Quality Of Life Model Research Articles

Quality of life modeling in Saint Petersburg and the Northwest regions

Subject: application of the quality economics methodology to obtain scientifically based assessments of the quality of life in the regions of the Northwestern Federal District. The purpose of the study: research development related to the search for possible areas of impact on the socio-economic system that contribute to improving the population’s quality of life in the context of digitalization (according to the data from St. Petersburg and the regions of the Northwestern Federal District). In the course of the study, a quality of life model was created for the regions of the Northwestern Federal District. A basic and comprehensive assessment of the quality of life was carried out, so now we can trace the more than ten-year dynamics of the indicator, group the regions, identify and justify their common and accusatory features in the context of the study. An analysis of individual characteristics of the quality of life in the Northwestern Federal District regions has shown that it is possible to measure the contribution that medical and demographic conditions, socio-economic well-being, comfort and safety of the living environment make to the quality of life indicator. Based on the results of the study, it was concluded that it is important to assess the contribution of these components to determine the direction of regional development policy. In the interests of revealing promising opportunities for obtaining algorithmic solutions in the field of standardization of quality of life management in the region, a new format of a multi-level quality management system is proposed. The use of a digitalized format for managerial decision-making in a multi-level quality management system will greatly increase their effectiveness by expanding the capabilities of analyzing complex data without clear relationships, including for forecasting and optimizing processes occurring at the local, regional, and national levels.

Effects of anxiety, depression, social support, and physical health status on the health-related quality of life of pregnant women in post-pandemic Korea: a cross-sectional study.

This study aimed to examine the effects of anxiety, depression, social support, and physical health status on the health-related quality of life of Korean pregnant women using Spilker's quality of life model. This was a cross-sectional study with a correlational design. The participants included 166 pregnant women who were recruited via convenience sampling at two healthcare centers in South Korea. Questionnaires were collected from April 22 to May 29, 2023, in two cities in South Korea. The EuroQol-5D-3L, General Anxiety Disorder-7, Patient Health Questionnaire-2, Perceived Social Support through Others Scale-8, and EuroQol visual analog scale were used to assess the study variables. The t-test, Pearson correlation coefficients, and multiple regression tests were conducted using IBM SPSS ver. 26.0. Statistically significant correlations were identified between the health-related quality of life of pregnant women and anxiety (r=.29, p<.001), depression (r=.31, p<.001), social support (r=-.34, p<.001), and physical health status (r=-.44, p<. 001). Physical health status (β=-.31, p<.001) and social support (β=-.21, p=.003) had the greatest effect on health-related quality of life (F=15.50, p<.001), with an explanatory power of 26.0%. The health-related quality of life of pregnant women was affected by social support and physical health status. This study demonstrated that physical health and social support promotion can improve the health-related quality of life of pregnant women. Healthcare providers should consider integrating physical health into social support interventions for pregnant women in the post-pandemic era.

P185 Global perception of normal life by healthcare professionals and IBD patients: mind the gap

