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Published in: Quality of Life Research 2/2016

Open Access 01-02-2016

Predictors of quality of life of people receiving intensive community-based care

Authors: P. M. J. Emmerink, D. P. K. Roeg

Published in: Quality of Life Research | Issue 2/2016

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Abstract

Purpose

Intensive community-based care (ICBC) is a home-treatment approach aiming to support people ‘living in the community’ with severe psychiatric and addiction problems. Although subjective quality of life (SQOL) is an increasingly important outcome measure in health care, little is known on ICBC clients’ SQOL.

Methods

Clients of three ICBC teams (N = 523) participated in the study. Upon intake, clients filled out a SQOL measure and indicated whether they had a good friend, partner, and children, as well as their experiences with crime. Professional caregivers filled in a measure on problem severity.

Results

Regression was used to examine to what extent the included variables contributed to explaining variance in ICBC clients’ SQOL. Determinants in the model significantly predicted client SQOL and explained 37 % of the variance. ‘Symptomatology’ (depressive symptoms) and ‘social problems’ (living conditions) negatively influenced the SQOL, while having a partner, a good friend, and an overall lower problem severity positively influenced SQOL.

Conclusions

SQOL among ICBC clients is related to psychopathology, in contrast to previous knowledge. It is dependent upon symptom specificity, living conditions, and social circumstances and therefore presumably on program characteristics. This study provides insight into well-being among ICBC clients and is therefore relevant to involved healthcare professionals.
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Metadata
Title
Predictors of quality of life of people receiving intensive community-based care
Authors
P. M. J. Emmerink
D. P. K. Roeg
Publication date
01-02-2016
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 2/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1093-5

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