Self-assessed Quality Research Articles

The effects of an early intervention on adults’ gaming-related problems – a pilot study

Gaming Disorder (GD) has been recognized as an official psychiatric condition characterized by individuals’ impaired control over gaming, continuous gaming despite the occurrence of negative side-effects, and gaming taking increasing priority over other important areas of life, thus leading to significant impairments in their everyday lives. To date few prevention and treatment programs have been developed. The present pilot study aimed to investigate the effects of an early psycho-educational intervention for young adults with excessive gaming behaviors. A one-group pre- and post-test design without a control group was used. A total of 22 young adults (20 males and 2 females) aged between 18 and 28 (M = 23.05, SD = 3.02) years old, engaged with the intervention. The severity of gaming-related problems, average gaming time per day, quality of life, and mental well-being were assessed at pretest and post-test stages. Participants demonstrated a slight reduction in gaming time (d = 0.13, p = .545 for weekdays, and d = 0.08, p = .714 for weekend days) and in the severity of problematic gaming (d = 0.17, p = .411) over the three-month intervention period. Changes in neither gaming-related measures nor self-assessed quality of life (p > .01) and mental well-being (d = 0.23, p = .288) reached statistical significance, however. Regardless of limitations on sample size, this study shows encouraging signs that this brief 10-session and three-month educational intervention can achieve positive effects on gaming behavior. A larger scale investigation is needed to develop the intervention further.

The show must go on: The mediating role of self-assessment in the relationship between performers’ technology acceptance and satisfaction level with remote performances in Korea during the COVID-19 pandemic

To cope with the COVID-19 pandemic, the performing arts industry created new formats for delivering content via digital technology in the form of remote performances. This study examined the effect of remote performances on performers' satisfaction through the lens of the technology adoption model. Additionally, it investigated whether the performers’ self-assessment of performance quality mediates the relationship between their technology acceptance and satisfaction. To this end, we collected the data from performers (N = 124) who experienced remote performances in Korea. Results showed that their satisfaction was a function of perceived usefulness and ease of use of the technology. However, the mediation effect by self-assessment was detected only on the relationship between the perceived ease of use and satisfaction. The results of the study suggest that event organizers offer an easy-to-operate technology allowing performers to better engage in remote performances. This also enables performers to self-assess their performances, which will enhance performance quality.

USING THE EXPERIENCE OF INTERNATIONAL STATISTICS TO CREATE A REPOSITORY OF APPLIED METADATA FOR INFORMATION SYSTEMS IN ECONOMIC AREA

ntroduction of process approach in organizations engaged in processing statistical and economic information for ana-lytical research, transition in information systems (IS) to service-oriented architecture, integration of data from different sources, use of data warehouses necessitated the development of new approaches to creating and modernizing IS. At the same time, the requirements for the meta-information component of the IS in terms of meeting the requirements of internal and external users regarding the possibility of self-assessment of data quality are increasing. All these challenges require strengthening the meta-information component of the IS for the use of metadata by different user groups. The article consid-ers the key points that need to be taken into account when adapting to the existing IS existing international experience in the modernization of economic IS direction. This information will be useful when creating a metadata repository, data ware-house, information portal on statistical and economic research.

Monitoring of self­assessment by health care workers of the quality of own life during the pandemic of acute respiratory disease caused by SARS-­CoV­-2 coronavirus in 2020

Comparative analysis of changes in self-assessment of quality of life (QoL) indicators by young medical students during 2020 revealed certain correlations depending on the time during which they were forced to study and work against the background of the predominantly negative influence of the chronic stressful situation — the need to daily contact with different patients in conditions of many months of quarantine due to pandemic of acute respiratory disease caused by the SARS-CoV-2 coronavirus. The overall negative impact of the infectious pandemic and the resulting fears on public consciousness were quite expected. Medical workers with different clinical experiences and qualifications (nursing students and doctors), quite emotionally reacted to the potential danger of being infected with coronavirus infection due to daily professional contacts with various patients who had somatic diseases, some of which might already be in the incubation period of clinical course of coronavirus pathology. This directly reduces their self-esteem of QOL and, in certain situations, can be a factor that leads to the appearance of psychosomatic disorders in them as a kind of somatic occupational pathology, especially with prolonged (many months) continuation of lockdown restrictions due to the high level of morbidity and mortality of the population. The monitoring of changes in self-esteem of individual components of QoL turned out to be quite dependent both on the expression of individual psychological traits of each tested person and on the time of the survey (spring—late summer—winter 2020—2021).

