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PT and QOL Flashcards

1
Q

Quality of Life

A

The concept of quality of life is complex, and it embraces many characteristics of social and physical environments as well as the health and internal status of individuals

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2
Q

Quality of life may vary based on many things such as:

A

Values, culture, spirituality, and environment

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3
Q

Quality of life measures are multi-dimensional based on

A

Psychological well-being, perceived quality of life, and behavioral competence in multiple areas such as health, functional health, cognition, and social behaviors

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4
Q

What are the two approaches to measuring QOL?

A

Subjective or internal self perceptions of quality of life and objective based upon external judgements of the quality of life

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5
Q

Subjective or internal self perceptions of quality of life

A

Values, religion, and how you perceive your life

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6
Q

objective measure based upon external judgements of the quality of life

A

Standard of living and access to resources such as housing, education, and food and medicine

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7
Q

Health related quality of life is a more _____________ concept than QOL

A

narrowed

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8
Q

Concept of Health Related Quality of Life began in the 1980s and is defined as __________________

A

an individual’s or groups perceived physical and mental health overtime

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9
Q

Health related QOL is primarily concerned with:

A

how health and disease impacts life

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10
Q

Health related QOL: individual level (research, clinical practice)

A

physical and mental perceptions, health risks, health conditions, functional status, social status, and socio-economic status

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11
Q

Health related QOL: community level (Population health, research)

A

Community resources, conditions of specific populations, and policies and practices that influence a population’s health perception and functional status

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12
Q

The biopsychosocial model is based on the systems theory that views nature as:

A

being arranged by as hierarchy ranges from less complex, smaller systems to more complex large social systems

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13
Q

What are the 3 components of the biopsychosocial model?

A

Physical function component, psychological function component, and social component

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14
Q

HRQOL is a central goal of the health people initiative which:

A

provides a measure of the burden of diseases and disabilities, gives insight into risk factors, helps monitor progress towards national health initiatives, influences health policy, and guides resource allocation

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15
Q

What is the importance of HRQOL in a clinical setting?

A

promotes pt-centered approach, can help focus clinical interventions based on pt priorities, a link for clinical outcomes to research, can help identify other pt needs such as referrals for social services and mental health services, and it creates a common language for disciplines

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16
Q

What questions to ask when choosing the right HRQOL measure?

A

Is it appropriate, valid, reliable, responsive to change, interpreted clinically, and practical?

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17
Q

Reliability

A

degree of error reflected in a specific score derived from a particular measurement

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18
Q

Validity

A

the extent to which the tool actually measures what it is supposed to

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19
Q

Responsiveness

A

the ability of the tool to detect clinically meaningful change

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20
Q

Components of practicality of measure

A

How it’s administered, time to complete test, use of additional equipment to complete, need for special training or clinicians to administer, complexity of scoring, cost of measure, and permission to use tool

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21
Q

Healthy Days measure

A

Developed by CDC; free considered in public domain; 4 core questions, 5 activity limitation questions, and 5 healthy days symptoms questions; administered by professional via telephone or in person

