Health and Quality of Life Outcomes最新文献

{"title":"Associations between physical activity and quality of life in university students during the COVID-19 pandemic.","authors":"Tatiana Durão D'Avila Luz, Leonardo Gomes de Oliveira Luz, Bruno Barbosa Giudicelli, Arnaldo Tenório da Cunha Júnior, Elthon Allex da Silva Oliveira, Bruno Cleiton Macedo do Carmo, Geraldo de Albuquerque Maranhão Neto, Liliana Carina Pereira Baptista, Raul Agostinho Simões Martins","doi":"10.1186/s12955-026-02495-y","DOIUrl":"10.1186/s12955-026-02495-y","url":null,"abstract":"<p><strong>Background/purpose: </strong>The present study investigated variance in overall quality of life in relation to a broad spectrum of correlates, including sociodemographic characteristics, health self-reports related to the COVID-19 pandemic, sedentary behavior, and habitual physical activity, as well as examined the relationship between habitual physical activity and quality of life domains in university students during the first year of the COVID-19 pandemic.</p><p><strong>Methods: </strong>This cross-sectional observational study was conducted with 4059 undergraduate students (1859 men). Data were collected between June and October 2020. The electronic questionnaire comprised four main domains: sociodemographic characteristics, self-reported health conditions related to the COVID-19 pandemic, sedentary behavior and physical activity level, and quality of life.</p><p><strong>Results: </strong>Students reported a mean score of 58.3 (± 21.2) for overall quality of life (males: 59.7 ± 21.0; females: 57.2 ± 21.4, p < 0.001). Male students exhibited significantly higher scores than female students across all quality of life domains, with the exception of the social domain (p > 0.05). Notably, a set of variables was associated with higher quality of life scores across both sexes including having private health insurance, sleeping between 7 h and 9 h per night, and engaging in moderate or high levels of physical activity. Students classified as physically active associated with better perception in all quality of life domains across both sexes.</p><p><strong>Conclusion: </strong>While these findings are consistent with the existing literature, they further underscore the importance of addressing the interplay of sociodemographic, lifestyle, and health-related factors in strategies aimed at improving quality of life in university students during lockdown.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13011726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"German translation, cultural adaptation and linguistic validation of the PedsQL healthcare satisfaction module.","authors":"Alexandra Piltz, Clara Herta Spiller, Anja Zschieschang, Guido Fitze, Holger Muehlan, Jurek Schultz","doi":"10.1186/s12955-026-02492-1","DOIUrl":"10.1186/s12955-026-02492-1","url":null,"abstract":"<p><p>BACKGROUND: Healthcare satisfaction (HCS) is a crucial patient-reported outcome that is essential for evaluating medical care quality from the patient’s viewpoint and may also significantly impact other patient-reported outcome measures. However, currently validated German instruments lack a generic focus, which is essential for treating various diagnoses in pediatric surgery contexts. This study presents the translation and cultural adaptation of the PedsQL Healthcare Satisfaction Generic Module (HCSGM) for Germany. METHODS: The PedsQL 3.0 HCSGM is a 24-item questionnaire assessing six dimensions: information, family inclusion, communication, technical skills, emotional needs, and overall satisfaction. After two independent forward translations and a back translation, a preliminary version was tested with caregivers of 10 patients who provided feedback using the thinking-aloud technique while completing the questionnaire. Interviews were analyzed using qualitative content analysis (QCA), leading to the final German version of the HCSGM. RESULTS: The initial consensus meeting after the forward translations identified five areas for improvement. The backward translation was approved with no further changes. QCA revealed ten major and nine minor issues, which resulted in ten modifications to item wordings, question-wording, verbal anchors of answer options, and layout during a second consensus meeting. Those modifications resulted in the final version also being approved by the original authors. CONCLUSION: The German version of the PedsQL HCSGM is now available to measure HCS, a crucial PROM for clinical research and patient management. While qualitative methods have been employed to ensure equivalence, further studies should evaluate psychometric properties. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal validation of the GHQ-12 and PHQ-2 in Chilean social housing populations in urban regeneration contexts.","authors":"Gabriel González-Medina, Alejandra Vives","doi":"10.1186/s12955-026-02488-x","DOIUrl":"10.1186/s12955-026-02488-x","url":null,"abstract":"<p><p>BACKGROUND: Brief questionnaires have been applied in poor urban populations to monitor their mental health. Mental health outcomes encompass diverse symptoms that differ in cause and functional impact; however, most studies combine these symptoms as if they represented a single construct. Longitudinal validation of health instruments requires understanding the psychometric properties and causal structures between measurement points to distinguish measurement error from true change before interpreting intervention effectiveness. However, the longitudinal psychometric properties of the General Health Questionnaire (GHQ-12) and Patient Health Questionnaire (PHQ-2) in Latin American social housing populations remain unknown. This study assessed the dimensionality and longitudinal psychometric properties of these instruments in Chilean populations targeted by urban regeneration interventions. OBJECTIVE: To assess the longitudinal psychometric properties of the General Health Questionnaire (GHQ-12) and Patient Health Questionnaire (PHQ-2) in poor Chilean urban populations undergoing urban regeneration interventions. METHODS: We analyzed two waves of mental health data (6-month intervals) from 955 residents of social housing neighborhoods in Santiago and Viña del Mar, Chile. We evaluated item-level and scale-level statistics, confirmatory factor analysis, construct validity, test-retest reliability, and longitudinal measurement invariance. Following recent advances in causal inference methodology, we examined measurement error structures via directed acyclic graph principles to understand the causal implications of psychometric findings. RESULTS: Both instruments demonstrated good psychometric properties and construct validity. The three-factor GHQ-12 structure (dysphoria, social dysfunction, loss of confidence) showed an optimal fit (comparative fit index = 0.996, Tucker‒Lewis index = 0.992, root mean square error of approximation = 0.025). Dysphoria exhibited the strongest correlation with the PHQ-2 (r = 0.65) and highest temporal stability (0.60), whereas social dysfunction showed the lowest stability (0.48), suggesting differential sensitivity to environmental interventions. Evidence of a response shift emerged: while configural and metric invariance held across time, scalar invariance was violated (change in comparative fit index = 0.105), indicating systematic changes in item thresholds rather than true mental health changes. CONCLUSIONS: The GHQ-12 and PHQ-2 are reliable instruments for longitudinal mental health assessment in poor urban populations. However, scalar non-invariance suggests that residents recalibrate their mental health standards while urban regeneration begins, which has important implications for interpreting intervention effects. Future studies should incorporate measurement invariance testing and latent variable approaches when evaluating complex environmental interventions. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation and adaptability of the simplified Chinese version of HOOS-12 in patients undergoing total hip arthroplasty.","authors":"Mengyuan He, Lin Wu, Wei Gu, Dongfa Liao, Benjing Song, Hongbao Hu, Lin Cui, YidaAmu, Shihong Li, Yingchao Tang, Jianxiang Long, Li Yin, Qingyun Xie, Wei Wang","doi":"10.1186/s12955-026-02491-2","DOIUrl":"10.1186/s12955-026-02491-2","url":null,"abstract":"<p><p>INTRODUCTION: Considering the response burden of the full version of the HOOS scale, researchers developed a more concise HOOS-12 scale. Although the HOOS-12 has been verified to have good reliability, validity and responsiveness in most Western-country studies, it still needs further evaluation in other non-English populations. Therefore, our aim is to assess the content validity, internal consistency, structural validity, test-retest reliability, responsiveness, floor effect and ceiling effect of the Chinese version of HOOS-12 in the patient population whose native language is Chinese. The goal is to provide a high-quality evaluation tool for the global Chinese-using hip joint patient population, promote cross-cultural and cross-regional hip joint research, and ensure the comparability of the data. METHOD: Patients with chronic hip diseases scheduled for total hip arthroplasty were included in the study. Content validity was evaluated using expert review to assess item relevance. CFA was employed to validate the construct validity of the CHOO-12. Convergent and discriminant validity of the CHOOS-12 were assessed using the SF-36, OHS, and WOMAC scales as reference