Self-assessment of Rationing and Quality of Nursing Care.

Nursing care rationing has been a widespread problem in everyday nursing practice for many years. The aim of this research study was to assess the prevalence of care rationing among nurses working in Poland. The study was conducted among a population of 1310 nurses. To examine the dependencies between the sociodemographics and unfinished nursing care, the Polish adaptation of the Perceived Implicit Rationing of Nursing Care questionnaire and an investigator-developed questionnaire were used. The mean level of missed care was 1.16 (SD = 0.7). The significant predictors of care rationing were associated with the quality of patient care (βstd = -.43, P < .001) and general work satisfaction (βstd = -.15, P < .001). Job satisfaction and the quality of nursing care should be constantly monitored as these factors are significantly associated with the levels of care rationing.

Artificial Intelligence and Deep Learning-Based Information Retrieval Framework for Assessing Student Performance

Improving the quality of education is a challenging activity in every educational institution. Through this research paper, a model has been proposed representing the challenges in order to manage the trade-off to maintain the philosophy of continuous quality improvement and strict control based on Higher Education Institutions (HEIs). Several standards criteria, performance parameters, and Key Performance Indicators are studied and suggested for a quality self-assessment approach. After the data is collected, the significant features are selected for analysis of data using dedicated gain, which are designed by integrating the information gain and the dedicated weight constants. After that, deep learning methodologies like regression analysis, the artificial neural network, and the Matlab model are used for evaluating the academic quality of institutions. Finally, areas of development have been recommended using the probabilistic model to the administrators of the institutions based on the prediction made using a deep neural network.

ASPEK DAN PENILAIAN KESEJAHTERAAN SUBJEKTIF: KEBAHAGIAAN, KEGEMBIRAAN, KEPUASAN DAN KUALITI HIDUP

Subjective well-being is the self-assessment of happiness, pleasure, satisfaction and quality of life, measured specifically and holistically. The assessment of subjective well-being is varied based on the area of focus of the researcher. Events that occur over some time also could affect an individual’s evaluation. Various factors assess well-being, such as character, love, wisdom, excitement and experiences leading to a good life. The evaluation of the positive and negative effects also affects the subjects’ emotions and mood during a study. Earlier studies showed that well-being is not merely related to income and ownership, but issues on health, activities, personality, emotions, mood, family, environment and various other factors. Therefore, this article aims to discuss aspects, assessment methods, theories and progress based on articles, books and research related to subjective well-being. This study utilises the literature review approach to collect data on subjective well-being. The finding shows that the level of subjective well-being is diverse and dynamic, and not limited to certain aspects and factors that could affect humans. Keywords: subjective well-being; self-assessment; happiness; life satisfaction; quality of life.

Managing Cancer as a Family Disease - Feasibility, Satisfaction and Family Functioning after Short-Time Counselling for Families with Parental Cancer

Background: Parental cancer affects not only the patient, but all family members. Access to psychological support for the entire family is highly relevant, but still scarce. The aim of the present research project was to develop, implement, and evaluate the effectiveness of a short-term counselling intervention for families with parental cancer. Methods: The short-term counselling intervention consisted of six sessions and was developed based on pre-existing evaluated concepts. All participating family members had to complete questionnaires prior and post-intervention. These questionnaires investigated changes in family communication and satisfaction levels, parental anxiety and depression levels, parental partnership quality and self-assessed quality of life of children and adolescents. Furthermore, feasibility of and satisfaction with the intervention was assessed. Results: Acceptability of short-term counselling was high in participating families, although feasibility was limited with regard to the final inclusion rate (n = 10). Comparison of pre and post intervention measures showed a significant increase in family communication and satisfaction levels. Anxiety and depression levels were low, quality of parental partnership within the normal range, and quality of life reported from children was high. These scores remained stable from pre to post intervention. Conclusions: The counselling intervention most likely had positive effects in all family members with either stabilizing or increasing all measured outcomes. Although interpretation of the results is limited due to the small sample size, we believe that integrated in clinical routine of adult care of a hospital, this additional offer might be a valuable benefice to cancer patients and their families. Clinical Trial Registration Number: NCT03097458 (clinicaltrials.gov)

COVID-19 in lung transplant recipients-Risk prediction and outcomes.

