1. Quality of Life Tool
Erin Michalak
Associate Professor,
Department of Psychiatry, University of
British Columbia, Canada
Leader, CREST.BD
2. QoL in BD publications
Publications referencing QoL as a proportion of publications referencing BD
(Scopus database, terms in abstract, title or keywords), past 20 years
Exponential growth
(F (1,18) = 136.76,
p < .001, Adj R2 = .88)
But...
Sheer numbers still small
N for QoL
publications = 140
Vs.
N for symptom measure
publications = 1576
Source: Murray G, Michalak EE. Bipolar Disord. 2012;14(8):793-6.
3. Gaps in BD QoL science
- No condition-specific QoL measure
4.
5. QoL.BD Scale
PHYSICAL
SLEEP
MOOD
COGNITION
LEISURE
SOCIAL
WORK
STUDY
12 Basic
Scales
2 Optional Scales
(Included in Full QoL.BD
version only)
SPIRITUALITY
FINANCES
HOUSEHOLD
SELF-ESTEEM
INDEPENDENCE
IDENTITY
8. Gaps in BD QoL science
- Need a web-based version of the QoL.BD
9.
10. CIHR e-Health Catalyst Collaborators
Principal
Developer
Investigators
Principal
Decision-
Makers
Co-Investigators
Dan Bilsker
Victoria Maxwell
Erin Michalak
Greg Murray
Mark Lau Andrew Sixsmith
Steven Barnes
11. Development process
Group Consultation:
Advisory Group & Peer Support
Leaders (n=30)
May & July 2013
Oct 2012
Group Consultation:
Clinician workshop
(n=25)
Consultation feedback
provided to 7th Floor
Media
August 2013
July – August 2013
Individual Interviews:
Healthcare providers
(n=10)
- QoL Summit Consultation
- 3rd prototype development
October 2013
September 2013
- 1st prototype developed
- Team review & feedback
- 2nd prototype developed
- Video Production
- Pilot testing
Feb-March 2014
Nov 2013 – Jan 2014
- Software development
12.
13. People with BD and healthcare provider participants, QoL Summit October 2013
20. In terms of research, what are the
most important findings from this
project?
21. In terms of KE, what are the
most important learnings to share
with CREST.BD network members?
Editor's Notes
CONTENT AND FORMAT ARE SOMEWHAT HYBRID. Content: Hybrid of general qol scales (leisure, independence, physical), and scales more often seen in health scales (physical, mood), and in mental health scales (cognition, self-esteem [includes a stigma item]) scales that are more clearly linked to BD (sleep, spirituality, identity).
(based on factor loadings and communalities)
Format is a hybrid – domain-level and optional scales as typical in qol instruments, standardised response format and user-friendly format more common in mood and personality questionnaires.
Clinical tool for collaborative goal-setting
Needed to be applicable across the phases of the disorder
Sufficiently brief for routine use, while retaining strong psychometric properties
Also literature review in study 1
What does the star refer to on these slides?
An example of how we blend consultation with research. As with all of our community consultation events of this type, we embedded a formal qualitative research component. Allows to build capacity for community engagement, improves the quality of the tool AND provides multiple peer-reviewed publications
Erin stewart elliott – graphic recorder & facilitator captured focus group and large group discussions, visually, throughout the duration of event. Presents it back to participants at the end of the day.
Provides an avenue for participants to process information in different ways – and provides a visual for disseminating results.
Harnessees and reflects the creativity of the community involved.
FGs currently being transcribed. Feedback from group discussion and FG report-back sessions have been organized into the followingcategories:
Strengths, Limitations, Key Features, Building Community
Reviewed in depth by collaborators at a meeting the following day, moving forward with 1st round of development.