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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Wellbeing among sub-Saharan African patients with advanced HIV and/or cancer: An international multicentred comparison study of two outcome measures
Health and Quality of Life Outcomes, Volume 12, No. 1, Article 80, Year 2014
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Description
Background: Despite the high mortality rates of HIV and cancer in sub-Saharan Africa, there are few outcome tools and no comparative data across conditions. This study aimed to measure multidimensional wellbeing among advanced HIV and/or cancer patients in three African countries, and determine the relationship between two validated outcome measures.Methods: Cross-sectional self-reported data from palliative care populations in Kenya, Uganda and South Africa using FACIT-G+Pal and POS measures.Results: Among 461 participants across all countries, subscale " social and family wellbeing" had highest (best) score. Significant country effect showed lower (worse) scores for Uganda on 3 FACIT G subscales: Physical, Social + family, and functional. In multiple regression, country and functional status accounted for 21% variance in FACIT-Pal. Worsening functional status was associated with poorer POS score. Kenyans had worse POS score, followed by Uganda and South Africa. Matrix of correlational coefficients revealed moderate correlation between the POS and FACIT-Pal core scale (0.60), the FACIT-G and POS (0.64), and FACIT-G + Pal with POS (0.66).Conclusions: The data reveal best status for family and social wellbeing, which may reflect the sample being from less individualistic societies. The tools appear to measure different constructs of wellbeing in palliative care, and reveal different levels of wellbeing between countries. Those with poorest physical function require greatest palliative and supportive care, and this does not appear to differ according to diagnosis. © 2014 Harding et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Harding, Richard
United Kingdom, London
King's College London
Ellen Selman, Lucy Ellen
United Kingdom, London
King's College London
Ali, Zipporah Vunoro
Kenya, Nairobi
Kenyan Hospice Palliative Care Association
Powell, Richard Antony
Uganda, Kampala
African Palliative Care Association
Namisango, Eve
Uganda, Kampala
African Palliative Care Association
Mwangi-Powell, Faith N.
Uganda, Kampala
African Palliative Care Association
Gwyther, Liz
South Africa, Cape Town
University of Cape Town
Gikaara, Nancy
Uganda, Kampala
African Palliative Care Association
Higginson, Irene J.
United Kingdom, London
King's College London
Siegert, Richard
New Zealand, Auckland
Auckland University of Technology
Statistics
Citations: 10
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1186/1477-7525-12-80
e-ISSN:
14777525
Research Areas
Cancer
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
Kenya
South Africa
Uganda