Vision & Health-Related Quality of Life | Lecture 28 Study Set

Health Related Quality of Life

An individual's or group's perceived physical and mental health over time

Important aspects of quality of life (5)

economic, political, cultural, aesthetic, and spiritual

Instrument

single or multiple questions/items

Items

an individual question

Domains/dimensions/subscales

related items that are grouped and assess the same variable

Test battery

several questionnaires, questions, rating or items and responses that are not summed or weighted

Scale

series of self-report questsions, rating, or items that are used to measure a concept (all in same format so they can be summed)

Trends of unhealthy days from 1996-2008 (BRFSS)

Increase in the the mean number of unhealthy days

Vision Impairment and Physically Unhealthy Days

Non-VI- 3-5

VI- 8-13

VI and mentally unhealthy days

Non-VI-3-5

VI- 5-11

SF-36 Health survey

most commonly used HR-QOL measure; contains questions that assess both physical and mental health and it does a reasonably good job of differentiating change in each

Vision module

2005-2011 in BRFSS; employed nine questions regarding vision impairment, access and utilization of eye care, and self-reported eye diseases

VI and life dissatisfcation, disability, and poor health

VI have higher prevalence of all of these;

NEI VFQ-25

survey about vision and general health and quality of life; assesses patient perception of visual function and the influence of visual disability on multiple dimension of health-related quality of life

Is NEI VFQ-25 best for acute or chronic diseases

chronic eye diseases

CLEK study findings

Patients with keratoconus are on a similar health-related quality of life scale as ARMD. Better for overall health but worse for ocular pain

Clinicians and prediction of Quality of Life

clinicians have limited understanding of the extent to which vision impairment impacts the quality of life of individuals