Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention
Journal article
Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven. (2018). Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention. Chronic Illness. 14(3), pp. 169 - 181. https://doi.org/10.1177/1742395317724849
Authors | Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven |
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Abstract | Objective: This study examined the relationship between the number of comorbidities and health-related quality of life (HRQoL) and between select physical conditions and HRQoL. Differences in HRQoL in comparison to a normative sample were also examined. Method: A cross-sectional study among people with multimorbidity (n = 401) attending a community-based, interdisciplinary health clinic was conducted. HRQoL was measured using the eight dimensions of the SF-36. Multiple linear regression and t-tests were used to analyse the data. Results: A downward trend in HRQoL continued from 2 to 14 concurrent comorbidities. Patients with a higher number of comorbidities reported greater deficits in HRQoL, when age, gender, education and perceived social support were controlled for (beta = −0.11 to −0.31). The impact of the number of comorbidities was greatest for the bodily pain dimension of the SF-36 (beta = −0.31). Deficits were greatest for people with gastrointestinal conditions and back pain or sciatica. Moderate to large deficits in HRQoL compared to a normative population were found (Cohen’s d = 0.54–1.16). Discussion: Understanding associations between the number and type of physical comorbidities and HRQoL may assist clinical services to design broad but targeted interventions to optimize HRQoL in this group of people. |
Keywords | health-related quality of life; chronic disease; multimorbidity; multimorbidity epidemiology; complex chronic conditions |
Year | 2018 |
Journal | Chronic Illness |
Journal citation | 14 (3), pp. 169 - 181 |
Publisher | Sage Publications Ltd. |
ISSN | 1742-3953 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/1742395317724849 |
Scopus EID | 2-s2.0-85052597567 |
Page range | 169 - 181 |
Research Group | School of Allied Health |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/8v88y/health-related-quality-of-life-of-people-with-multimorbidity-at-a-community-based-interprofessional-student-assisted-clinic-implications-for-assessment-and-intervention
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