Knowledge Item: CA-Program
Satisfaction-23
Participant Satisfaction and Change in CD4 Counts, Viral Loads,
Quality of Life, and Karnofsky Severity Ratings
This Knowledge
Item also appears as Knowledge Item: CA-Quality of Life and
Health-60
and Knowledge Item: CA-Medical
Outcomes-40.
Knowledge
Item: CA-Quality of Life and Health-39 shows that quality of life
improves over time for the participants in the programs evaluated here.
This Knowledge Item shows that
patients who have relatively the most improvement in their quality of
life and whose clinicians rate their progress as most improving (or
least deteriorating) rate the quality of their programs most favorably.
That is, patients who see improvements in themselves rate their
programs most highly. Patients whose overall functioning is rated to
be better by their clinicians rate their programs most highly. Program
satisfaction is related to both patient-judged and clinician-judged
improvement but not to changes in traditional medical indicators (CD4
count, viral load).
Knowledge
Item: CA-Medical Outcomes-14 shows the the CD4 counts of patients in
the programs evaluated here increase over time.
Knowledge
Item: CA-Medical Outcomes-22 shows that the viral loads of patients
in the programs evaluated here decrease over time.
Knowledge
Item: CA-Medical Outcomes-18 shows that the Karnofsky Severity
Ratings of patients in the programs evaluated here stay about the same
over time.
This Knowledge Item shows that
patients who have relatively the most improvement in their quality of
life and whose clinicians rate their progress as most improving (or
least deteriorating) rate the quality of their programs most highly.
Relationship Between
Estimated Change in Quality of Life Over Time (from a Hierarchical
Linear Model) and Patient Judgment About Quality of Services
(statistically significant relationship; patients who improve most say
their program has the highest quality)
All
Patients Combined
By Type
of Project
More Information:
Boxplot
Relationship Between
Estimated Change in Clinical Karnofsky Severity Rating (from a
Hierarchical Linear Model) and Patient Judgment About Quality of
Services (statistically significant relationship; patients judged by the
clinician to improve most say their program has the highest quality)
More Information:
Boxplot
The following charts shown the
percentage of individual rating the services as fair/poor, good, very
good, or excellent who improved.
Quality
of Life
Karnofsky
Severity Rating
CD4
Count
Viral
Load
Patients
or Clients?
Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Program
Satisfaction-23 from
HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.
Last Updated:
March 25, 2005; data through June 15, 1999; analyses conducted
April - September 2000.
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Knowledge Base Citation: The Knowledge Base and
this Knowledge Item were designed and authored by G.
J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as
"Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS
Care. On the World Wide Web: http://www.TheMeasurementGroup.com."
Questions or
Comments:
Contact The Measurement
Group.
Use of Knowledge Base
Information: Acceptable Uses and
Limitations.
Collaborators from
Participating Projects: Cooperative
Agreement Steering Committee 1999.
Participating
Projects: This Knowledge Base is based on
the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models
of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center
which produced this Knowledge Base were funded by the Health
Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS)
between 1994 and 1999. Click the Model Programs button
above for descriptions of the projects that contributed to this specific
Knowledge Item, a list of
key staff, and project grant numbers.
Why This Evaluation was
Conducted: Editorial.
More Information: Design
of this Knowledge Base.
Recommended Citation
Format for Web Materials: American
Psychological Association Publication Manual Section, Revised 2001.
Work on the Knowledge Base and the
cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the
Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance
(SPNS). The contents of this Knowledge Base are
solely the responsibility of The Measurement Group and do not necessarily represent the official
views of HRSA or HRSA/HAB's Special Projects of National Significance
nor may they represent the positions of the individual grantees whose
projects are included in the cross-cutting evaluation.
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