Week 10- Disease Specific Assessment of HRQOL

Question 1

Myocardial Infarction Intervention that Improves HRQOL

Answer 1

23 studies that looked at the effects of behavioral interventions—cardiac rehabilitation programs (CRP), education and counselling programs, and other psychological and cognitive interventions

Question 2

General Assessment Tools of HRQOL for MI

Answer 2

• Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
• Sickness Impact Profile (SIP)
• EuroQol-5D (EQ-5D)
• World Health Organization Quality of Life Questionnaire Brief Version (WHOQOL-BREF)
• 8-item Life Satisfaction Scale (LSS)
• 1–10 ladder technique (Ladder of Life, LOL)
• Time Trade-off instrument
• Quality of life, which is a short 10-item visual analogue scale

Question 3

Disease Specific Assessment of HRQOL for MI

Answer 3

• MacNew Heart Disease HRQoL Instrument (MacNew)
• Myocardial Infarction Dimensional Assessment Scale (MIDAS)
• Quality of Life Index (QLI)–Cardiac Version III.

Question 4

Conclusion from MI Study

Answer 4

• Most CRPs and other behavioural interventions improved the HRQoL of patients with MI. Interventions that help increase patients’ functional and psychosocial wellbeing should be introduced before long after discharge from hospital to promote patients’ overall health and quality of life.
• Patients with MI should be encouraged to participate in programmes that can help promote their HRQoL.

Question 5

Exercise Training to Improve HRQOL in Long-term Survivors of Major Burn Injury

Answer 5

• Patients often experience reduced health-related quality of life (HRQOL) following burn injury.
• Exercise training has been demonstrated to improve HRQOL in a number of clinical populations, yet it is unknown whether exercise can improve HRQOL in burns patients.

Question 6

General Assessment Tools of HRQOL for Burn Injury

Answer 6

• SF-36
• QuickDASH (a patient self-rated questionnaire specific to the upper extremity and asks questions about one’s ability to perform certain activities such as ‘how much difficulty do you have opening a tight or new jar)

Question 7

Disease Specific Assessment of HRQOL for Burn Injury

Answer 7

Burn Specific Health Scale (BSHS)

Question 8

Conclusions for the Burn Injury Study

Answer 8

• Exercise training can improve activity limitations and enhance HRQOL in adults with long term functional impairments as the result of a burn. Exercise training also improved HRQOL in the uninjured group, and therefore similar results would be expected for individuals with less severe or less functionally debilitating burn injuries.
• Burns are multidimensional and exercise training appears to be a successful intervention to aid in the rehabilitation of the physical, social, psychological and physiological impairments that may arise as the result of a major injury.

Question 9

HRQOL of Adolescents Study

Answer 9

• Schools have been the main context for physical activity (PA) and sedentary behavior (SB) interventions among adolescents, but there is inconsistent evidence on whether they also improve dimensions of the health−related quality of life (HRQoL).
• All students from 7th to 9th grade were invited to participate. A school year intervention, designed primarily to increase PA and reduce SB

Question 10

General Assessment Tools of HRQOL of Adolescents Study

Answer 10

KIDSCREEN−27

Question 11

Conclusions for the HRQOL of Adolescents Study

Answer 11

The Movement Program had no effect on HRQoL dimensions, and we observed that the level of HRQoL reduced from pre to post-intervention among those with higher HRQoL at the baseline

Question 12

The Impact of Pharmacist Interventions on HRQOL

Answer 12

To describe and evaluate pharmacy practice–based studies that include health-related quality of life (HRQL) as an outcome measure in assessments of pharmacist interventions and to recommend approaches for incorporating HRQoL as a patient outcome in pharmacy practice–based intervention studies

Question 13

General Assessment of HRQOL Tools for Pharmacist Intervention Study

Answer 13

SF-36

Question 14

Disease-specific Assessment of HRQOL for Pharmacist Intervention Study

Answer 14

• Hypertension/Lipid Form
• Hypertension Questionnaire
• Asthma-related QOL
• Heath Status Questionnaire
• Diabetes Questionnaire

Question 15

Conclusions for the Pharmacist Intervention Study

Answer 15

• Although the initial research findings about the influence of pharmacist interventions on HRQL are mixed, these studies can guide pharmacy practice researchers in the application of more rigorous methodologic approaches.
• Improved measurement of HRQL as a humanistic outcome in pharmacy practice research may facilitate future economic evaluations demonstrating the value and cost-effectiveness of pharmaceutical care–based services.
• Thus, HRQL is an important patient-based outcome measure that should continue to be complemented with clinical outcomes and other indicators used to measure the influence of pharmacist interventions.