TY - JOUR
T1 - A Prospective Study on Coping Strategies and Quality of Life in Patients After Stroke, Assessing Prognostic Relationships and Estimates of Cost-effectiveness
AU - Molkenboer, Anne-sophie
AU - Dippel, Diederik
AU - Ribbers, Gerard
AU - Balen, R
AU - Passchier, Jan
AU - van Busschbach, Jan
PY - 2009/3
Y1 - 2009/3
N2 - Objective: To examine the prognostic value of coping strategies of patients after stroke at time of discharge on quality of life approximately one year later. In addition, we estimated the maximum cost of improving quality of life by enhancing coping strategies using strict assumptions.Methods: Eighty patients with a stroke completed several questionnaires, at discharge to home and 9-12 months later (follow-up). Questionnaires measured quality of life, coping strategies Tenacious Goal Pursuit and Flexible Goal Adjustment. First, a regression analysis was carried out predicting quality of life at follow-up from coping strategies at discharge. Secondly, a maximum in terms of acceptable cost was calculated for several possible effect sizes.Results: Both coping strategies at discharge were positively associated with quality of life at follow-up. With regards to cost-effectiveness, a medium effect size would result in an increase in quality of life of approximately 10%. The maximum acceptable cost of an intervention for a single patient is therefore set at (sic)2500, assuming a benefit of one year and a cost per quality adjusted life year of (sic)25,000.Conclusion: Coping strategies at discharge are predictive of quality of life one year later. The costs of improving quality of life are thought to be within the limits that determine a cost-effective intervention.
AB - Objective: To examine the prognostic value of coping strategies of patients after stroke at time of discharge on quality of life approximately one year later. In addition, we estimated the maximum cost of improving quality of life by enhancing coping strategies using strict assumptions.Methods: Eighty patients with a stroke completed several questionnaires, at discharge to home and 9-12 months later (follow-up). Questionnaires measured quality of life, coping strategies Tenacious Goal Pursuit and Flexible Goal Adjustment. First, a regression analysis was carried out predicting quality of life at follow-up from coping strategies at discharge. Secondly, a maximum in terms of acceptable cost was calculated for several possible effect sizes.Results: Both coping strategies at discharge were positively associated with quality of life at follow-up. With regards to cost-effectiveness, a medium effect size would result in an increase in quality of life of approximately 10%. The maximum acceptable cost of an intervention for a single patient is therefore set at (sic)2500, assuming a benefit of one year and a cost per quality adjusted life year of (sic)25,000.Conclusion: Coping strategies at discharge are predictive of quality of life one year later. The costs of improving quality of life are thought to be within the limits that determine a cost-effective intervention.
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=eur_pure&SrcAuth=WosAPI&KeyUT=WOS:000264017200005&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.2340/16501977-0313
DO - 10.2340/16501977-0313
M3 - Article
C2 - 19247542
SN - 1650-1977
VL - 41
SP - 237
EP - 241
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 4
ER -