Assessment of quality of life and participation within an outpatient rehabilitation setting
Purpose. To evaluate the use of quality of life and participation measures in routine rehabilitation practice, determine the relationship between two scales and investigate their ability to evaluate change in a general outpatient population over a time of rehabilitation. Methods. This cohort study c...
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| Veröffentlicht in: | Disability and rehabilitation 2009-01, Vol.31 (11), p.906-913 |
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| creator | Ackerley, Suzanne J. Gordon, Heather J. Elston, Alison F. Crawford, Lorna M. McPherson, Kathryn M. |
| description | Purpose. To evaluate the use of quality of life and participation measures in routine rehabilitation practice, determine the relationship between two scales and investigate their ability to evaluate change in a general outpatient population over a time of rehabilitation.
Methods. This cohort study consisted of 55 patients admitted consecutively to an outpatient rehabilitation centre. All participants completed the WHOQOL-BREF and the London Handicap Scale (LHS) at admission and discharge.
Results. Non-parametric statistical analysis demonstrated a significant change in the total scores of both the WHOQOL-BREF and LHS over time (Z = −4.33, P < 0.001 and Z = −4.40, P < 0.001 respectively) with 'better' scores on completion of rehabilitation. A strong correlation existed between the total WHOQOL-BREF and LHS scores both cross-sectionally (admission and discharge ρ > 0.7), and longitudinally (ρ = 0.63).
Conclusions. Our study demonstrated a strong relationship between quality of life and participation, with change shown using both scales over a period of outpatient rehabilitation. Given the findings, it seems appropriate to use only one of these measures. The WHOQOL-BREF has a wider scope, being useful both to evaluate service delivery in a diverse outpatient population or when measuring an individual over time. |
| doi_str_mv | 10.1080/09638280802356419 |
| format | Article |
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Methods. This cohort study consisted of 55 patients admitted consecutively to an outpatient rehabilitation centre. All participants completed the WHOQOL-BREF and the London Handicap Scale (LHS) at admission and discharge.
Results. Non-parametric statistical analysis demonstrated a significant change in the total scores of both the WHOQOL-BREF and LHS over time (Z = −4.33, P < 0.001 and Z = −4.40, P < 0.001 respectively) with 'better' scores on completion of rehabilitation. A strong correlation existed between the total WHOQOL-BREF and LHS scores both cross-sectionally (admission and discharge ρ > 0.7), and longitudinally (ρ = 0.63).
Conclusions. Our study demonstrated a strong relationship between quality of life and participation, with change shown using both scales over a period of outpatient rehabilitation. Given the findings, it seems appropriate to use only one of these measures. The WHOQOL-BREF has a wider scope, being useful both to evaluate service delivery in a diverse outpatient population or when measuring an individual over time.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.1080/09638280802356419</identifier><identifier>PMID: 19191059</identifier><identifier>CODEN: DREHET</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Admissions ; Adolescent ; Adult ; Aged ; Cohort analysis ; Disability ; Disability Evaluation ; Female ; Humans ; Male ; Middle Aged ; outpatient ; Outpatient treatment ; Outpatients ; participation ; Patient Participation ; Quality of Life ; Rehabilitation ; Rehabilitation Centers ; Statistics, Nonparametric ; Surveys and Questionnaires</subject><ispartof>Disability and rehabilitation, 2009-01, Vol.31 (11), p.906-913</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-971404ce43e9b1d903c93559d60a83e8a339ac4816ef835c1547aa2001f1c8433</citedby><cites>FETCH-LOGICAL-c501t-971404ce43e9b1d903c93559d60a83e8a339ac4816ef835c1547aa2001f1c8433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/09638280802356419$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/09638280802356419$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,30977,59620,59726,60409,60515,61194,61229,61375,61410</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19191059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ackerley, Suzanne J.</creatorcontrib><creatorcontrib>Gordon, Heather J.</creatorcontrib><creatorcontrib>Elston, Alison F.</creatorcontrib><creatorcontrib>Crawford, Lorna M.</creatorcontrib><creatorcontrib>McPherson, Kathryn M.</creatorcontrib><title>Assessment of quality of life and participation within an outpatient rehabilitation setting</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Purpose. To evaluate the use of quality of life and participation measures in routine rehabilitation practice, determine the relationship between two scales and investigate their ability to evaluate change in a general outpatient population over a time of rehabilitation.
Methods. This cohort study consisted of 55 patients admitted consecutively to an outpatient rehabilitation centre. All participants completed the WHOQOL-BREF and the London Handicap Scale (LHS) at admission and discharge.
Results. Non-parametric statistical analysis demonstrated a significant change in the total scores of both the WHOQOL-BREF and LHS over time (Z = −4.33, P < 0.001 and Z = −4.40, P < 0.001 respectively) with 'better' scores on completion of rehabilitation. A strong correlation existed between the total WHOQOL-BREF and LHS scores both cross-sectionally (admission and discharge ρ > 0.7), and longitudinally (ρ = 0.63).
