) Statistics Version 28.0.0.0. Results: A total of 174 hypertensive patients consisting of 111 males and 63 females of age group 32-88 years were included in the study. The study showed Hypertension (HTN) was commonly affected in males. It was further clarified that Stage 2 HTN was the most prevalent one. The patients have been prescribed a total of 9 categories of anti-hypertensives in which the most commonly prescribed anti-hypertensives were diuretics (66.06%) and the least prescribed were alpha (α)- blockers (1.74%) and central sympatholytic (1.74%). Quality of Life (QOL) of hypertensive patients was carried out using the WHOQOL-BREF questionnaires. The comparison shows that a high mean score is seen in the psychological domain and a low mean score is seen in the social health domain. Conclusion: The study provides an overall layout regarding the prescription pattern and QOL in hypertensive patients. The patients were administered a total of 9 categories of anti- hypertensives. From the study, it was concluded that diuretics were the most prescribed anti- hypertensive drug. The average QOL in hypertensive patients were observed more in the psychological health domain (46.19). Keywords: Hypertension, Quality of life, Prescription pattern, WHOQOL questionnaires, IBM SPSS software.

Quality of life and its determinants among ambulatory diabetic patients attending NCD prevention clinic: A cross sectional study from Eastern India

IntroductionIndia is experiencing an upward spiral in diabetic population. With the impact of diabetes on physical, social, psychological components of individual's life, a holistic view in terms of Quality of Life (QoL) is being increasingly recognized as an essential component of diabetes care and management. The objective of this study was to evaluate the QoL in ambulatory diabetic patients and factors affecting it in a tertiary care medical institution in eastern India. Material and methodsIn this cross-sectional study, 103 adult diabetic ambulatory patients were recruited by systematic random sampling from a Non-Communicable Disease (NCD) Clinic of a tertiary care hospital of Eastern India. The QoL of patients were accessed by the validated Odia version of WHO-QoL BREF questionnaire. Bivariate analysis was performed to compare the effect of sociodemographic and clinical parameters on QoL scores. ResultsThe maximum domain wise score was in social (65.98 ± 13.89) followed by environmental (61.73 ± 16.27) domain. Overall, 64% of the respondents perceived as their QoL as good. Males, urban residents, persons aged less than 60 years and overweight individuals reported a better QoL than their counterparts. Gender and residence were found to be significantly associated with QoL, across domains. ConclusionsQoL assessment is pivotal as an outcome measure in diabetes care and management. Policy makers ought to consider quality adjusted life years while evaluating health outcomes in patients of chronic diseases like diabetes.

The Effect of Long COVID Syndrome Degree Severity on the Quality of Life of COVID-19 Survivors Aged 15-64 Years Old at Gotong Royong Hospital, Surabaya

Aims: To analyze the effect of the severity of long COVID syndrome on the quality of life of COVID-19 survivors at the age of 15-64 years old.&#x0D; Study Design: Cross-sectional observational study.&#x0D; Place and Duration of Study: Gotong Royong Hospital, Surabaya, Indonesia between July to September 2022&#x0D; Methodology: This study uses a cross-sectional design. The number of the samples used was 67 respondents who had been hospitalized at the Gotong Royong Hospital, Surabaya during the acute infection. The sampling technique in this study was simple purposive sampling. Samples were taken from medical record files in Gotong Royong Hospital, Surabaya. The statistical analysis used was Spearman’s correlation test with the sampling technique used was purposive sampling. The instruments used were the long COVID syndrome severity questionnaire (validity score between 0,000 and 0,02 and reliability score using coefficient Alpha Cronbach generate value α = 0,966) and the WHOQOL Bref questionnaire validity score between 0,390 and 0,798 and reliability score using coefficient Alpha Cronbach generate value α = 0,941).&#x0D; Results: A significant effect was obtained between the severity of long COVID syndrome and the quality of life on the physical aspect, p = 0,000 (p&lt;0,005) with correlation strength -0,918. A significant effect was obtained between the severity of long COVID syndrome and the quality of life on the mental aspect, p = 0,000 (p&lt;0,005) with correlation strength -0,947. A significant effect was obtained between the severity of long COVID syndrome and the quality of life on the social aspect, p = 0,000 (p&lt;0,005) with correlation strength -0,949.&#x0D; Conclusion: There is a significant relationship between the degree of severity of long COVID syndrome and the quality of life of COVID-19 survivors at the age of 15-64 years old in three domains, that are physical, mental, and social aspects.

Family Caregiver Support Program to Increase Quality Care Among the Geriatric Population

Aims: This study aimed to determine the effect of providing support programs to family caregivers on the quality of care for the elderly with chronic diseases in Pandansari Village, Poncokusumo District, Malang Regency. Methods: The study used a pre-experimental with one group pretest-posttest research design approach in 7 weeks from July-September 2022. The total sample size was 50 respondents using purposive sampling technique. The selected sample must fulfill criteria’s, includes: 1) an informal caregiver who lives with the elderly, 2) takes care of the elderly with chronic diseases, and 3) not suffering from chronic diseases itself. The WHO-QOL BREF questionnaire was used to collect data on the quality of life before and after the provision of support programs. Analysis includes univariate and bivariate. Bivariate using the Wilcoxon test. Results: In this study, the caregivers are all women (100%) and most of the elderly are women (60.0%), the chronic diseases are Hypertension 66% and Gout Arthritis 34%. The results of this study indicate a significant effect of providing family caregiver support programs on the quality of care for the elderly with chronic diseases based on the quality of life indicators (p: 0.0001). Conclusion: Family support programs influence the quality of care in terms of improving the quality of life of the elderly. Discussion: In caring for the elderly with chronic diseases, family caregivers can take advantage of family support programs. Furthermore, this research is expected to provide insights and ideas for further research especially the development of support programs for caregivers of families with other chronic diseases.

