Alina Ionela Palimaru1, William E Cunningham1,2, Marcus Dillistone3, Arturo Vargas-Bustamante1, Honghu Liu4, Ron D Hays1,2. 1. a Department of Health Policy and Management , UCLA Fielding School of Public Health , Los Angeles , California , USA. 2. b Division of General Internal Medicine & Health Services Research , Department of Medicine, Geffen School of Medicine at UCLA , Los Angeles , California , USA. 3. c Royal Society of Medicine , Marylebone , London , UK. 4. d Division of Public Health & Community Dentistry , UCLA School of Dentistry , Los Angeles , California , USA.
Abstract
OBJECTIVE: To describe preferences for survey instruments on health-related quality of life (HRQOL) and subjective well-being (SWB) among adults with spinal cord injury (SCI), and compare perspectives on the instruments between the United States and the United Kingdom. DESIGN: We conducted 20 in-depth interviews. SETTING: Participants were interviewed in their homes, some in person and some via Skype. PARTICIPANTS: A convenience sample of 20 adults with SCI (10 in the US and 10 in the UK) were recruited via print and on-line advertisements. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Interviewees reviewed six instruments and rated how important it was for their medical providers to know answers to each survey. Two coders analyzed verbatim transcriptions independently using an inductive approach. Keyword-in-context (KWIC) analysis identified the most frequently used words by interviewees to discuss the merits of each instrument. RESULTS: Participants in both samples identified the Fatigue Severity Scale (FSS) as "vital" that their medical providers know about it. This was followed by the Spinal Cord Injury Independence Measure III, and a stand-alone Eudaimonic Well-Being question. The KWIC analysis showed that the most distinctive words used to discuss FSS were "fatigue" and "pain." CONCLUSIONS: Understanding what HRQOL and SWB measures are valued by adults living with SCI can lead to selection of informative instruments, which could help clinicians to complement and tailor established care and rehabilitation protocols for individual needs. Participants identified fatigue as a significant issue, and the FSS as a vitally important instrument to share with medical providers.
OBJECTIVE: To describe preferences for survey instruments on health-related quality of life (HRQOL) and subjective well-being (SWB) among adults with spinal cord injury (SCI), and compare perspectives on the instruments between the United States and the United Kingdom. DESIGN: We conducted 20 in-depth interviews. SETTING:Participants were interviewed in their homes, some in person and some via Skype. PARTICIPANTS: A convenience sample of 20 adults with SCI (10 in the US and 10 in the UK) were recruited via print and on-line advertisements. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Interviewees reviewed six instruments and rated how important it was for their medical providers to know answers to each survey. Two coders analyzed verbatim transcriptions independently using an inductive approach. Keyword-in-context (KWIC) analysis identified the most frequently used words by interviewees to discuss the merits of each instrument. RESULTS:Participants in both samples identified the Fatigue Severity Scale (FSS) as "vital" that their medical providers know about it. This was followed by the Spinal Cord Injury Independence Measure III, and a stand-alone Eudaimonic Well-Being question. The KWIC analysis showed that the most distinctive words used to discuss FSS were "fatigue" and "pain." CONCLUSIONS: Understanding what HRQOL and SWB measures are valued by adults living with SCI can lead to selection of informative instruments, which could help clinicians to complement and tailor established care and rehabilitation protocols for individual needs. Participants identified fatigue as a significant issue, and the FSS as a vitally important instrument to share with medical providers.
Entities:
Keywords:
Fatigue; Health-related quality of life; Outcomes; Quality of life; Spinal cord injury; Subjective well-being
Authors: Alina Palimaru; William E Cunningham; Marcus Dillistone; Arturo Vargas-Bustamante; Honghu Liu; Ron D Hays Journal: Qual Life Res Date: 2017-07-15 Impact factor: 4.147
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