Quality of life
11 important questions on Quality of life
Dimensions of (health related) QOL
- psychological
- social
- (spiritual)
- environment
- income
- independence level
Wants vs Needs approach - e.g.
WANTS: is haarverlies voor dit individu vervelend? (Paul de Leeuw)
'proxy' or surrogate ratings
- Higher grades + faster learning
- Never study anything twice
- 100% sure, 100% understanding
For my 1st exam I got a C. Then, I started looking for ways to learn better and I came across Study Smart. Since then I have scored a A+, A, A- and another A. I highly recommend it to everyone who wants to hear it. I am so happy with it!!
I was struggling to finish all my first-year subjects for 3 years. Then I discovered Study Smart, which helped me to finish all of them within 3 months.
Because of StudySmart, things are going well in many ways. Before, I always had study stress and no time for anything. Now I feel calm and confident (because of the program). I used to score a B, now I usually score an A or A+.
Hey Chris, I really want to thank you very much for developing the platform, I usually got around C for my exams, now I scored an A+, an A and a A- !!
Since using Study Smart, my average has increased significantly. I even completed a statistics course with a A+ while I'm bad at statistics. I took on extra courses this year, because of Study Smart. Thanks so much!
Ever since I started studying with StudySmart I passed all my exams !!! No more re-sits!! At first, I was happy with a pass and now I only get good grades. Many thanks!
I aced all the courses I studied with Study Smart. For law, I first scored a D, and now an A! I’m 100% sure that I’ll pass all the courses I study with Study Smart.
I always thought I studied well. My grades were fine. I could never have imagined that applying these study skills would have such a huge and direct impact on my grades, my speed and the pleasure I have in learning.
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I immediately started to enjoy learning again, and my grades soared. All of a sudden, everything went better. I highly recommend Study Smart to all students..
Being able to create my materials online made the process of studying so much smoother and quicker. I no longer have to spend a huge amount of my time on creating my summaries.
At first, my notes were a mess. Now I use Study Smart to take my notes in a perfectly structured way. It helps me to save a lot of time and do other things I enjoy.
Students that study with Study Smart get better grades. The system applies all the learning methods in such a way that both well-performing students and students who struggle perform much better.
Hi Chris, I would like to thank you very much. Last year I scored C on a course, and this year I got an A+ thanks to your method! Thank you very much!
The largest effect is that my child is more enthusiastic about school! Every parent wants their children to be happy at school, Study Smart made it happen.
In high school, I failed several exams, and that has really changed now. I actually needed this tool very much back then. Since I started studying with StudySmart, I haven't had any D's. My average score is now an A and those are results I would have never had in the past
With my old method, I passed only 3 out of 8 courses. Since I started taking my notes digitally in Study Smart, I have passed all my courses on the first try. For me, StudySmart takes away the stress of wondering if I will pass or not.
Thanks to StudySmart, I passed all my exams, and with better grades than before! On top of that, I have mastered a very good study method now, which I am confident will help me earn my degree.
Main uses of QOL assesment in health setting
2. treatment choices in individual patient care
3. evaluations to determine the best uses of health care resources
4. genral or population studies to evaluate QOL
Treatment comparisons in clinical trials
Where clinical outcomes, e.g. mortality following cardiac revascularisation, are the primary outcome, differences in QOL scores only become influential where two or more treatments achieve equivalent benefit on a primary outcome variable.
Treatment choice in individual patient care
Evaluations to determine the best uses of health care resources
- Interventiosn are seen as value for money depending on how they affect QOL and duration of life for a particular cost
- QALY: Quality adjusted life years --> combines effect of an intervention on qulaity of life and duration of life.
QOL measurements instruments
1. generic QOL
2. disease specific QOL
3. dimension specific QOL
4. Individualised QOL
5. Utility
Disease specific or population specific measures
- for example the EORTC QLQ-C30 measures diarrhea, nausea and vomiting, cognitive problems, hair loss, relevant for cancer patients
Thee intstruments are developed to be sensitive to change in aspects of life believed to be most affected by the condition concerned and its treatments.
- research challenge is that it is more difficult to determine howo a diseased group differs from the general population.
- Thus, many studies combine genereic and disease specific QOL
EuroQOL (EQ-5D)
- Weighting of difficulty is based on weighting calculated from a validation population (and not the individual!)
* a healthy person is asked to assign a weight, based on the idea that she/he may have about experiencing the disease (much criticism!)
* valuations do represent public's rating and how much interventions may cost
QOL assessment in routine clinical practice
- increasing attention to its use in daily clinical care
- patients complete questionnaire before meeting doctor (at home or in waiting room)
- improves patient-doctor communication
- unfortunately no evidence that it improves QOL
The question on the page originate from the summary of the following study material:
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