instruments. The first HOOS-12 scores were used to evaluate content validity, internal consistency, and structural validity. The second set of scores was utilized to assess test-retest reliability and ceiling/floor effects. The third set of scores was applied to evaluate responsiveness. RESULT: The CHOOS-12 demonstrated good content validity. No ceiling or floor effects were observed for the CHOOS-12 total scale or its pain, function, and quality of life subscales. The internal consistency among items was high for both the overall CHOOS-12 and all its subscales. CFA indicated satisfactory performance for the pain dimension, though the unidimensionality of the function and quality of life dimensions was challenged. The CHOOS-12 scale exhibited good convergent and discriminant validity. With overall ES and SRM values of 2.08 and 2.42 respectively, the CHOOS-12 also demonstrated good responsiveness. CONCLUSION: CHOOS-12 demonstrated good reliability and validity in this study. In terms of construct validity, the pain subscale performed well, although the unidimensionality of the PF and QOL subscales was challenged, the core items still had measurement potential. Future research needs to conduct further validation in larger and more diverse samples. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the psychological well-being construct and validating the Comprehensive Inventory of Thriving in Singapore.","authors":"Yiyun Shou, Jia Jia Lee, Janhavi Ajit Vaingankar, Mythily Subramaniam, Nan Luo","doi":"10.1186/s12955-026-02484-1","DOIUrl":"10.1186/s12955-026-02484-1","url":null,"abstract":"<p><p>BACKGROUND: Positive psychological functions are associated with various health and life outcomes. This study examined the construct of psychological well-being in the multi-ethnic Singaporean population and evaluated the Comprehensive Inventory of Thriving (CIT) scale that captures 18 aspects of psychological well-being. METHOD: A two-wave survey study was carried out with 1349 community-dwelling Singaporean adults, of whom 562 completed the second wave. We compared factor structures that have been reported in other populations. The factor model was further tested for replicability in a subsequent household survey sample (N = 1756). RESULTS: A new higher-order factor model emerged in the Singaporean sample consisting of three dimensions: interpersonal well-being, individual well-being, and resistance to threats. The new structure demonstrated gender and age measurement invariance. CIT and the three dimensions had expected associations with mental health symptoms, work/study stress, and participants’ actual social support. The new higher-order factor model was replicated in the subsequent household survey sample. Finally, both CIT and its short form, the Brief Inventory of Thriving (BIT), showed convergent validity, reliability and test-retest reliability in the Singaporean population. CONCLUSIONS: CIT demonstrated some evidence of construct validity and reliability in the current large samples of Singaporean community-dwelling adults. BIT can be an efficient tool to assess and monitor population general well-being. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life and its determinants among children and adolescents living with HIV in Eastern Uganda: a cross-sectional study.","authors":"Sarah Kotut, Prince Tsekpetse, Harrison Chege, Edgar Kiprop, Joseph Kirabira","doi":"10.1186/s12955-026-02496-x","DOIUrl":"10.1186/s12955-026-02496-x","url":null,"abstract":"<p><strong>Background: </strong>Children and adolescents living with HIV face unique physical, psychological, and social challenges that can significantly affect their health-related quality of life (HRQoL). Understanding the dimensions and determinants of HRQoL among them is crucial to developing solutions to improve their overall well-being. This research aimed to assess the HRQoL and its determinants among children and adolescents living with HIV in Eastern Uganda.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 228 respondents. Sociodemographic and clinical variables were assessed using an investigator-designed questionnaire, and HRQoL was assessed using the World Health Organization HIV Quality of Life - BREF tool. A multiple linear regression model was used to identify independent factors associated with HRQoL.