Patients after lung transplantation are at risk for life-threatening infections. Recently, several publications on COVID-19 outcomes in this patient population appeared, but knowledge on optimal treatment, mortality, outcomes, and appropriate risk predictors is limited. A retrospective analysis was performed in a German high-volume lung transplant center between 19th March 2020 and 18th May 2021. Impact of COVID-19 on physical and psychological health, clinical outcomes, and mortality were analyzed including follow-up visits up to 12 weeks after infection in survivors. Predictive parameters on survival were assessed using univariate and multivariate proportional hazards regression models. Out of 1,046 patients in follow-up, 31 acquired COVID-19 during the pandemic. 12 of 31 (39%) died and 26 (84%) were hospitalized. In survivors a significant decline in exercise capacity (p = 0.034), TLC (p = 0.02), and DLCO (p = 0.007) was observed at follow-up after 3 months. Anxiety, depression, and self-assessed quality of life remained stable. Charlson comorbidity index predicted mortality (HR 1.5, 1.1-2.2; p = 0.023). In recipients with pre-existing CLAD, mortality and clinical outcomes were inferior. However, pre-existing CLAD did not predict mortality. COVID-19 remains a life-threatening disease for lung transplant recipients, particularly in case comorbidities. Further studies on long term outcomes and impact on pre-existing CLAD are needed.

Civil society’s impact on quality of life

ABSTRACT The purpose of the article is to analyse the impact of three forms of involvement in organized civil society – as ‘participant’, as ‘member’ and as ‘volunteer’ – on self-assessed quality of life when checking for coherence between the three forms of participation. The article is inspired by both Lim and Putnam’s claim that close social networks around meaningful and identity-bearing activities increase self-assessed quality of life and Stebbins’ claim that life satisfaction is an essential by-product of ‘serious leisure’. This article utilizes data from a digital survey study conducted among adult citizens in Denmark, which 2514 citizens answered. The questionnaire contained a broad range of questions regarding participation in leisure activities, membership in associations, engagement in voluntary work, subjective life-satisfaction, self-assessed health and social background of the respondents. The statistical regression analysis shows a correlation between volunteering in general and self-assessed quality of life, but the correlation is relatively weak. However, the analysis does not show a significant correlation between the quality of life and membership in an association and participation in ‘serious leisure’. Of the other variables included, self-assessed health, in particular, contributes to explaining the variation in the self-assessed quality of life.

PEMBENTUKAN KONSEP DIRI SATUAN PASPAMPRES RI

The results showed that individual PASPAMPRES personnel have thoughts and self-assessment of quality and are superior, have a favorable opportunity for promotion compared to other unit personnel. This study aims to determine how the formation of self-concept in the personnel of the PASPAMPRES unit based on the situation and facts where PASPAMPRES is an elite unit containing selected and qualified soldiers who have certain skills and privileges to be able to carry out Presidential VVIP security duties. A strict personnel admission selection where not all TNI soldiers can pass and have the desired qualifications make PASPAMPRES personnel called superior and elected personnel. The reason this research was conducted was to find out how this situation had its own impact on the self-concept of the selected PASPAMPRES personnel. The theory used is the Symbolic Interactionism theory by George Herbert Mead, Self-Concept and Group Thought Theory. This research methodology uses a constructivism paradigm with a qualitative approach and data collection techniques using interviews. The focus of this research focuses on how the mind, self, and society as well as the climate of the PASPAMPRES unit can influence the formation of personnel self-concept.

PSYCHO-EMOTIONAL STATUS AND QUALITY OF LIFE ASSESSMENT IN PATIENTS WITH TYPE 1 DIABETES MELLITUS

The data of study to determine the emotional state of 84 patients with type 1 diabetes mellitus and their self-assessment of quality of life was given in the article. According to the study design all patients were divided into 2 groups depending on labile or relatively stable course of disease. The control group consisted of 22 healthy persons. Due to the application of generally accepted questionnaire use the absence of the ability adequate perception of their condition were determined in significant number of patients in both groups. This fact should be seen as a barrier to effective selfmanagement and, consequently, to achieve of satisfactory metabolic parameters. At the same time, the lack of «obsession» on the disease for a certain number of persons with type 1 diabetes mellitus indicates their perception of the disease as lifestyle.