Abstract Background For patients living with inflammatory bowel diseases (IBD), the ultimate treatment goal is “normal life”. However, no patient-reported outcome measurement (PROM) exists to measure the level of life normality in IBD. We previously asked patients across the world (5 continents) to identify and rank-order items important to their “normal life”. The top-25 ranked items are being used for subsequent PROM development. In this study, we aimed to compare the perception of healthcare professionals (HCP) and patients with IBD on normal life. Methods IBD patients without an ostomy, pouch or significant comorbidities were interviewed in their mother tongue in 5 continents about “normal life” using a semi-structured interview guide. All items indicated as important were extracted from translated transcripts using directed content analysis (1) until saturation of items occurred. Categorisation was guided by the Wilson’s &amp; Cleary’s Quality of Life model. (2) Second, in an online Delphi procedure, interviewed patients and HCP from each participating centre scored importance of each item on a 0-10 scale. Items scored 7 or higher by &amp;gt;75% were considered important to the respective group. Patient-ranked items were then presented to a patient focus group to clarify wording and merge similar items. Items merged in the patient focus group were merged similarly in HCP rankings. Third, HCP- and patient-rankings were compared. We compared top-25 items selected for PROM development and top-3 items per category. Results 45 CD and 40 UC patients spread over 6 countries were interviewed (median age 36, 56% male, 68% employed, median disease duration 7 years [IQR 4-15]) (table 1). Saturation occurred after 33 CD and 36 UC interviews, yielding 156 unique items. In the Delphi procedure, 54 patients considered 31 items important for normal life with IBD of which 25 remained after focus group discussion. 34 HCP (12 IBD nurses, 16 IBD gastroenterologists, 6 colorectal surgeons) considered 72 items important. Top-25 rankings overlapped in 15 items between patients and HCP, being 5 of 12 physical, 1 of 4 activities, 2 of 3 social, 4 of 11 psychological items and 3 of 5 circumstances (table 2). Top-3 rankings per category overlapped in 2 physical, 1 activities, 2 social, 1 psychological items and 2 circumstances (table 3). Conclusion We identified discrepancies in the perception of normal life with IBD between patients living with IBD and healthcare professionals (HCP). Of top-25 selected items for PROM development, 15 items overlapped between patients and HCP. Of top-3 items per category, the least overlap was seen in activities and psychological items. PROM development and international validation is ongoing.

No ordinary adult life: Living conditions from the perspective of adults with intellectual disabilities.

This study focuses on the subjective experience of the living conditions of adults with intellectual disabilities as related to the Uppsala Quality of Life model (UQoL2). Eleven semi-structured interviews were conducted to study issues raised by people with intellectual disabilities. Study participants had their own home, either in an ordinary dwelling or group home. The findings show that the dependence on support in daily life infringes on the sense of adult social status and control of life. Staff and family had a mandate to define Quality of Life, which countered the possibilities of a life based on the preferences of those with intellectual disabilities. Knowledge about factors that affect living conditions, one of the social determinants of health, has implications for public health in general and the development of society's efforts for people who are in lifelong dependence on support and service from others.

Establishing an Expert Consensus on Key Indicators of the Quality of Life among Breast Cancer Survivors: A Modified Delphi Study.

(1) Background: The needs of cancer survivors are often not reflected in practice. One of the main barriers of the use of patient-reported outcomes is associated with data collection and the interpretation of patient-reported outcomes (PROs) due to a multitude of instruments and measuring approaches. The aim of the study was to establish an expert consensus on the relevance and key indicators of quality of life in the clinical practice of breast cancer survivors. (2) Methods: Potential indicators of the quality of life of breast cancer survivors were extracted from the established quality of life models, depicting survivors’ perspectives. The specific domains and subdomains of quality of life were evaluated in a two-stage online Delphi process, including an international and multidisciplinary panel of experts. (3) Results: The first round of the Delphi process was completed by 57 and the second by 37 participants. A consensus was reached for the Physical and Psychological domains, and on eleven subdomains of quality of life. The results were further supported by the additional ranking of importance of the subdomains in the second round. (4) Conclusions: The current findings can serve to optimize the use of instruments and address the challenges related to data collection and interpretation as the facilitators of the adaption in routine practice.

Predicting Life Quality Model Based on the Cognitive Status and the Social Capital Among Elderly Regarding the Resilience as the Mediating Role

Background: The quality of elderly people’s life is one of the challenges of the 21th century. Therefore, determining factors that affect quality of life in elderly people is important. This study was designed to establish a life quality model among elderly.&#x0D; Methods: In this study, a quality of life model was designed based on cognitive status and social capital with the mediating role of resilience among older adults. For this reason, 243 subjects over 60 years old living in Tehran were chosen through convenient sampling d in 2020-2021. The specified information was collected utilizing the World Health Organization Quality of Life (QOL) questionnaire to determine the quality of life, Onyx and Bullen’s social capital scale to assess the social capital, Mini Mental State Examination (MMSE) to evaluate the cognitive impairment and Connor-Davidson resilience scale to assess the level of resilience. The obtained data were statistically analyzed by confirmatory factor analysis using AMOS software v24.&#x0D; Results: Results showed a significant positive relationship between cognitive status and quality of life (β=0.474, p&lt;0.01), between social capital and quality of life (β=0.245, p&lt;0.01), and also between resilience and quality of life (β=0.400, p&lt;0.01) among subjects. Results also confirmed the mediating role of resilience in the relationship among cognitive status, social capital, and quality of life (β=0.102, p&lt;0.01 &amp; β=0.170, p&lt;0.01).&#x0D; Conclusion: For the promotion of quality of life among subjects, certain interventions must be designed by policy makers to improve social capital, cognitive status, and resilience.

