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Quality of Life Research
Gepubliceerd in: Quality of Life Research 12/2023

12-08-2023

Health outcomes before and during the COVID-19 pandemic in caregivers of service members and veterans with traumatic brain injury

Auteurs: Tracey A. Brickell, Megan M. Wright, Jamie K. Sullivan, Nicole V. Varbedian, Corie E. Tippett, Anice M. Byrd, Louis M. French, Rael T. Lange

Gepubliceerd in: Quality of Life Research | Uitgave 12/2023

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Abstract

Purpose

To examine change in health-related quality of life (HRQOL) during the COVID-19 pandemic in caregivers of service members/veterans (SMVs) with traumatic brain injury (TBI), by comparing HRQOL during the first year of the pandemic to HRQOL 12 months pre-pandemic.

Methods

Caregivers (N = 246) were classified into three COVID-19 Pandemic Impact groups based on impact ratings of the pandemic on HRQOL: No Impact (n = 50), Mild Impact (n = 117), and Moderate-Severe Impact (n = 79). Caregivers completed 19 measures across physical, social, caregiving, and economic HRQOL domains, and a measure of SMV Adjustment. T-scores were used to determine individual symptom trajectories for each measure as follows: Asymptomatic (pre + during < 60 T); Developed (pre < 60 + during ≥ 60 T); Improved (pre ≥ 60 T + during < 60 T); and Persistent (pre + during ≥ 60 T).

Results

Using ANOVA, during the pandemic, the Moderate-Severe Impact group reported worse scores on 19 measures (d = 0.41–0.89) compared to the No Impact group and 18 measures (d = 0.31–0.62) compared to the Mild Impact group (d  = 0.31–0.38). The Mild Impact group reported worse scores on two measures compared to the No Impact group (d = 0.42–0.43). Using the entire sample, the majority of HRQOL measures were classified as Asymptomatic (47.2–94.7%), followed by Persistent (2.4–27.2%). Few were classified as Developed (0.4–12.6%) or Improved (2.4–13.8%). Using repeated measures ANOVA, no meaningful effects sizes were found for mean scores on all measures completed pre-pandemic compared to during the pandemic (d ≤ 0.17).

Conclusion

The vast majority of caregivers reported stability in HRQOL pre-pandemic compared to during the pandemic. The COVID-19 pandemic was not associated with a high prevalence of decline in caregiver HRQOL.
vorige artikel Profiles of subjective well-being among people living with HIV during the COVID-19 pandemic
volgende artikel Development and initial psychometric evaluation of a COVID-related psychosocial experiences questionnaire for cancer survivors
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Metagegevens
Titel
Health outcomes before and during the COVID-19 pandemic in caregivers of service members and veterans with traumatic brain injury
Auteurs
Tracey A. Brickell
Megan M. Wright
Jamie K. Sullivan
Nicole V. Varbedian
Corie E. Tippett
Anice M. Byrd
Louis M. French
Rael T. Lange
Publicatiedatum
12-08-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03491-1

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