Improvement of quality of life and postural balance of institutionalized elderly people undergoing to a treadmill walking training

IntroductionInstitutionalized older adults have fewer opportunities to participate in daily living activities and tasks in an independent manner, with greater deleterious effects on the physiological losses inherent to aging and with increased gait and balance impairment compared to community-dwelling older adults. The use of a treadmill for rehabilitation, with or without partial weight support, has been studied in different groups, but not on institutionalized older adults. ObjectivesTo assess the effects of a treadmill walking program on the postural balance and quality of life of institutionalized older adults. MethodsThirty-seven institutionalized older adults: intervention group (n = 23, 75.7 ± 7.8 years) and control group (n = 14, 78.9 ± 10.2 years). A total of 10 weeks of treadmill walking, twice a week (intervention group) vs. no training (control group). Postural balance was assessed by the Tinetti test, 6-min walk test (6MWT), and 10-m walk test and Quality of life with the WHOQOL-Bref questionnaire. ResultsSignificant improvement was observed in balance parameters (6MWT distance: p < 0.001; gait speed 6MWT: p < 0.001; gait speed 10MWT: p < 0.001; Tinetti scale: p = 0.001), and in the physical (p = 0.01), psychological (p = 0.002), self-assessed quality of life (p = 0.01) and overall quality of life domains (p = 0.002). ConclusionsTreadmill walking program had positive effects on the postural balance and quality of life of institutionalized older adults.

Quality of the ISO 9000 series of standards-perceptions of quality management experts

PurposeThe authors of this study, who adopted a holistic view of the international organization for standardization (ISO) 9000 series of standards, aimed to evaluate the current status of the standards within the framework of the quality movement. Specifically, the evaluation covered two dimensions, i.e. the significance of the content included in the standards and the quality of the standards’ elaboration, which encompasses such issues as, for instance, their correctness, relevance to current trends in quality management, comprehensibility, etc.Design/methodology/approachThe paper is based on a review of the scientific literature, analysis of the current and all previous versions of the international standards and the results of a survey, through which data were collected from 73 quality management experts from 17 different countries. To evaluate the results, an importance-performance analysis was performed.FindingsAs the results of the research demonstrated, experts in quality management have accepted the ISO 9000 standards series. However, this positive view refers mainly to the very idea of developing quality management standards and these standard’s content structure (components included in them). Study participants assigned a low rating to the quality of the standards’ elaboration. Therefore, improving the following aspects of the standards is essential: definitions, guidelines explaining the requirements for a quality management system, self-assessment tools and guidelines concerning quality management concerning chosen forms of activity.Research limitations/implicationsThe research described here in has both practical and social implications. First, it delineates the direction needed to improve standardizations, whose use need not be strictly limited to quality management but can be successfully used to improve the standards in other areas of management. Therefore, the conclusions of this research directly contribute to increasing both the effectiveness and the quality of the standard organizations. The significant consequences of this research for managers are the identification of ISO 9000 components which they will find are the most useful.Practical implicationsThe research described herein has both practical and social implications. First, it delineates the direction needed to improve standardizations, whose use need not be strictly limited to quality management. However, it can be successfully used to improve the standards in other areas of management. Therefore, the conclusions of this research directly contribute to increasing both the effectiveness and the quality of the standard organizations. The significant consequences of this research for managers are the identification of ISO 9000 components, which they will find are the most useful.Originality/valueMost research treats ISO 9000 standards as a benchmark for their studies on quality management systems implemented in organizations. The standards themselves are rarely the subject of a study, and so this paper fills a gap in the research and provides insights into desired directions for standards improvement.

Development of a checklist as self-assessment tool to evaluate the reprocessing of endoscopic instruments in an Italian teaching hospital.