</p><p><strong>Results: </strong>The mean age of the respondents was 13.68 ± 1.95 years, 129 (56.58%) were female, and 182 (79.82%) perceived high support from friends. The mean QoL was highest within the spiritual domain (17.07 ± 3.11), while the independence domain indicated the lowest quality of life (14.57 ± 2.26). Approximately 48.5% attained the mean overall QoL score (96.22). Better financial status (being not well off or quite well off) was significantly associated with higher scores across physical, psychological, independence, environmental, spiritual, and overall QoL (p < 0.05). High perceived family support was also positively associated with higher psychological, environmental, spiritual, and overall QoL scores. In contrast, family history of mental illness and the presence of other chronic illnesses were significantly associated with lower psychological and environmental scores. Being Muslim/other religion was associated with lower physical domain scores, while being in high school or above was linked to better environmental scores.</p><p><strong>Conclusion: </strong>Spirituality was a key source of emotional support, reflected in the highest QoL scores, while low independence scores suggest that stigma and overprotection may hinder autonomy and social development. Although overall QoL was generally good, disparities across domains underscore the need for targeted interventions. Improved financial status and strong family support were consistently associated with better QoL outcomes, while comorbid conditions and a family history of mental illness negatively impacted well-being among children and adolescents living with HIV in Eastern Uganda.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12990645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the general module of the quality of life instruments for chronic diseases QLICD-GM(V2.0) : a large sample study based on classical test theory and item response theory.","authors":"Chonghua Wan, Xiaoqing Zhang, Liyuan Qiao, Wu Li, Ying Chen, Wanrui Ma, Honghong Xue, Peng Quan, Dandan Wang","doi":"10.1186/s12955-026-02493-0","DOIUrl":"10.1186/s12955-026-02493-0","url":null,"abstract":"<p><strong>Objective: </strong>The quality of life(QoL) of patients with chronic diseases is a greater concern for both patients and clinicians. This study was aimed to develop and evaluate the second version of the General Module of Quality of Life Instruments for Chronic Diseases (QLICD-GM(V2.0)) by Classical Test Theory (CTT) and Item Response Theory (IRT) .</p><p><strong>Methods: </strong>Building upon QLICD-GM(V1.0), the scale was developed and validated through a structured process combining qualitative and quantitative methods. The psychometric properties of QLICD-GM(V2.0) were assessed in a sample of 1953 patients with ten chronic diseases, evaluating reliability, validity, responsiveness, and item characteristics under CTT and IRT frameworks.</p><p><strong>Results: </strong>The final QLICD-GM(V2.0) comprises 28 items across 3 domains and 9 facets. Item-domain correlations were highest for each item within its intended domain, except one. Confirmatory factor analysis indicated good model fit. Criterion validity against SF-36 showed correlations of 0.56 (physical), 0.54 (psychological), and 0.46 (social). Internal consistency was high (Cronbach's α: 0.79-0.98). Significant pre- to post-treatment score differences were found (all p < 0.001), with standardized response means of 0.24 (physical), 0.17 (psychological), and 0.07 (social). IRT analysis indicated all items had discrimination parameters between 1.11 and 1.41, with monotonically increasing location parameters. Average item information amount was approximately 0.33 (physical), 0.54 (psychological), and 0.44(social).</p><p><strong>Conclusions: </strong>QLICD-GM(V2.0) provides a psychometrically sound, clinically interpretable and responsive measure of generic QoL in chronic patients. It can be used alone or combined with disease-specific modules to monitor benefit and guide treatment and rehabilitation planning.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life scores using SF-12 and SF-36v2 questionnaires for patients with multidrug-resistant tuberculosis in Vietnam.","authors":"Nguyen Thi Lien Ha, Nguyen Binh Hoa, Manisha Yapa, Nguyen Thu Anh, Qingbin Li, Vu Hai Dang, Greg J Fox, Vu Quoc Dat","doi":"10.1186/s12955-026-02479-y","DOIUrl":"10.1186/s12955-026-02479-y","url":null,"abstract":"<p><p>BACKGROUND: The health-related quality of life (QoL) assessed by the 12-item Short Form (SF-12) offers a time-efficient alternative to the 36-item version 2 (SF-36 v2). This study aimed to compare the performance of SF-12 and SF-36 v2 among patients with rifampicin-resistant/multidrug-resistant tuberculosis (RR/MDR-TB) in Vietnam. METHODS: A cross-sectional survey was conducted among RR/MDR-TB patients treated in seven provinces between October 2020 and March 2023. Participants completed the SF-36 v2 questionnaire at enrollment. Physical (PCS) and mental component summary (MCS) scores were compared between SF-12 and SF-36 v2. Linear regression assessed the ability of PCS-12 and MCS-12 to predict PCS-36 and MCS-36. Discriminative ability was assessed via receiver operating characteristic (ROC) curves. RESULTS: This study included 565 participants with a median age of 45.4 years (IQR 44.2–46.5) and a male proportion of 71.7%. 