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. 2016 Feb;25(2):457-464.
doi: 10.1007/s11136-015-1093-5. Epub 2015 Aug 30.

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

P M J Emmerink  1 , D P K Roeg  2
Affiliations

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

P M J Emmerink et al. Qual Life Res. 2016 Feb.

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.

Keywords: Assertive community treatment; Cross-sectional studies; Epidemiological determinants; Quality of life; Social determinants of health.

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