The present study aims to develop a checklist, as a self-assessment tool, for evaluating all the items involved in the endoscope reprocessing that could be useful for the improvement and/or development of a safety endoscope reprocessing system. A three-step modified Delphi method, with an embedded qualitative component, was adopted to develop the checklist. According to it, corrective actions were performed before its further re-administration. Contextually, the microbiological surveillance of the endoscopes and of the wash disinfector machine was carried out. Five areas were included in the checklist. After the 1st checklist application, only one of three wards reached the excellent scores in all the items. The other two wards showed an improvement in the Traceability and Endoscope Reprocessing areas after corrective actions. The McNemar's test reported significant difference in the proportion of satisfactory results before and after the 1st and 2nd checklist application. The microbiological surveillance, conducted after the 1st administration, showed unsatisfactory results for the 2 bronchoscopes available in the Intensive Care Unit and for 2 automated endoscope reprocessors. The analysis performed after the 2nd administration showed good results. The periodic administration of the checklist is functional for a self-assessment of quality reprocessing procedures carried out in the large endoscopic services and in the wards occasionally providing those services, according to the good practice guidelines and for any corrective actions to increase the safety.

Participation of the nurse in the prevention of patients with CVD through health education and monitoring of health related quality of life

Abstract Funding Acknowledgements Type of funding sources: None. Introduction. Cardiovascular Disease is the most common cause of mortality worldwide and causes major social and economic problems to society. Despite significant progress in prevention, satisfactory results are still being reported. The education of nurses in Bulgaria includes preparation for promotional, preventive, and health-educational activities, which can be performed in a medical team and independently. Nurses resources could be used effectively to prevent Ischemic Heart Disease. Purpose. The aim of the study is to establish the quality of life in patients with IHD and to promote nursing interventions, including health counseling to address certain behavioral risk factors and monitoring. Methods. The study was conducted in two stages. A case-control study was performed in 146 patients with chronic ischemic heart disease and the same number of controls. The two groups are equal in gender. For the purposes of the research, a standardized questionnaire for the study of health-related quality of life was used (EQ-5D-3L, an adapted Bulgarian version). The experimental part included 52 patients with IHD, who are monitored in Primary medical care. Health education was provided by a nurse to reduce behavioral risk factors and monitor indicators. The study covers adults who have given informed consent to participate, in compliance with the ethical principles outlined in the Helsinki Declaration. Results. The results of the quality of life test EQ-5D-3L show more problems in the group of patients in the field of mobility (41.1%) (U = 5.58; p &amp;lt;0.05). There was a significant difference in the relative proportions of patients and controls with problems in the field of self-care, usual routine and pain/discomfort (U = 3.13; p &amp;lt;0.05), which is reflected in a lower self-assessment of quality of life. There is a statistically significant difference in the mean values between patients and controls (t = 13.5, p = 0.001). Short health sessions were conducted with 52 patients to correct behavioral risk factors: guidelines for physical activity, diet, creating an appropriate daily routine, patient diary for blood pressure control, weight reduction, smoking cessation and others. Conclusions. The nurse can contribute to improving the prevention of CVD by educating patients in a healthy lifestyle, self-management and reducing behavioral risk factors. The delegation of preventive activities within the competence of the nurse can improve the health services and quality of life of patients with coronary heart disease.

Patient-reported outcomes for the immediate loading of mandibular overdentures supported by two implants soon after implant surgery

Background/purposeNo studies have comprehensively assessed short-term patient-reported outcomes after the provision of overdentures supported by two immediate implants. The purpose of this study was to evaluate short-term patient-reported outcomes for mandibular overdentures retained by ball attachments on two immediately loaded implants. Materials and methodsNineteen participants with mandibular edentulism were provided with overdentures retained by ball attachments on two immediately loaded, unsplinted implants. The participants' self-assessment of their dentures and oral health-related quality of life were evaluated with the 22-item Patient's Denture Assessment (PDA), and the 19-item Japanese version of the Oral Health Impact Profile (OHIP-EDENT), respectively. Patient satisfaction was measured on a 100 mm visual analogue scale. Assessments were conducted at baseline, and at 1 and 6 months after implant surgery. ResultsThere were significant increases in the PDA “Lower denture” (P = 0.009) at 1 month, as well as “Function” (P = 0.002) and “Lower denture” (P = 0.009) scores at 6 months. Patient satisfaction was also significantly increased at 1 month (P = 0.007) and 6 months (P ≤ 0.000). Significant decreases were observed in the OHIP-EDENT “Physical pain” (P = 0.046) score at 1 month, as well as the summary score (P = 0.033), “Functional limitation” (P = 0.020) and “Psychological discomfort” (P = 0.019) scores at 6 months. ConclusionThe use of two immediately loaded implants for lower mandibular complete overdentures is associated with improvements in patient's self-assessment of dentures, satisfaction, and oral health-related quality of life, up to 6 months after implant surgery.