A study of quality of life among the elderly in urban areas of Tirupati

Abstract Background: The objectives of the study are to evaluate quality of life (QoL) among the elderly and to determine the association between socio-demographic factors and QoL. Methods: A community-based cross-sectional study was conducted in elderly subjects (aged 60 years and above) (n = 120) in the urban field practice areas of our tertiary care teaching institute in southern India. QoL was assessed using World Health Organization-QoL BREF Questionnaire. Results: Most of the study population were aged 60–69 years (65.8%), males (51.7%), from nuclear families (78.3%), Hindus (67.5%) and were literates (78.3%). Majority of families belong to the upper lower socio-economic group (45%). Most of them belonged to the backward caste communities (30%). The mean total QoL score was high among ≥80 years, males, illiterates and upper class. All these differences were statistically non-significant. However, the mean total QoL score showed significant relation with socio-economic class. The domain correlation ranged between 0.238 and 0.690 and was statistically significant. Conclusions: Most of the study population were leading moderate QoL, followed by good QoL. Based on total domain QoL scores, it is concluded from this study that overall QoL is good among elderly ≥80 years, males, illiterates and the population in the upper socio-economic class. The mean total QoL score showed a significant relation with socio-economic class.

Validation of Kiswahili Version of WHOQOL-HIV BREF questionnaire among people living with HIV/AIDS in Tanzania- a cross sectional study

World Health Organization (WHO) has developed HIV specific quality of life tool called World Health Organization Quality of Life brief questionnaire in HIV population (WHOQOL-HIV BREF) for assessing the quality of life of people living with HIV/AIDS (PLWHA). Despite its sound validity and reliability from several studies, the developers recommend it to be validated in different cultures to assess its psychometric properties before its adoption. The study aimed at evaluating the validity and reliability of the Kiswahili version of the WHOQOL-HIV BREF questionnaire in Tanzania among people living with HIV/AIDS. a cross-sectional study with 103 participants recruited via systematic random sampling. The internal consistency of the questionnaire was assessed by the Cronbach alpha coefficient. Validity of the WHOQOL-HIV BREF was assessed through analysis of construct, concurrent, convergent and discriminant validity. The model performance was assessed by exploratory and confirmatory factor analysis. the mean age of the participants was 40.5 ± 9.702 years. The internal consistency of the items of the Kiswahili version of WHOQOL-HIV BREF shows Cronbach's alpha values of 0.89-0.90 (p < 0.001). Analysis of test-retest reliability showed a statistically significant Intra-class correlation (ICC) of 0.91 - 0.92 (p < 0.001). The spiritual and physical domains were highly discriminated from the rest of the domains (Psychological, Environmental, Social and Independent domain). Kiswahili WHOQOL-HIV BREF tool was found to have good validity and reliability among Tanzanian people living with HIV/AIDS. These findings provide support for the use of this tool in assessing the quality of life in Tanzania.

Relationship of Mindfulness with Depression, Self-Management, and Quality of Life in Type 2 Diabetes Mellitus: mindfulness is a Predictor of Quality of Life.

Mindfulness interventions have shown promising results in both psychological and clinical outcomes of type 2 diabetes mellitus. Depression, self-management, and quality of life (QOL) have shown improvement with mindfulness interventions; however, little is known about dispositional mindfulness and its relationship with depression, self-management, and QOL in type 2 diabetes mellitus. The aim of this study is to assess the relationship of dispositional mindfulness with depression, self-management, and QOL in patients of type 2 diabetes. Noncommunicable disease outpatient department of a tertiary care medical center of East India. Cross-sectional study. Ninety-nine patients with type 2 diabetes completed the Five Facets Mindfulness Questionnaire, Diabetes Self-Management Questionnaire, and World Health Organization QOL BREF questionnaire and Hamilton Rating Scale for depression. Pearson's correlation and hierarchical regression analysis using the SPSS software version 20.0. Describing, acting with awareness, and nonjudging facets of mindfulness showed a negative correlation with depression (P < 0.05). Acting with awareness and nonreactivity to inner experience were positively correlated with the physical activity domains of self-management (P < 0.05). All facets of mindfulness showed a positive correlation with four domains of QOL. In hierarchical regression analysis, after controlling for sociodemographic and clinical variables, mindfulness predicted the psychological domain of QOL, explaining 31% of the variance (P ≤ 0.001). However, mindfulness did not predict depression or self-management. Dispositional mindfulness is a strong predictor of QOL in type 2 diabetes mellitus and hence can be targeted with interventions to improve psychological outcomes.