Biopsychosocial models in cancer care: application of a counseling model of wellness

ABSTRACT This correlational research study explored connections between multidisciplinary biopsychosocial assessment models, namely the Quality of Life model and the Indivisible Self model of wellness, and their utility in assessing psychosocial well-being in cancer survivorship. Both assessment models were found to account for statistically significant variance in depression scores and were found to have more shared variance than unique variance. Implications for utilizing a counseling model of wellness within a cancer context are discussed.

Towards the fulfillment of the right to inclusive education for students with intellectual and developmental disabilities: Framework for action

Since the United Nation's Convention on the Rights of Persons with Disabilities was passed (2006), inclusive education evolved from a principle of education towards a right to be guaranteed for all students. Despite this, students with intellectual and developmental disabilities (IDD) have not enjoyed this right on an equal foot with others, experiencing a stagnation in their inclusion over the last 15 years. Moreover, there is an important gap between the policies passed at national, regional, and local levels aimed at including these students, and the educational experiences that they are currently receiving within education systems. To address this mismatch and to provide educators with a framework for action that shortens what is current education of students with IDD and what should be, the purpose of this work is to present the conceptual and practical implications of the supports paradigm and the quality of life model, two frameworks that have now join together and that offer a systematic approach to address the access, participation, learning, and development of students with IDD to their fullest potential, the necessary goals of an inclusive and quality education.

Assessment of Satisfaction with Life among Elderly Patients Receiving HIV Care and Treatment in Mulago HIV Clinic: A Chronic Illness Quality of Life Model

Assessment of Satisfaction with Life among Elderly Patients Receiving HIV Care and Treatment in Mulago HIV Clinic: A Chronic Illness Quality of Life Model

Якість життя особистості та особливості її вимірювання

У статті представлені результати апробації псиході-агностичної методики (n=117) на вивчення якостіжиття особистості з використанням авторськогоопитувальника. Метою є дослідження значенняоцінки якості життя для подальшого його викори-стання та визначення рівня якості життя людинияк психологічної категорії. Методи дослідження: авторський опитувальник, тести зі стандартизо-ваними анкетами, кореляційний аналіз, описовістатистики. Результати. Представлено авторськумодель якості життя, в основі якої є твердження, щодійсне значення якості життя відображене в суб’єк-тивних відчуттях людини, а ці відчуття формуютьсяна основі конкретних об’єктивних умов і визначенопсихологічні ознаки та показники, які конкретизу-ють параметри прояву якості життя. Представленостандартизацію авторської методики “Опитуваль-ник якості життя особистості”, який містить 16 твер-джень та наведено результати апробації даної мето-дики. Розподіл рівнів якості життя має наступнібали: низький рівень якості життя – 16-56 балів,середній рівень якості життя – 57-58 балів, висо-кий рівень якості життя – 86-112 балів. Вимірю-вання якості життя ґрунтується на оцінці людиною рівня свого добробуту в фізичному, психічному,соціальному і економічному відношеннях. Надій-ність методики вивчення якості життя особистостіє високою (α = .802). Авторська методика є дослід-ницькою, тому не визначає ступінь вираженості діагностованих параметрів, їх нормування, хочадозволяє визначити змістові, якісні, кількісні харак-теристики досліджуваних якостей. Виявлено пози-тивний взаємозв’язок між показниками якостіжиття та життєстійкістю(=.736; p≤.01), задоволе-ністю життям(=.707; p≤.01), суб’єктивним щастям(=.659; p≤.01) і самоефективністю (=.629; p≤.05). Висновки. Визначено складові якості життя особи-стості такі як суб’єктивна та об’єктивна і підкрес-лено особливу значимість саме суб’єктивної оцінкиякості життя для психічного здоров’я людини.

