PT and QOL Flashcards
Quality of Life
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
Quality of life may vary based on many things such as:
Values, culture, spirituality, and environment
Quality of life measures are multi-dimensional based on
Psychological well-being, perceived quality of life, and behavioral competence in multiple areas such as health, functional health, cognition, and social behaviors
What are the two approaches to measuring QOL?
Subjective or internal self perceptions of quality of life and objective based upon external judgements of the quality of life
Subjective or internal self perceptions of quality of life
Values, religion, and how you perceive your life
objective measure based upon external judgements of the quality of life
Standard of living and access to resources such as housing, education, and food and medicine
Health related quality of life is a more _____________ concept than QOL
narrowed
Concept of Health Related Quality of Life began in the 1980s and is defined as __________________
an individual’s or groups perceived physical and mental health overtime
Health related QOL is primarily concerned with:
how health and disease impacts life
Health related QOL: individual level (research, clinical practice)
physical and mental perceptions, health risks, health conditions, functional status, social status, and socio-economic status
Health related QOL: community level (Population health, research)
Community resources, conditions of specific populations, and policies and practices that influence a population’s health perception and functional status
The biopsychosocial model is based on the systems theory that views nature as:
being arranged by as hierarchy ranges from less complex, smaller systems to more complex large social systems
What are the 3 components of the biopsychosocial model?
Physical function component, psychological function component, and social component
HRQOL is a central goal of the health people initiative which:
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
What is the importance of HRQOL in a clinical setting?
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
What questions to ask when choosing the right HRQOL measure?
Is it appropriate, valid, reliable, responsive to change, interpreted clinically, and practical?
Reliability
degree of error reflected in a specific score derived from a particular measurement
Validity
the extent to which the tool actually measures what it is supposed to
Responsiveness
the ability of the tool to detect clinically meaningful change
Components of practicality of measure
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
Healthy Days measure
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
Reliability, validity, and responsiveness of healthy days is ______________
well established
Healthy days is recommended for _____________
clinical setting
RAND short survey is _________ and considered in ______________
free, public domain
The RAND short survey is designed for:
clinical practice, research, health policy evaluation, and general population surveys
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)
There are 2 shorter forms of the RAND/SF-36 with how many questions each?
12 and 20
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
As of 2012, half of all adults have a chronic illness, and 1 in 4 have more than ___________
2
7 out of 10 _______________ in 2014 were chronic ilnesses
causes of death
What two chronic illnesses account for 46% of deaths?
Heart disease and cancer
What is the most common cause of disability?
Arthritis
12 million adults have ___________
COPD
Diabetes is the leading cause of ________________
kidney failure, lower-limb amputation, and blindness in adults
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)
For the Minnesota living with heart failure questionnaire, is a lower or higher score better?
lower
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
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
For the Kansas City Cardiomyopathy Questionnaire, is a lower or higher score better?
higher
The Kansas City Cardiomyopathy Questionnaire has ______________ reliability, validity, and responsiveness
good
The Kansas city has been shown to be _____________________ than the Minnesota
more sensitive to clinical change
Both the Kansas city and Minnesota require _______________ to be used for research and clinical applications
a fee
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
The St. George Respiratory Questionnaire has 3 domains that make up 50 items, what are they?
Dyspnea, impact, and activity
A higher score on the St. George Respiratory Questionnaire = _____________
more limitations
The St. George Respiratory Questionnaire is free to use but you must do what?
ask permission to use
The Clinical COPD Questionnaire has 3 domains and 10 items that are equally weighted. What are the domains?
symptoms, functional state, and mental state
There are two versions of the Clinical COPD Questionnaire. What are they?
7 days and 24 hours
The Clinical COPD Questionnaire is self-administered and free, but you need to do what to use it?
register to download it
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
What score is better for the COPD assessment test, lower or higher?
lower
For the COPD assessment test, of reliability, validity, and responsiveness, which one has not been estabilished?
responsiveness
The St. George Respiratory Questionnaire has ____________ psychometric properties
strong
The clinical COPD questionnaire has ____________ psychometric properties
modest
The Diabetes QOL measure assesses __________________
the relative burden of intensive diabetic treatment regimen
The Diabetes QOL measure was originally designed for _____________, however it has been tested and validated for _______________
type 1, type 2
What are the 4 subscales of the Diabetes QOL measure?
Life satisfaction, diabetes impact, worries about diabetes, and social/vocational concerns
What score is better for the Diabetes QOL measure, lower or higher?
lower
Is the Diabetes QOL measure free?
yes
The Diabetes Specific QOL Scale was developed in Germany for Type _____ Diabetes
1
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
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
There is limited research supporting Diabetes ___________________ in PT intervention
Health related QOL
The two diabetes tools we looked at have not been shown to be valid in what population?
the elderly
The Diabetes Specific QOL Scale has no validity in ____________________
the elderly, children, and english
