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Quality of Life Research

Gepubliceerd in:

01-02-2008

Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people

Auteurs: Jennifer Jelsma, Siviwe Mkoka, Seyi Ladele Amosun

Gepubliceerd in: Quality of Life Research | Uitgave 1/2008

Abstract

Purpose

The aim of the study was to investigate and identify aspects of health-related quality of life (HRQoL) that are most valued by isiXhosa-speaking people resident in under-resourced areas of Cape Town.

Methodology

Fifty-seven domains of HRQoL were identified as important through group discussions with isiXhosa-speaking people. Participants randomly selected from the community (n = 601) and from individuals seeking medical attention at a local clinic (n = 102) graded the domains on a visual analogue scale (VAS) ranging from 0 as “not at all important” to 10 as “ very important”. The domains were then mapped to the categories of the International Classification of Functioning, Disability, and Health.

Results

The domains regarded as being most important were food availability (9.5, SD = 1.52), owning a brick house (9.4, SD = 1.57), access to medical services (9.4, SD = 1.55), and family safety (9.4, SD = 1.7). Having no bodily pain was ranked 40th. Environmental factors were valued significantly more than the other two categories and those related to body functions were valued more highly than domains in the category of activity/participation.

Discussion and conclusion

Despite being asked specifically to answer the questions in relation to their health status, the participants apparently did not differentiate between general quality of life (QoL) and specific HRQoL. It appears that members of an under-resourced community regard socioeconomic and service delivery aspects of their lives as integral to their perceived state of health. It may be that it is not possible to separate factors relating to general quality of life from those specifically related to HRQoL in an under-resourced population and such populations might not be suitable for inclusion in certain clinical trials where improvement in HRQoL is the required outcome. Alternatively, if a HRQoL instrument is to be used to monitor the impact of medical intervention, the inclusion of environmental factors should be considered.

vorige artikel Reliability and validity of the social integration survey (SIS) in patients with schizophrenia

volgende artikel Measuring quality of life among cervical cancer survivors: preliminary assessment of instrumentation validity in a cross-cultural study

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Titel: Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people
Auteurs: Jennifer Jelsma
Siviwe Mkoka
Seyi Ladele Amosun
Publicatiedatum: 01-02-2008
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 1/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-007-9283-4

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Abstract

Purpose

Methodology

Results

Discussion and conclusion

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