Abstract 13862: Testing of a Health-related Quality of Life Model

Introduction: In patients with heart failure (IHF), health-related quality of life (HRQOL) is as important as longer survival. Deaths are inevitable for all human beings, but clinicians may help patients with HF to maintain or improve HRQOL until almost at the end of their lives. Psychological and physical symptoms can impact HRQOL through different pathways, and behavioral factors can indirectly impact HRQOL, but the relationships have not been tested in prior theoretical models. Hypothesis: Sociodemographic (i.e., age), biological/physiological (i.e., comorbidity), psycho-social (i.e., depressive symptoms and social support), physical (i.e., physical symptoms and functional status), and behavioral factors (i.e., dietary adherence) in Heo-Moser model will be associated with HRQOL directly and indirectly in patients with HF through different pathways. Methods: This is a secondary analysis of baseline data from two observational studies in which baseline data were collected using the same instruments (N = 358 patients with HF, mean age: 60.4 years). Structural equation modeling (SEM) was used to test the hypothesis. Results: In the SEM, the analysis showed desirable model fit: Chi-square = 7.710, p = .260, RMSEA = .028 (95% confidence interval = 0.00, 0.078), CFI = 0.998, TLI = 0.989, and SRMR = 0.023. Age, depressive symptoms, physical symptoms, and functional status were directly associated with HRQOL. Age, comorbidity, depressive symptoms, social support, dietary adherence, and physical symptoms were indirectly associated with HRQOL through different pathways (Figure 1). Conclusions: All the factors in the model were directly and/or indirectly associated with HRQOL through different pathways. The pathways of physical symptoms, depressive symptoms, and dietary adherence differed. This model can be used to develop interventions targeting improvement in HRQOL in patients with chronic diseases.

Dissomic disorders associated with juvenile rheumatoid arthritis: impact on quality of life

Dyssomnic disorders (DD) associated with juvenile rheumatoid arthritis (JRA) are some of the most common conditions that are difficult to endure and that lead to deconditioning. This study aimed to assess prevalence and structure of DD, their relationship with clinical picture peculiarities and contribution to deterioration of the quality of lives of JRA patients. At the 1st stage, we assessed prevalence of DD in a continuous sample of JRA patients and healthy children aged 8–16 years. At the 2nd stage, we assessed DD structure, features associated with gender and age, connections to the key clinical characteristics of JRA and quality of life of the patients. In the context of the study, we used the SDSC sleep quality scale, the PedsQL 4.0 quality of life model, and the Ritchie index. DD develop in JRA patients 3.3 times more often than in healthy children (in 178 (72.3%) and 93 (22.2%) children, respectively). The DD registered were sleep initiation and maintenance disorders (54 cases, 22.0%), respiratory disorders (32 cases, 13.0%), sleep-to-wakefulness transition disorders (31 cases, 12.6%), excessive sleepiness disorders (38 cases, 15.4%), combinations thereof (23, 9.3%). Girls had sleep initiation and maintenance disorders more pronounced (p = 0.003), boys were more prone to excessive sleepiness (p = 0.008). The severity of DD increases with patients' age (r = 0.69; p = 0.001) and JRA onset age (r = 0.71; p = 0.001); they are also more severe in polyarticular JRA patients (r = 0.32; p = 0.048). We have clarified the relationship between DD and indicators of inflammatory (r = 0.56; p = 0.001) and Ritchie indices (r = 0.44; p = 0.005), duration of morning stiffness (r = 0.49; p = 0.029). The proven connection between DD and JRA entails the need for routine checks for DD in such patients, and, when discovered, DD should call for personalized therapeutic and diagnostic approach rather than be regarded as one of the JRA syndromes.

