QoL with chronic illness Flashcards
What are the two approaches to measuring QoL?
- internal self perceptions (values, religion, etc)
- external judgements (housing, education, food, medical availability)
(true/false) Health related QoL measures are more of a narrowed concept than QoL.
true
definition: an individual’s or groups perceived physical and mental health overtime
Health Related QoL
When did HRQoL begin?
1980s
HRQoL framework was made from the _______.
Biopsychosocial model (based on systems theory)
definition: Views nature as being arranged by as hierarchy ranges from less complex, smaller systems to more complex large social systems
systems theory
What are the three components of the biopsychosocial model?
Physical Function Component
Psychological Function Component
Social Component
(true/false) The 3 areas of the biopsychosocial model is the same among all individuals and the individual themself.
false
______ bridges the gap between disciplines and allows for common language and measures
HRQoL
What is a central goal of the Healthy People initiative?
HRQoL
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
Guide resource allocation
healthy people 2020
(true/false) HRQoL promotes a patient-centered approach and can help identify other patient needs such as referrals for mental health services
true
What creates a common language for health care disciplines?
HRQoL
definition: degree of error reflected in a specific score derived from a particular measurement
reliability
definition: the extent to which the tool actually measures what it is supposed to
validity
definition: the ability of the tool to detect clinically meaningful change
responsiveness
When was healthy days developed by the CDC?
1993
In 2012, 1 in ___ adults have 2+ chronic illnesses
1 in 4
___ out of 10 causes of death in 2014 were caused by chronic illness
7 out of 10
Heart disease and cancer account for ___% of deaths.
46%
What is the most common cause of disability?
Arthritis (54 million adults)
___ million adults have COPD
12 million
What is the leading cause of kidney failure, lower limb amputation and blindness in adults?
Diabetes
___% of the nation’s annual health care cost is on chronic disease
86%
What Heart failure HRQoL measure has been shown to be more sensitive to clinical change?
Kansas City Cardiomyopathy questionnaire
For the Kansas City cardiomyopathy questionnaire, a (lower/higher) score is better.
lower score is better
For the Minnesota living with HF questionnaire (MLHRQ), a (lower/higher) score is better.
higher score is better
definition: 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.
St. George Respiratory questionnaire (SGRQ)
definition: Questionnaire for COPD patients to measure impact of COPD on person’s life and how it changes over time.
COPD assessment test (CAT)
(true/false) CAT is currently being administered in the US.
FALSE
What COPD HRQoL measure has modest psychometric properties?
CCQ (clinical COPD questionnaire)
(true/false) CAT has a strong reliability a validity despite not being available in the US
true
(true/false) There is limited research supporting Diabetes HRQOL in physical therapy intervention
true
(true/false) The 2 DM HRQOL measures have not been shown to be valid in the elderly population
true
The two DM HRQOL were developed for Type (1/2) DM
type 1
(true/false) quality of life is not complex and diverse.
false