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22
Q

Reliability, validity, and responsiveness of healthy days is ______________

A

well established

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23
Q

Healthy days is recommended for _____________

A

clinical setting

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24
Q

RAND short survey is _________ and considered in ______________

A

free, public domain

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25
The RAND short survey is designed for:
clinical practice, research, health policy evaluation, and general population surveys
26
The Rand Short survey (SF-36), is ____________ by ____________________
Self-administered by persons 14 years or older or by a trained administrator (in person on via phone)
27
There are 2 shorter forms of the RAND/SF-36 with how many questions each?
12 and 20
28
What are the 8 health concepts that the SF-36/RAND assesses?
Limitations in physical activities because of health problems, Limitations in social activities because of physical or emotional problems, Limitations in usual role activities because of physical health problems, Bodily pain, General mental health, Limitations in usual role activities because of emotional problems, Vitality (energy and fatigue), and General health perceptions
29
As of 2012, half of all adults have a chronic illness, and 1 in 4 have more than ___________
2
30
7 out of 10 _______________ in 2014 were chronic ilnesses
causes of death
31
What two chronic illnesses account for 46% of deaths?
Heart disease and cancer
32
What is the most common cause of disability?
Arthritis
33
12 million adults have ___________
COPD
34
Diabetes is the leading cause of ________________
kidney failure, lower-limb amputation, and blindness in adults
35
Minnesota Living with Heart failure questionnaire
Evaluates heart failure’s effects on the patient’s physical, emotional, social and mental dimensions of quality of life; needs to be purchased, is self administered; takes 5-10 minutes to complete; 105 points total (21 items on a 6 point likert scale 0-5)
36
For the Minnesota living with heart failure questionnaire, is a lower or higher score better?
lower
37
The Minnesota living with heart failure questionnaire is reliable, valid, and its responsiveness shows it is an effective measure for:
medication intervention, exercise training, and disease management
38
Kansas City Cardiomyopathy Questionnaire
23-item questionnaire for patients related to physical function, symptoms, social function, self-efficacy and knowledge, and quality of life; Need to purchase- fee based on what the purpose of use and size of organization; Self administered, 5-7 point likert scale 0-100 points
39
For the Kansas City Cardiomyopathy Questionnaire, is a lower or higher score better?
higher
40
The Kansas City Cardiomyopathy Questionnaire has ______________ reliability, validity, and responsiveness
good
41
The Kansas city has been shown to be _____________________ than the Minnesota
more sensitive to clinical change
42
Both the Kansas city and Minnesota require _______________ to be used for research and clinical applications
a fee
43
What is the St. George Respiratory Questionnaire
A self-administered disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being. Developed for use by patients with fixed and reversible airway obstruction
44
The St. George Respiratory Questionnaire has 3 domains that make up 50 items, what are they?
Dyspnea, impact, and activity
45
A higher score on the St. George Respiratory Questionnaire = _____________
more limitations
46
The St. George Respiratory Questionnaire is free to use but you must do what?
ask permission to use
47
The Clinical COPD Questionnaire has 3 domains and 10 items that are equally weighted. What are the domains?
symptoms, functional state, and mental state
48
There are two versions of the Clinical COPD Questionnaire. What are they?
7 days and 24 hours
49
The Clinical COPD Questionnaire is self-administered and free, but you need to do what to use it?
register to download it
50
What is the COPD assessment test?
Questionnaire for COPD patients to measure impact of COPD on person’s life and how it changes over time; it's a free self-administered test consisting of 8 questions and a total range of 0-40 points
51
What score is better for the COPD assessment test, lower or higher?
lower
52
For the COPD assessment test, of reliability, validity, and responsiveness, which one has not been estabilished?
responsiveness
53
The St. George Respiratory Questionnaire has ____________ psychometric properties
strong
54
The clinical COPD questionnaire has ____________ psychometric properties
modest
55
The Diabetes QOL measure assesses __________________
the relative burden of intensive diabetic treatment regimen
56
The Diabetes QOL measure was originally designed for _____________, however it has been tested and validated for _______________
type 1, type 2
57
What are the 4 subscales of the Diabetes QOL measure?
Life satisfaction, diabetes impact, worries about diabetes, and social/vocational concerns
58
What score is better for the Diabetes QOL measure, lower or higher?
lower
59
Is the Diabetes QOL measure free?
yes
60
The Diabetes Specific QOL Scale was developed in Germany for Type _____ Diabetes
1
61
The Diabetes Specific QOL Scale is a 64 item instrument that assesses what 3 things?
individual treatment goals, satisfaction with treatment success, and burden of diabetes care and management
62
The majority of questions on the Diabetes Specific QOL Scale are about _________________ and it is free and self-administered
the burden of diabetes care and management
63
There is limited research supporting Diabetes ___________________ in PT intervention
Health related QOL
64
The two diabetes tools we looked at have not been shown to be valid in what population?
the elderly
65
The Diabetes Specific QOL Scale has no validity in ____________________
the elderly, children, and english

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