Impacto de la musicoterapia en la calidad de vida de personas con discapacidad intelectual: una revisión de la literatura

La musicoterapia es una modalidad de intervención ampliamente utilizada en el ámbito de la discapacidad intelectual. Los resultados personales de las intervenciones que suponen una mejora en la calidad de vida son considerados, a día de hoy, como un indicador de buenas prácticas en este ámbito. El objetivo del presente trabajo es relacionar los resultados de intervenciones de musicoterapia en personas con discapacidad intelectual con las dimensiones del modelo de calidad de vida de Schalock y Verdugo. Con tal fin se ha llevado a cabo una revisión bibliográfica con un resultado de doce estudios con validez metodológica. Se ha procedido a relacionar los resultados de las intervenciones con los indicadores de cada una de las dimensiones del modelo de calidad de vida propuestos por Schalock y Verdugo. Los resultados informan que la mayor parte de las intervenciones persiguen objetivos relacionados con las dimensiones: bienestar emocional, relaciones interpersonales e inclusión social.

Quality of Life Model: Categories of 3b’s

Quality of life (QOL) is one of the important aspects to live our life with happiness without any kind of physical and mental illnesses. The World Health Organization (WHO) describes quality of life as how individuals view their position in life in the setting of cultural value-systems in which they live in relation to their goals, hopes, expectations, standards and concerns. QOL is the subjective perception and evaluation of people’s living conditions based on their standards. This implies that QOL is the multidimensional and value-driven construct. A good quality of life does not possess only about the well being of a person’s health, also it assesses various needs for the care and attention. Good quality of life is to improve the general health and functions of the patients with chronic illness and disability .

Valoración de parques, árboles y plantas de ornato en Ciudad de México con datos de calidad de vida

El objetivo de la investigación es realizar una valoración económica de dos variables: parques urbanos y árboles y plantas de ornato en Ciudad de México, con datos de la Encuesta de Percepción de Calidad de Vida, de 2012. Se emplearon modelos de calidad de vida, en función de variables sociodemográficas, servicios e ingreso mensual promedio del hogar. Según los resultados, con base en los parámetros estimados, la presencia de parques y árboles y plantas de ornato en el entorno es positiva para la calidad de vida de la población. La limitación del estudio es que los valores calculados pueden ser complementarios a las valoraciones por precios hedónicos, y para saber si es así se requiere investigar más sobre el mercado de vivienda; además de considerar problemas de endogeneidad en el ingreso, que pueden sobreestimar los valores monetarios. Se concluye que estos últimos son indicadores de la incidencia positiva de las dos variables valoradas en la calidad de vida de los citadinos.

ICF and SEN: a National project for identification toward quality of life model

The school represents a privileged context for observing individual and social conditions, and for early interventions, according to an ecological and capability perspective. The Quality of Life model and the ICF model are valid references for the development of customized projects in this direction.Our study starts from the assumption that it's necessary to work according to a model that meets a logic of possible defined relations among the areas in the anthropological paradigm of the ICF. Particularly it's necessary to take advantage of the aims of Physical Education, a discipline that allows people to show themselves completely and to dialogue with the environment through the body. This research project has as its objective the validation of tools for the identification of Special Educational Needs through observation and evaluation of psycho-affective students' indicators (Personal Factors of ICF and someessential factors of quality of life) during the lessons of Physical Education.Although the research data have not been collected yet to make an analysis, it's useful the promotion of this project to realize a scientific model for the identification of SEN in the framework of the ICF, evaluating Physical Education that is often underestimated as interpretative key of students' behaviors and educational failures.

Association of Neighborhood Social Capital With Quality of Life Among Older People in Singapore.

Objective: To examine how neighborhood-based cognitive and structural social capital are associated with individual quality of life among a sample of community-dwelling older adults in Singapore. Method: Using survey data from 981 older adults (aged 55 years and above) in nine residential neighborhoods, multilevel models simultaneously estimated the effects of independent variables at the individual and neighborhood levels on quality of life (CASP-12). Results: Social cohesion (β = 1.39, p < .01) and associational membership (β = 19.16, p < .01) were associated with higher quality of life in models adjusted for neighborhood facilities and individual sociodemographics, social networks, functional limitations, global cognitive status, and medical conditions. Discussion: The results suggest that place-based or neighborhood social capital may be important for older person's well-being. It identifies the contribution of structural (associational membership) and cognitive (social cohesion) social capital to the well-being of community-dwelling older adults in Singapore.

