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01-08-2016

Health-related quality of life among veterans in addictions treatment: identifying behavioral targets for future intervention

Auteurs: Marily A. Oppezzo, Anne K. Michalek, Kevin Delucchi, Michael T. M. Baiocchi, Paul G. Barnett, Judith J. Prochaska

Gepubliceerd in: Quality of Life Research | Uitgave 8/2016

Abstract

Background

US veterans report lower health-related quality of life (HRQoL) relative to the general population. Identifying behavioral factors related to HRQoL that are malleable to change may inform interventions to improve well-being in this vulnerable group.

Purpose

The current study sought to characterize HRQoL in a largely male sample of veterans in addictions treatment, both in relation to US norms and in association with five recommended health behavior practices: regularly exercising, managing stress, having good sleep hygiene, consuming fruits and vegetables, and being tobacco free.

Methods

We assessed HRQoL with 250 veterans in addictions treatment (96 % male, mean age 53, range 24–77) using scales from four validated measures. Data reduction methods identified two principal components reflecting physical and mental HRQoL. Model testing of HRQoL associations with health behaviors adjusted for relevant demographic and treatment-related covariates.

Results

Compared to US norms, the sample had lower HRQoL scores. Better psychological HRQoL was associated with higher subjective social standing, absence of pain or trauma, lower alcohol severity, and monotonically with the sum of health behaviors (all p < 0.05). Specifically, psychological HRQoL was associated with regular exercise, stress management, and sleep hygiene. Regular exercise also related to better physical HRQoL. The models explained >40 % of the variance in HRQoL.

Conclusions

Exercise, sleep hygiene, and stress management are strongly associated with HRQoL among veterans in addictions treatment. Future research is needed to test the effect of interventions for improving well-being in this high-risk group.

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While pain is often considered one of the domains of HRQoL, it also has a strong influence on other facets of HRQoL and is likely to be associated with our health behaviors of interest including physical activity and sleep. Therefore, we included pain as a covariate in our models rather than as an outcome.

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Titel: Health-related quality of life among veterans in addictions treatment: identifying behavioral targets for future intervention
Auteurs: Marily A. Oppezzo
Anne K. Michalek
Kevin Delucchi
Michael T. M. Baiocchi
Paul G. Barnett
Judith J. Prochaska
Publicatiedatum: 01-08-2016
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1236-3

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