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11 Cards in this Set
- Front
- Back
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What is quality of life?
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The extent to which an individuals hopes and ambitions are matched and fulfilled by their experience
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What are the 6 domains WHO set out?
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1. Physical health
2. Pshychological state 3. Level of independence 4. Social relationships 5. Environmental features 6. Spiritual concerns |
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Why do we assess QoL?
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- Comparing treatments
- Investigating reasons for poor adherence - Policy making (resource allocation) |
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What ways can you compare treatment outcomes?
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Objective measures (mortality and morbidity)
Subjective measures (quality of life) |
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Give two examples of simple measures of QoL.
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Visual analogue scales (VAS) place a mark inbetween two feelings eg poor and perfect, happy and depressed
Verbal rating scales - eg tick a box thats either poor, fair, good or excellent |
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What is the difference between uni and multidimensional measures?
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Uni - single overall score (eg beck depression and barthel index)
Multi - seperate scale sub-scores (eg SF-36) |
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Give a couple of examples of both generic and specific measures of QoL.
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Generic - SF-36, BI, SEIQoL
Specific - Oxford knee score, arthritis impact measurement scales (AIMS), quality of life after myocardial infarction |
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What is the only individualised measure and what are the criticisms of standardised measures?
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SEIQoL is the only individualised measure.
- People define domains in different ways - Different measures use different criteria to evaluate good and bad QoL - Place differing emphasis on issues important to overall QoL - May not cover an area that is important for an individuals QoL |
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What is SEIQoL?
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A semi-structured interview where the doctor asks the 5 most important aspects of the patients life. For each domain the patient evaluates their currant status on a line from 0 to 100. Patients then weight each domain in terms of their comparitive importance (sum of weights must be 100 and then data is transfered to a bar chart
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What are the uses of QoL measures?
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- Clinical (facilitate communication, improve decision making, monitor change, identify problems)
- Research - Audits |
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Whats the difference between reliability and validity?
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- A scale is reliable if it measures the same value consistently over time and between people
- A scale is valid if it measures what it claims to measure |
