Changes in health-related quality of life in people with morbid obesity attending a learning and mastery course. A longitudinal study with 12-months follow-up

Health and Quality of Life Outcomes

Anners Lerdal⁴  Hilde Eide¹  May S Fagermoen³  Randi Andenæs² 

[1] Department of Health Sciences, Buskerud University College, Buskerud, Drammen;Dept of Nursing, Faculty of Health Science, Oslo and Akershus University College of Applied Sciences, Box 4, St. Olavs plass, 0130, Oslo, Norway;Department of gastroenterology, Oslo University Hospital, Oslo and Institute of Health and Society, University of Oslo, Oslo, Norway;Lovisenberg Diakonale Hospital, Oslo, Norway &Department of gastroenterology, Oslo University Hospital, Oslo, Norway

关键词: Bariatric surgery;    Patient education;    Social support;    Health-related quality of life;    Obesity;   

Others  :  825276
DOI  :  10.1186/1477-7525-10-95

 received in 2011-11-26, accepted in 2012-06-27,  发布年份 2012

【 摘 要 】

Background

Severe obesity is a complex condition that is associated with a wide range of serious health complications and reduced health-related quality of life (HRQoL). In addition to physiological factors, activity and participation, environmental factors, and personal factors are related to an individual’s overall quality of life HRQoL. In Norway, a course based on cognitive behavioral principles is offered to people seeking medical treatment for weight management. The aim is to assist participants to achieve a healthier lifestyle and thereby improve their HRQoL. We therefore investigated changes in HRQoL in participants after they attended this learning and mastery course, and explored how well sociodemographic variables, paid work, social support, personal factors, and surgery predicted HRQoL at 12-month follow-up.

Methods

A single-group longitudinal study was conducted. Data were collected by self-reported questionnaires. This article reports on those who had completed the questionnaire at the 12-month (n = 69) follow-up. HRQoL was assessed with the EQ-5D. Other standardized instruments measured employment, social support, self-efficacy, and surgery.

Results

At the 12-month follow-up, participants scored higher on all dimensions of the EQ-5D and on the EQ-VAS. Generalized linear model showed that having paid work, and social support were statistically significant predictors of HRQoL at the 12-month follow-up. Sex, self-efficacy, and surgery were not statistically significant associated with HRQoL.

Conclusions

Participation in paid work, and receiving social support from persons with whom they had a close relationship were strongly related to HRQoL in obese people 12 months after participating in a learning and mastery course.

Trial registration

The study is registered in Clinical Trials: NCT01336725.

【 授权许可】

   
2012 Andenæs et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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