Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

B. L. Seves; F. Hoekstra; F. J. Hettinga; R. Dekker; L. H.V. van der Woude; T. Hoekstra

doi:10.1007/s11136-020-02647-7

Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

B. L. Seves^*, F. Hoekstra, F. J. Hettinga, R. Dekker, L. H.V. van der Woude, T. Hoekstra

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Purpose: To identify Health-related Quality of Life (HR-QoL) trajectories in a large heterogeneous cohort of people with a physical disability and/or chronic disease during and after rehabilitation and to determine which factors before discharge are associated with longitudinal trajectory membership. Methods: A total of 1100 people with a physical disability and/or chronic disease were included from the longitudinal cohort study Rehabilitation, Sports and Active lifestyle. All participants participated in a physical activity promotion programme in Dutch rehabilitation care. HR-QoL was assessed using the RAND-12 Health Status Inventory questionnaire at baseline (T0: 3–6 weeks before discharge) and at 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. A data-driven approach using Latent Class Growth Mixture modelling was used to determine HR-QoL trajectories. Multiple binomial multivariable logistic regression analyses were used to determine person-, disease- and lifestyle-related factors associated with trajectory membership. Results: Three HR-QoL trajectories were identified: moderate (N = 635), high (N = 429) and recovery (N = 36). Trajectory membership was associated with person-related factors (age and body mass index), disease-related factors (perceived fatigue, perceived pain and acceptance of the disease) and one lifestyle-related factor (alcohol consumption) before discharge from rehabilitation. Conclusions: Most of the people who participated in a physical activity promotion programme obtained a relatively stable but moderate HR-QoL. The identified HR-QoL trajectories among our heterogeneous cohort are disease-overarching. Our findings suggest that people in rehabilitation may benefit from person-centred advice on management of fatigue and pain (e.g. activity pacing) and the acceptance of the disability.

Original language	English
Pages (from-to)	67-80
Number of pages	14
Journal	Quality of Life Research
Volume	30
Issue number	1
Early online date	28 Sept 2020
DOIs	https://doi.org/10.1007/s11136-020-02647-7
Publication status	Published - Jan 2021

Funding

The authors would like to thank all participants for their contribution to the ReSpAct study. Furthermore, we would like to thank the following organisations for their support in the ReSpAct study: Adelante Zorggroep (Hoensbroek, the Netherlands), Merem behandelcentra, De Trappenberg (Almere, the Netherlands), Vogellanden (Zwolle, the Netherlands), Maasstad Ziekenhuis (Rotterdam, the Netherlands), Noordwest Ziekenhuisgroep (Alkmaar, the Netherlands), Militair Revalidatiecentrum Aardenburg (Doorn, the Netherlands), Rehabilitation Center Leijpark (Tilburg, the Netherlands), Rehabilitation Center Reade (Amsterdam, the Netherlands), Revalidatie Friesland (Heerenveen, the Netherlands) ,Revant (Breda, the Netherlands), Rijnlands Rehabilitation Center (Leiden, the Netherlands), Klimmendaal (Arnhem, the Netherlands), Treant Zorggroep (Hoogeveen and Emmen, the Netherlands), Sint Maartenskliniek (Nijmegen, the Netherlands), Sophia Rehabilitation Center (Den Haag, the Netherlands), Tolbrug Rehabilitation (?s Hertogenbosch, the Netherlands), Klimmendaal, Sport Variant (Apeldoorn, the Netherlands). The authors would like to thank Leonie A. Krops and Pim Brandenbarg for their critical reading and comments on a draft of the manuscript. This study was funded by the Dutch Ministry of Health, Welfare and Sports (Grant No. 319758), Stichting Beatrixoord Noord-Nederland (grant date 19-2-2018) and a personal grant received from the University Medical Center Groningen, and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief).

Funders	Funder number
Adelante Zorggroep
Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland
Maasstad Ziekenhuis
Militair Revalidatiecentrum Aardenburg
Netherlands), Klimmendaal, Sport Variant
Noordwest Ziekenhuisgroep
Rehabilitation Center Leijpark
Rehabilitation Center Reade
Revalidatie Friesland
Rijnlands Rehabilitation Center
Sint Maartenskliniek
Sophia Rehabilitation Center
Stichting Onbeperkt Sportief
Tolbrug Rehabilitation
Treant Zorggroep
Stichting Beatrixoord Noord-Nederland
Ministerie van Volksgezondheid, Welzijn en Sport	319758
Ministerie van Volksgezondheid, Welzijn en Sport
Universitair Medisch Centrum Groningen

Keywords

Active lifestyle
Activity pacing
Health promotion
Latent class growth (mixture) models
Quality of life
Rehabilitation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11136-020-02647-7

