Quality of Life and Health Knowledge Item 59: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Quality of Life and Health-59
Relationship of the Degree of Change in Quality of Life, Perceived Impact of Symptoms, Psychological Distress, and Perceived Barriers and Facilitators to Services

This Knowledge Item examines the interrelationships of the degree of change over time in quality of life, the perceived impact of symptoms, psychological distress, levels of barriers to services, and levels of facilitators for services. Clients with the greatest increase in quality of life are those with the greatest decrease in the degree to which their symptoms bother them and with the greatest decrease in psychological distress. That is, change in quality of life is part of an overall set of changes in physical and psychological functioning. Overall these programs produce such a change.

Degree of change is operationalized here using the (linear) slope parameter from the hierarchical linear models on quality of life and self-perceived symptom severity; this definition of change assesses whether the patient had a systematic change throughout the course of the treatment episode.

Estimated Change in Quality of Life and Estimated Change in Symptom Severity

More Information: Scatterplot "Cloud is Jittered" Smoother

[The smoother line used in this plot has a filter value of 3.0 meaning that the line is fairly "rigid" and follows trends in the data less closely. The cloud is jittered 3%.]

Estimated Change in Quality of Life and Estimated Change in Psychological Distress

More Information: Scatterplot "Cloud is Jittered" Smoother

[The smoother line used in this plot has a filter value of 3.0 meaning that the line is fairly "rigid" and follows trends in the data less closely. The cloud is jittered 3%.]

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-Quality of Life and Health-59 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 July 2000.

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.