Predicting health preference in chronic spinal cord injury
Identifieur interne : 001842 ( Ncbi/Merge ); précédent : 001841; suivant : 001843Predicting health preference in chronic spinal cord injury
Auteurs : Nicole Mittmann ; Sander L. Hitzig [Canada] ; B. Catharine CravenSource :
- The Journal of Spinal Cord Medicine [ 1079-0268 ] ; 2014.
Abstract
Health preference values relate to a person's state of well-being, and is a single metric anchored at 0 (death) and 1 (perfect health). Health preference plays a key role in health economics and health policy, particularly in interpreting the results of cost-effectiveness studies, and supports the allocation of healthcare resources. The current study used elements of the International Classification of Functioning, Disability and Health (ICF) framework to predict health preference in persons with spinal cord injury (SCI).
Data were collected by telephone survey on (1) demographics, (2) impairment (etiology, neurological level of injury, and ASIA impairment scale), (3) secondary health conditions (SHCs) using the SCI-Secondary Conditions Scale-Modified, (4) functional abilities using the Spinal Cord Independence Measure (SCIM), and (5) health preference using the Health Utilities Index-Mark III (HUI-Mark III) among adults with chronic SCI. Variables were categorized according to ICF headings and hierarchical regression analyses were used to predict HUI-Mark III scores.
Adults with chronic traumatic or non-traumatic SCI (
Variables representative of “activity and participation” largely influence health preference among persons with chronic SCI, which may be amenable to intervention. These findings could be applied to advocate for health promotion and employment support programs to maximize well-being in persons aging with chronic SCI in the community.
Url:
DOI: 10.1179/2045772314Y.0000000249
PubMed: 25055719
PubMed Central: 4166189
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Hitzig</name><affiliation wicri:level="4"><nlm:aff id="af4">Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, ON, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Catharine Craven, B" sort="Catharine Craven, B" uniqKey="Catharine Craven B" first="B." last="Catharine Craven">B. 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Hitzig</name><affiliation wicri:level="4"><nlm:aff id="af4">Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, ON, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Catharine Craven, B" sort="Catharine Craven, B" uniqKey="Catharine Craven B" first="B." last="Catharine Craven">B. Catharine Craven</name></author></analytic><series><title level="j">The Journal of Spinal Cord Medicine</title><idno type="ISSN">1079-0268</idno><idno type="eISSN">2045-7723</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Context/Objective</title><p>Health preference values relate to a person's state of well-being, and is a single metric anchored at 0 (death) and 1 (perfect health). Health preference plays a key role in health economics and health policy, particularly in interpreting the results of cost-effectiveness studies, and supports the allocation of healthcare resources. The current study used elements of the International Classification of Functioning, Disability and Health (ICF) framework to predict health preference in persons with spinal cord injury (SCI).</p></sec><sec><title>Methods</title><p>Data were collected by telephone survey on (1) demographics, (2) impairment (etiology, neurological level of injury, and ASIA impairment scale), (3) secondary health conditions (SHCs) using the SCI-Secondary Conditions Scale-Modified, (4) functional abilities using the Spinal Cord Independence Measure (SCIM), and (5) health preference using the Health Utilities Index-Mark III (HUI-Mark III) among adults with chronic SCI. Variables were categorized according to ICF headings and hierarchical regression analyses were used to predict HUI-Mark III scores.</p></sec><sec><title>Results</title><p>Adults with chronic traumatic or non-traumatic SCI (<italic>N</italic> = 357) reported a mean health preference score of 0.27 (±0.27). In predicting health preference, our model accounted for 55.1% of the variance with “body functions and structure”, and “activity and participation”, significantly contributing to the model (P < 0.0001). In particular, older age, being employed, and having higher SCIM scores were positively associated with health preference. Conversely, a higher SHC impact score was associated with poorer health preference.</p></sec><sec><title>Conclusions</title><p>Variables representative of “activity and participation” largely influence health preference among persons with chronic SCI, which may be amenable to intervention. These findings could be applied to advocate for health promotion and employment support programs to maximize well-being in persons aging with chronic SCI in the community.