Quality of Life and its role for guiding practices in the social and educational services from a systems perspective

The Quality of Life model has been established as a critical framework in the field of intel¬lectual disability on different levels. From a system-perspective, this model has had a huge impact on the ways that the supports are planned and provided and on the way that the organizations have changed. This concept also offers a comprehensive framework for the public policy development and evaluation. In this article we present an updated overview of the Quality of Life model, the evidence on its structure and its role for guiding practices in the social and educational services from a systems perspective, as well as its impact on the development of evidence-based practices in the field of intellectual disability. The main challenges towards the implementation of this model within schools are discussed and directions for further research and practice are presented.

Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model

BackgroundAccording to the self-control model, self-control works as a protective factor and a psychological resource. Although an understanding of the effect(s) of peripheral neuropathy on quality of life is important to healthcare professionals, previous studies do not facilitate broad comprehension in this regard. The purpose of this cross-sectional study was to test the multidimensional assumptions of quality of life of patients with cancer, with focus on their self-control.MethodsA structural equation model was tested on patients with cancer at the oncology clinic of a university hospital where patients received chemotherapy. A model was tested using structural equation modeling, which allows the researcher to find the empirical evidence by testing a measurement model and a structural model. The model comprised three variables, self-control, health related quality of life, and chemotherapy-induced peripheral neuropathy. Among the variables, self-control was the endogenous and mediating variable.ResultsThe proposed models showed good fit indices. Self-control partially mediated chemotherapy-induced peripheral neuropathy and quality of life. It was found that the physical symptoms of peripheral neuropathy influenced health-related quality of life both indirectly and directly.ConclusionsSelf-control plays a significant role in the protection and promotion of physical and mental health in various stressful situations, and thus, as a psychological resource, it plays a significant role in quality of life. Our results can be used to develop a quality of life model for patients receiving chemotherapy and as a theoretical foundation for the development of appropriate nursing interventions.

Abstract P549: Profile of Physical Activity in Medical Students - Constructing a Quality of Life Model

Introduction: According to the World Health Organization , performing physical activity (PA) results in less chance of coronary heart disease development, hypertension, diabetes, obesity, heart attack, colon and breast cancer and depression, in addition to promote quality of life (QOL) improvement. Some studies show that students’ perceptions about QOL during your college experience are essentially related to the levels of academic support. Thus, it is considered that the level of subject PA is crucial in promoting health and QOL in medical students and have important role to disseminate information in society, that could modify the community culture and habits where they are inserted. Objective: To identify the profile of PA on medical students of a private College in Rio de Janeiro, Brazil. Method: This subset study is part of an observational study with cross-sectional delineation, with data collected through the application of an anonymous questionnaire. The collection of these data was the basis of an instrument for assessing the QOL of the medical students of this College. For descriptive purposes, we analyze gender, age, BMI (body mass index), year, place and frequency of PA, type of exercise performed and time spent per week with PA. Results: Of the 490 students with an average age 21.7 years (16-42 years), 64.1% female, 75.1% practiced PA prior to entered the medical college, but 38.4% decreased the frequency after initiated the college, 22.2% perform regular PA three times a week, 44.5% practice anaerobic and aerobic PA and 28.6% are sedentary. Among the male participants, 83% x 70.7% female, practiced PA before starting the course of Medicine (p 0.003), both with reduced frequency after admission in college (38.1% x 38.5%, respectively, p NS). The combined aerobic and anaerobic activities predominates in both genders. Comparing the data obtained between the first and second years (Group A), with the fifth and sixth years students (Group B), statistically significant relative (1) sedentary (A 34.5% x 23.3% B) and reduction PA after admission in college (A 33% x 56.7% B). Conclusion: Studies confirm that the teaching model with full-time activities imposed in medicine schools, reduces the time required to adapt personal habits and maintain a good QOL.