Quality of Life and Health Status in Middle-aged Presumed Healthy Slovenian Family Practice Attendees.

BackgroundThere is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables.MethodsThe participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant.ResultsOf 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7±8.6 years. The average values for the EQ-5D-3L were 0.91±0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified.ConclusionGiven that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.

IMPROVE 1.0: Individual Monitoring of Psoriasis Activity by Regular Online App Questionnaires and Outpatient Visits.

Smartphone apps gain more and more importance in supporting management of chronic diseases. Psoriasis is a highly prevalent, lifelong chronic inflammatory skin disease with a high impact on patient's quality of life. Disease management includes regular topical and systemic treatment of skin lesions as well as co-treatment of metabolic and psychologic disorders. In this study, we investigated the potential of a new smartphone app (IMPROVE 1.0) for individual monitoring of disease activity and disease influencing factors. Twelve out of 50 psoriasis patients asked for study participation performed self-assessment of psoriasis severity, life quality, and stress scores using the app over a period of 1 year. Every 2 months, study participants were carefully examined by a dermatologist in order to control the quality of app-reported data. We found that psoriasis severity and life quality values as entered in the app closely correlate to physician's examination. Furthermore, we detected strong correlations of disease activity with life quality and psoriasis serum biomarker. Temporal relations between psoriasis aggravation and previous changes of lifestyle factors, such as increased stress levels, were observed in individual patients, indicating a high potential for preventive interventions in future psoriasis apps. The vast majority of study participants evaluated IMPROVE 1.0 app positively and wish to include the app into their daily life. Hence, we demonstrate that smartphone apps are a useful tool to raise self-awareness for the dimensions of complex diseases and fully integrate psoriasis patients into individual disease management. These data are important to develop more advanced digital tools supporting the management of chronic diseases in the future.

Patient-reported outcomes with immediate-loaded two-implant-supported mandibular overdentures: Results of a 5-year prospective study

Background/purposeFew studies have comprehensively assessed long-term patient-reported outcomes for overdentures supported by two immediate implants. The purpose of the study was to evaluate patient-reported outcomes of immediately loaded two-implant-supported overdentures retained by ball attachments over a 5-year evaluation period. Material and methodsNineteen participants with edentulous mandibles were provided with immediately loaded two-unsplinted-implant-supported overdentures retained by ball attachments. The participants completed the Japanese version of the Oral Health Impact Profile (OHIP)-EDENT-19 and the Patient's Denture Assessment (PDA). Additionally, patient satisfaction was measured by a 100-mm visual analog scale (VAS). Measurements were performed at baseline, and at 1 and 5 years following implant surgery. ResultsSeventeen participants and 14 participants were evaluated at the 1-year and 5-year assessment, respectively. Considering the OHIP-EDENT-19, there was a significant decrease in the total (p = 0.046), “functional limitation” (p = 0.021), and “physical disability” (p = 0.034) scores at 1 year and the total (p = 0.045) and “physical disability” (p = 0.024) scores at 5 years following surgery, compared to the baseline scores. Considering the PDA, there was a significant increase in the “function” (p = 0.038) and “lower denture” (p = 0.003) scores at 1 year and the “function” (p = 0.032), “lower denture” (p = 0.008), and “esthetic and speech” (p = 0.043) scores at 5 years following surgery, compared to the baseline scores. Patient satisfaction at 1 year following surgery was significantly greater than that at baseline (p = 0.005). ConclusionImmediately loaded two-unsplinted-implant-supported overdentures retained by ball attachments improved the oral health-related quality of life and self-assessment of dentures by the patients up to 5 years following implant surgery.