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Spinal Cord Med</journal-id><journal-id journal-id-type="iso-abbrev">J Spinal Cord Med</journal-id><journal-id journal-id-type="publisher-id">SCM</journal-id><journal-title-group><journal-title>The Journal of Spinal Cord Medicine</journal-title></journal-title-group><issn pub-type="ppub">1079-0268</issn><issn pub-type="epub">2045-7723</issn><publisher><publisher-name>Maney Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25055719</article-id><article-id pub-id-type="pmc">4166189</article-id><article-id pub-id-type="doi">10.1179/2045772314Y.0000000249</article-id><article-id pub-id-type="publisher-id">scm-37-548</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Articles</subject></subj-group></article-categories><title-group><article-title>Predicting health preference in chronic spinal cord injury</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mittmann</surname><given-names>Nicole</given-names></name><xref ref-type="aff" rid="af1 af2 af3">1,2,3</xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Hitzig</surname><given-names>Sander L.</given-names></name><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Catharine Craven</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="af5 af6">5,6</xref></contrib></contrib-group><aff id="af1"><label>1</label>Health Outcomes and PharmacoEconomics (HOPE) Research Centre, Division of Clinical Pharmacology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada</aff><aff id="af2"><label>2</label>Department of Pharmacology, University of Toronto, ON, Canada</aff><aff id="af3"><label>3</label>The International Centre for Health Innovation, Richard Ivey School of Business, Western University Ontario, London, ON, Canada</aff><aff id="af4"><label>4</label>Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, ON, Canada</aff><aff id="af5"><label>5</label>Lyndhurst Centre, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada</aff><aff id="af6"><label>6</label>Department of Medicine, University of Toronto, ON, Canada</aff><author-notes><corresp id="cor1">Correspondence to: Nicole Mittmann, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Room E2 40, Toronto, ON, Canada M4N 3M5. Email: <email>nicole.mittmann@sunnybrook.ca</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2014</year><string-date>September, 2014</string-date></pub-date><volume>37</volume><issue>5</issue><issue-title>6th National Canadian Spinal Cord Injury Conference: Bioinformatics Informs SCI Rehabilitation Guest Editor: B. Catharine Craven</issue-title><fpage>548</fpage><lpage>555</lpage><permissions><copyright-statement>© The Academy of Spinal Cord Injury Professionals, Inc. 2014</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:href="scm-37-548.pdf"></self-uri><abstract><sec><title>Context/Objective</title><p>Health preference values relate to a person's state of well-being, and is a single metric anchored at 0 (death) and 1 (perfect health). Health preference plays a key role in health economics and health policy, particularly in interpreting the results of cost-effectiveness studies, and supports the allocation of healthcare resources. The current study used elements of the International Classification of Functioning, Disability and Health (ICF) framework to predict health preference in persons with spinal cord injury (SCI).</p></sec><sec><title>Methods</title><p>Data were collected by telephone survey on (1) demographics, (2) impairment (etiology, neurological level of injury, and ASIA impairment scale), (3) secondary health conditions (SHCs) using the SCI-Secondary Conditions Scale-Modified, (4) functional abilities using the Spinal Cord Independence Measure (SCIM), and (5) health preference using the Health Utilities Index-Mark III (HUI-Mark III) among adults with chronic SCI. Variables were categorized according to ICF headings and hierarchical regression analyses were used to predict HUI-Mark III scores.</p></sec><sec><title>Results</title><p>Adults with chronic traumatic or non-traumatic SCI (<italic>N</italic> = 357) reported a mean health preference score of 0.27 (±0.27). In predicting health preference, our model accounted for 55.1% of the variance with “body functions and structure”, and “activity and participation”, significantly contributing to the model (P < 0.0001). In particular, older age, being employed, and having higher SCIM scores were positively associated with health preference. Conversely, a higher SHC impact score was associated with poorer health preference.</p></sec><sec><title>Conclusions</title><p>Variables representative of “activity and participation” largely influence health preference among persons with chronic SCI, which may be amenable to intervention. These findings could be applied to advocate for health promotion and employment support programs to maximize well-being in persons aging with chronic SCI in the community.</p></sec></abstract><kwd-group><kwd>Spinal cord injuries</kwd><x xml:space="preserve">, </x><kwd>Health preference</kwd><x xml:space="preserve">, </x><kwd>Health-related quality of life</kwd><x xml:space="preserve">, </x><kwd>ICF</kwd><x xml:space="preserve">, </x><kwd>Spinal cord independence measure</kwd><x xml:space="preserve">, </x><kwd>Secondary health conditions</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Catharine Craven, B" sort="Catharine Craven, B" uniqKey="Catharine Craven B" first="B." last="Catharine Craven">B. Catharine Craven</name><name sortKey="Mittmann, Nicole" sort="Mittmann, Nicole" uniqKey="Mittmann N" first="Nicole" last="Mittmann">Nicole Mittmann</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Hitzig, Sander L" sort="Hitzig, Sander L" uniqKey="Hitzig S" first="Sander L." last="Hitzig">Sander L. Hitzig</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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