1University of Texas Medical Branch 2Kessler Institute for Rehabilitation 3California Rehabilitation Institute 4Pharmatech 5Center for Visual and Neurocognitive Rehabilitation in Atlanta GA
Background: Health-related quality of life (HRQOL) is a construct of quality of life relevant to health. HRQOL canbe measured multiple ways including self-perceived interpretation of one’s health status. Research has shown valuein understanding self-perceived or person-centered HRQOL. Thus, these types of assessments have beenintegrated into health care systems, used to help patients set personal goals and to determine treatment success.
The purpose of this study was to describe the group, examine the relationship between HRQOL and functionalindependence, and then determine the impact of standard care on the HRQOL (index and visual analog scale [VAS]).
Methods: Retrospective clinical observation study. Descriptive statistics used to describe the stroke sample.
Comparison was performed to explore the correlation between the EuroQol 5-Dimensions Questionnaire(EQ-5D) and the Functional Independence Measure (FIM) at admission and discharge. Paired-samples t-testwas conducted to evaluate the impact of standard therapy on HRQOL on EQ-5D.
Results: n=1325; mean age of 72 years (SD=13.28) and 65% females. A weak, positive correlation found at admission(r=.15, n=1325, p<.000) and discharge (r=.04, n=1325, p<.000). A paired-samples t-test revealed a statisticallysignificant increase in HRQOL index and VAS scores (p’s<.000) overtime, with a large effect size (η2=.74 and.70), respectively.
Conclusion: A weak relationship was present between HRQOL and functional independence, thus suggesting theseassessments should be used independent of each other. Statistically significant change in scores suggest improvementin HRQOL overtime, supported by large effect sizes and mean scores higher than the minimal important differencerange.