Conclusions. Our study demonstrated a strong relationship between quality of life and participation, with change shown using both scales over a period of outpatient rehabilitation. Given the findings, it seems appropriate to use only one of these measures. The WHOQOL-BREF has a wider scope, being useful both to evaluate service delivery in a diverse outpatient population or when measuring an individual over time.</description><subject>Admissions</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cohort analysis</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>outpatient</subject><subject>Outpatient treatment</subject><subject>Outpatients</subject><subject>participation</subject><subject>Patient Participation</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Statistics, Nonparametric</subject><subject>Surveys and Questionnaires</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE9r3DAQxUVJaTZpP0Auxafe3EirP5ZoLyG0TSDQS3vqQczK466CLW0kmbDfPjK7EEohYQ4zaH7vMXqEXDD6mVFNL6lRXK91HddcKsHMG7JiQolWMiVPyGrZtxXQp-Qs53tKKeOdeEdOmalFpVmRP1c5Y84ThtLEoXmYYfRlv4yjH7CB0Dc7SMU7v4PiY2gefdn6UBdNnMvytigTbmHjq_LAZCzFh7_vydsBxowfjv2c_P7-7df1TXv388ft9dVd6yRlpTUdE1Q4FBzNhvWGcme4lKZXFDRHDZwbcEIzhYPm0jEpOoB1_czAnBacn5NPB99dig8z5mInnx2OIwSMc7aqU1yx7nVQdpyuhZQVZAfQpZhzwsHukp8g7S2jdone_hd91Xw8ms-bCftnxTHrCnw9AD4MMU3wGNPY2wL7MaYhQXA-W_6S_5d_5FuEsWwdJLT3cU6hJvzCdU9KMKQG</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Ackerley, Suzanne J.</creator><creator>Gordon, Heather J.</creator><creator>Elston, Alison F.</creator><creator>Crawford, Lorna M.</creator><creator>McPherson, Kathryn M.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20090101</creationdate><title>Assessment of quality of life and participation within an outpatient rehabilitation setting</title><author>Ackerley, Suzanne J. ; Gordon, Heather J. ; Elston, Alison F. ; Crawford, Lorna M. ; McPherson, Kathryn M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-971404ce43e9b1d903c93559d60a83e8a339ac4816ef835c1547aa2001f1c8433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Admissions</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cohort analysis</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>outpatient</topic><topic>Outpatient treatment</topic><topic>Outpatients</topic><topic>participation</topic><topic>Patient Participation</topic><topic>Quality of Life</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Statistics, Nonparametric</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ackerley, Suzanne J.</creatorcontrib><creatorcontrib>Gordon, Heather J.</creatorcontrib><creatorcontrib>Elston, Alison F.</creatorcontrib><creatorcontrib>Crawford, Lorna M.</creatorcontrib><creatorcontrib>McPherson, Kathryn M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ackerley, Suzanne J.</au><au>Gordon, Heather J.</au><au>Elston, Alison F.</au><au>Crawford, Lorna M.</au><au>McPherson, Kathryn M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of quality of life and participation within an outpatient rehabilitation setting</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>31</volume><issue>11</issue><spage>906</spage><epage>913</epage><pages>906-913</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><coden>DREHET</coden><abstract>Purpose. To evaluate the use of quality of life and participation measures in routine rehabilitation practice, determine the relationship between two scales and investigate their ability to evaluate change in a general outpatient population over a time of rehabilitation.
Methods. This cohort study consisted of 55 patients admitted consecutively to an outpatient rehabilitation centre. All participants completed the WHOQOL-BREF and the London Handicap Scale (LHS) at admission and discharge.
Results. Non-parametric statistical analysis demonstrated a significant change in the total scores of both the WHOQOL-BREF and LHS over time (Z = −4.33, P < 0.001 and Z = −4.40, P < 0.001 respectively) with 'better' scores on completion of rehabilitation. A strong correlation existed between the total WHOQOL-BREF and LHS scores both cross-sectionally (admission and discharge ρ > 0.7), and longitudinally (ρ = 0.63).
Conclusions. Our study demonstrated a strong relationship between quality of life and participation, with change shown using both scales over a period of outpatient rehabilitation. Given the findings, it seems appropriate to use only one of these measures. The WHOQOL-BREF has a wider scope, being useful both to evaluate service delivery in a diverse outpatient population or when measuring an individual over time.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>19191059</pmid><doi>10.1080/09638280802356419</doi><tpages>8</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles); MEDLINE; Taylor & Francis Medical Library - CRKN |
| subjects | Admissions Adolescent Adult Aged Cohort analysis Disability Disability Evaluation Female Humans Male Middle Aged outpatient Outpatient treatment Outpatients participation Patient Participation Quality of Life Rehabilitation Rehabilitation Centers Statistics, Nonparametric Surveys and Questionnaires |
| title | Assessment of quality of life and participation within an outpatient rehabilitation setting |
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