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@article{3d670f54b376416ea49585f754700691,

title = "Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study",

abstract = "Purpose: To identify Health-related Quality of Life (HR-QoL) trajectories in a large heterogeneous cohort of people with a physical disability and/or chronic disease during and after rehabilitation and to determine which factors before discharge are associated with longitudinal trajectory membership. Methods: A total of 1100 people with a physical disability and/or chronic disease were included from the longitudinal cohort study Rehabilitation, Sports and Active lifestyle. All participants participated in a physical activity promotion programme in Dutch rehabilitation care. HR-QoL was assessed using the RAND-12 Health Status Inventory questionnaire at baseline (T0: 3–6 weeks before discharge) and at 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. A data-driven approach using Latent Class Growth Mixture modelling was used to determine HR-QoL trajectories. Multiple binomial multivariable logistic regression analyses were used to determine person-, disease- and lifestyle-related factors associated with trajectory membership. Results: Three HR-QoL trajectories were identified: moderate (N = 635), high (N = 429) and recovery (N = 36). Trajectory membership was associated with person-related factors (age and body mass index), disease-related factors (perceived fatigue, perceived pain and acceptance of the disease) and one lifestyle-related factor (alcohol consumption) before discharge from rehabilitation. Conclusions: Most of the people who participated in a physical activity promotion programme obtained a relatively stable but moderate HR-QoL. The identified HR-QoL trajectories among our heterogeneous cohort are disease-overarching. Our findings suggest that people in rehabilitation may benefit from person-centred advice on management of fatigue and pain (e.g. activity pacing) and the acceptance of the disability.",

keywords = "Active lifestyle, Activity pacing, Health promotion, Latent class growth (mixture) models, Quality of life, Rehabilitation",

author = "Seves, {B. L.} and F. Hoekstra and Hettinga, {F. J.} and R. Dekker and {van der Woude}, {L. H.V.} and T. Hoekstra",

year = "2021",

month = jan,

doi = "10.1007/s11136-020-02647-7",

language = "English",

volume = "30",

pages = "67--80",

journal = "Quality of Life Research",

issn = "0962-9343",

publisher = "Springer Netherlands",

number = "1",

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Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study. / Seves, B. L.; Hoekstra, F.; Hettinga, F. J. et al.
In: Quality of Life Research, Vol. 30, No. 1, 01.2021, p. 67-80.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation

T2 - a longitudinal cohort study

AU - Seves, B. L.

AU - Hoekstra, F.

AU - Hettinga, F. J.

AU - Dekker, R.

AU - van der Woude, L. H.V.

AU - Hoekstra, T.

PY - 2021/1

Y1 - 2021/1

N2 - Purpose: To identify Health-related Quality of Life (HR-QoL) trajectories in a large heterogeneous cohort of people with a physical disability and/or chronic disease during and after rehabilitation and to determine which factors before discharge are associated with longitudinal trajectory membership. Methods: A total of 1100 people with a physical disability and/or chronic disease were included from the longitudinal cohort study Rehabilitation, Sports and Active lifestyle. All participants participated in a physical activity promotion programme in Dutch rehabilitation care. HR-QoL was assessed using the RAND-12 Health Status Inventory questionnaire at baseline (T0: 3–6 weeks before discharge) and at 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. A data-driven approach using Latent Class Growth Mixture modelling was used to determine HR-QoL trajectories. Multiple binomial multivariable logistic regression analyses were used to determine person-, disease- and lifestyle-related factors associated with trajectory membership. Results: Three HR-QoL trajectories were identified: moderate (N = 635), high (N = 429) and recovery (N = 36). Trajectory membership was associated with person-related factors (age and body mass index), disease-related factors (perceived fatigue, perceived pain and acceptance of the disease) and one lifestyle-related factor (alcohol consumption) before discharge from rehabilitation. Conclusions: Most of the people who participated in a physical activity promotion programme obtained a relatively stable but moderate HR-QoL. The identified HR-QoL trajectories among our heterogeneous cohort are disease-overarching. Our findings suggest that people in rehabilitation may benefit from person-centred advice on management of fatigue and pain (e.g. activity pacing) and the acceptance of the disability.

AB - Purpose: To identify Health-related Quality of Life (HR-QoL) trajectories in a large heterogeneous cohort of people with a physical disability and/or chronic disease during and after rehabilitation and to determine which factors before discharge are associated with longitudinal trajectory membership. Methods: A total of 1100 people with a physical disability and/or chronic disease were included from the longitudinal cohort study Rehabilitation, Sports and Active lifestyle. All participants participated in a physical activity promotion programme in Dutch rehabilitation care. HR-QoL was assessed using the RAND-12 Health Status Inventory questionnaire at baseline (T0: 3–6 weeks before discharge) and at 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. A data-driven approach using Latent Class Growth Mixture modelling was used to determine HR-QoL trajectories. Multiple binomial multivariable logistic regression analyses were used to determine person-, disease- and lifestyle-related factors associated with trajectory membership. Results: Three HR-QoL trajectories were identified: moderate (N = 635), high (N = 429) and recovery (N = 36). Trajectory membership was associated with person-related factors (age and body mass index), disease-related factors (perceived fatigue, perceived pain and acceptance of the disease) and one lifestyle-related factor (alcohol consumption) before discharge from rehabilitation. Conclusions: Most of the people who participated in a physical activity promotion programme obtained a relatively stable but moderate HR-QoL. The identified HR-QoL trajectories among our heterogeneous cohort are disease-overarching. Our findings suggest that people in rehabilitation may benefit from person-centred advice on management of fatigue and pain (e.g. activity pacing) and the acceptance of the disability.

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KW - Latent class growth (mixture) models

KW - Quality of life

KW - Rehabilitation

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Trajectories of health-related quality of life among people with a physical disability and/or chronic disease during and after rehabilitation: a longitudinal cohort study

Abstract

Funding

Keywords

UN SDGs

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