Swipe om te navigeren naar een ander artikel
To investigate the impact of social support at home on health-related quality of life (HRQOL) as measured by the VR-6D utility index for spinal cord injury (SCI) veterans participating in a program of supported employment (SE).
We calculated a preference-based utility index called the VR-6D from the responses from a 36-item instrument called the VR-36. We estimated a growth curve model to examine the change in the VR-6D utility index over time adjusting for social support status, demographics, and chronic comorbidities.
Study participants experienced an increase in HRQOL over time. The initial level and the rate of increase in HRQOL varied by groups based on their support status. The rate of increase in HRQOL diminished over time. Participants reporting no support at home experienced lower initial HRQOL but reached the same level of those who reported having support at home by the ninth month of follow-up. Quality-adjusted life-years, as measured by the area under the curves, were approximately the same for both groups after 2 years.
Differences in the rate of change in HRQOL by support status have important implications for evaluations of SE programs. Participants in this program of SE experienced improvement in HRQOL beyond 12 months and extending to 2 years. Follow-up times for evaluations should extend beyond 12 months to assess complete improvements in HRQOL. Future comparison groups in comparative effectiveness evaluations of SE need to be balanced carefully on support status in addition to other factors.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Krause, J. S. (1990). The relationship between productivity and adjustment following spinal cord injury. Rehabilitation Counseling Bulletin, 33, 188–199.
Krause, J. S. (1992). Adjustment to life after spinal cord injury: A comparison among three participant groups based on employment status. Rehabilitation Counseling Bulletin, 35, 218–229.
Krause, J. S. (1992). Longitudinal changes in adjustment after spinal cord injury: A 15-year study. Archives of Physical Medicine and Rehabilitation, 73(6), 564–568. PubMed
Ottomanelli, L., Barnett, S. D., & Goetz, L. L. (2013). A prospective examination of the impact of a supported employment program and employment on health-related quality of life, handicap, and disability among Veterans with SCI. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. doi: 10.1007/s11136-013-0353-5.
Bond, G. R., Becker, D. R., Drake, R. E., Rapp, C. A., Meisler, N., Lehman, A. F., et al. (2001). Implementing supported employment as an evidence-based practice. Psychiatric Services (Washington, DC), 52(3), 313–322. CrossRef
Ottomanelli, L., Goetz, L. L., Suris, A., McGeough, C., Sinnott, P. L., Toscano, R., et al. (2012). Effectiveness of supported employment for veterans with spinal cord injuries: Results from a randomized multisite study. Archives of Physical Medicine and Rehabilitation, 93(5), 740–747. doi: 10.1016/j.apmr.2012.01.002. PubMedCrossRef
Whiteneck, G. G., Charlifue, S. W., Gerhart, K. A., Overholser, J. D., & Richardson, G. N. (1992). Quantifying handicap: A new measure of long-term rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation, 73(6), 519–526. PubMed
Hall, K., Dijkers, M., Whiteneck, G., Brooks, C., & Krause, J. (1998). The craig handicap assessment and reporting technique (CHART): Metric properties and scoring. Topics in Spinal Cord Injury Rehabilitation, 4(1), 16–30. CrossRef
Kazis, L. E. (2000). The Veterans SF-36 health status questionnaire: Development and application in the Veterans health administration. Medical Outcomes Trust Monitor, 5, 1–18.
Selim, A. J., Rogers, W., Qian, S. X., Brazier, J., & Kazis, L. E. (2011). A preference-based measure of health: The VR-6D derived from the veterans RAND 12-item health survey. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 20(8), 1337–1347. doi: 10.1007/s11136-011-9866-y. CrossRef
Tsuchiya, A., & Dolan, P. (2005). The QALY model and individual preferences for health states and health profiles over time: A systematic review of the literature. Medical Decision Making: An International Journal of the Society for Medical Decision Making, 25(4), 460–467. doi: 10.1177/0272989X05276854. CrossRef
StataCorp. (2011). Stata Statistical Software: Release 12. College Station, TX: StataCorp LP.
- The impact of social support at home on health-related quality of life among veterans with spinal cord injury participating in a supported employment program
Bryce S. Sutton
Scott D. Barnett
Lance L. Goetz
- Springer International Publishing