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Evaluating a methodology for providing individualised feedback on quality of life and its importance in community and primary care, using the WHOQOL-BREF

机译:使用WHOQOL-BREF评估一种方法,以提供有关生活质量及其在社区和初级保健中的重要性的个性化反馈

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摘要

AIMSudResearch suggests that wellbeing is at its lowest when individuals’ quality of life (QoL) dimensions are rated poor and also very important. We aimed to find out how people evaluated guided individualised feedback when a graphical profile of subjective QoL dimensions and their perceived importance was presented. The study examined whether this novel feedback was considered relevant and valued in self-management and healthcare. udMETHODS udIn this mixed-methods cross-sectional pilot study we recruited participants from the community and primary care, targeting 70% with a chronic illness and 30% healthy. The multidimensional WHOQOL-BREF and WHOOL-BREF Importance measures were completed by 129 participants. Inspecting their results presented together, they used directed guidance to identify and interpret graphed differences between the 25 QoL dimensions and their respective importance. Evaluative ratings and written comments appraised the feedback. At follow up, relevance to healthcare was explored with a subgroup from amongst those who found the feedback helpful. udRESULTS udFollowing feedback, 65% of participants reported changes in thoughts and perceptions of QoL. They described new insights, interpreting these as self-affirming. Goals or expectations changed for 34%, with increasing motivation to change reported. Over 50% evaluated the feedback as helpful, in the short tem or for the future. Follow up in-depth interviews showed participants valued the feedback process; 92% acknowledged its usefulness in sharing information with a healthcare professional. Participants suggested it would facilitate communications, and would help health professionals to treat them with greater understanding and relevance. They also expressed a desire for health professionals to use these understandings in providing targeted health advice and support. udCONCLUSIONSudTo capitalize on the benefits of individualised, comprehensive guided feedback, this pilot complex intervention needs testing in a fully randomised controlled trial. Our innovative feedback mechanism, whereby self-rated QoL is presented alongside its importance, has value beyond self-monitoring. It has potential to promote individual behavior change and could support clinical decision-making and patient self-management in a variety of health and social care settings.
机译:AIMS udResearch建议,将个人的生活质量(QoL)维度定为较差且非常重要时,幸福感处于最低水平。我们的目的是找出在呈现主观QoL维度及其感知重要性的图形描述时,人们如何评估引导的个性化反馈。这项研究检查了这种新颖的反馈在自我管理和医疗保健中是否被认为相关和有价值。 ud方法 ud在此混合方法横断面先导研究中,我们从社区和初级保健中招募了参与者,目标人群为70%的慢性病患者和30%的健康人群。 129名参与者完成了多维WHOQOL-BREF和WHOOL-BREF重要性衡量。他们检查了一起呈现的结果,使用定向指导来识别和解释25个QoL维度及其各自重要性之间的图形差异。评价等级和书面评论对反馈进行了评估。在随访中,与小组成员一起探讨了与医疗保健的相关性,他们认为反馈意见很有帮助。反馈后,有65%的参与者报告了QoL的思想和观念发生了变化。他们描述了新的见解,并将其解释为自我肯定。报告的目标或期望变化了34%,动机越来越强烈。超过50%的人认为反馈在短期内或将来都是有用的。后续深入访谈表明,参与者重视反馈过程; 92%的人承认它在与医疗保健专业人员共享信息方面很有用。与会者建议,这将促进交流,并有助于卫生专业人员以更大的理解和相关性对待他们。他们还希望卫生专业人员利用这些理解来提供有针对性的健康建议和支持。 ud结论 ud为充分利用个性化,全面指导性反馈的优势,这种复杂的试验性干预措施需要在完全随机对照试验中进行测试。我们的创新反馈机制不仅可以自我评估,还可以提供自我评估的QoL及其重要性。它具有促进个人行为改变的潜力,并可以在各种健康和社会护理环境中支持临床决策和患者自我管理。

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    Llewellyn A.; Skevington S.;

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  • 年度 2015
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  • 正文语种 en
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