64.1% (362/565) had PCS-36 and 88.3% (499/565) had MCS-36 scores well below and below population norms. The mean scores of PCS-12 and MCS-12 were higher than those of PCS-36 (45.1; 95% CI 44.1–46.1 vs. 43.6; 95% CI 43.1–44.1), and MCS-36 (45.2; 95% CI 43.8–46.6 vs. 34.6; 95% CI 33.9–35.4; p < 0.001), respectively. The Intraclass Correlation Coefficients (ICCs) between PCS and MCS scores of SF-12 and SF-36 v2 were 0.6 (95% CI: 0.5–0.6) and 0.5 (95% CI: 0.4–0.5) respectively. The AUC values for comparing the performance of PCS and MCS of two scales were 0.89 and 0.99, respectively. We found the excellent linear correlation between PCS-12 and PCS-36 (r = 0.8; p < 0.001) and between MCS-12 and MCS-36 scores (r = 0.9; p < 0.001). CONCLUSION: SF-12 had moderate correlation to SF-36 v2 for QoL assessment in RR/MDR-TB patients, though it tends to overestimate QoL in older and male individuals. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146124793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing electronic Patient-Reported Outcome Measures in Chronic Kidney Disease: a qualitative systematic review of barriers, enablers, and mechanisms.","authors":"Xutong Zheng, Yuhong Zhang, Liuxuan Xie, Yingshuo Liu, Qiuying Yu, Han Zhang, Yao Li, Aiping Wang","doi":"10.1186/s12955-026-02489-w","DOIUrl":"10.1186/s12955-026-02489-w","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review investigates the barriers, enablers and mechanisms affecting ePROMs implementation in CKD (chronic kidney disease) management, with a focus on the perspectives of patients and healthcare providers.</p><p><strong>Methods: </strong>A qualitative systematic review was conducted using the UK Medical Research Council's Process Evaluation Framework to analyze studies on ePROM implementation in CKD care. We systematically searched databases for peer-reviewed qualitative studies published from inception to October 2025. Thematic analysis, guided by the Process Evaluation Framework, was used to synthesize the findings. Studies from PubMed, Embase, Scopus, CINAHL, and APA PsycINFO were included.</p><p><strong>Results: </strong>Results Eleven studies met the inclusion criteria. The synthesis identified distinct barriers and mechanisms of impact. Key barriers included structural and technical obstacles: digital literacy gaps, cognitive overload in vulnerable populations, misalignment with clinical IT systems, interface usability issues, and inconsistent implementation protocols. Regarding Enablers and Mechanisms, the review revealed a paradox. While ePROMs acted as enablers for personalized treatment and improved symptom awareness, their effectiveness was mediated by complex relational mechanisms. Both patients and clinicians expressed skepticism regarding utility in routine care. Furthermore, relational tensions arose when patient input was perceived as overlooked, highlighting that patient empowerment is conditional on the quality of the therapeutic alliance.</p><p><strong>Conclusion: </strong>ePROMs have the potential to enhance CKD care by providing valuable insights into patient experiences. However, their adoption is hindered by digital literacy, technological issues, and inconsistent protocols. To optimize adoption, policymakers must prioritize IT integration and standardized protocols, while clinicians should actively incorporate results into consultations to validate patient input. Future research should focus on mixed-methods studies in diverse populations to ensure equitable and effective implementation.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Japanese version of boredom proneness scale and derivation of its short version among older adults: a cross-sectional study.","authors":"Atsushi Takayama, Izumi Uehara, Takashi Yoshioka, Taro Takeshima, Kenji Omae, Sayaka Shimizu, Hiroaki Nakagawa, Akihiro Ozaka, Sugihiro Hamaguchi, Shunichi Fukuhara","doi":"10.1186/s12955-026-02490-3","DOIUrl":"10.1186/s12955-026-02490-3","url":null,"abstract":"<p><p>BACKGROUND: Boredom proneness is a common yet underexplored psychological trait among older adults, linked to depression, loneliness, and reduced quality of life. Despite its clinical relevance, validated instruments for assessing boredom in this population are scarce. This study aimed to validate the Japanese version of the Boredom Proneness Scale (JBPS) and to develop a short form specifically designed for older adults (s-BPSO). METHODS: We conducted two cross-sectional surveys in Japan. The first, a paper-based survey (n = 5,382; mean age = 82), targeted community-dwelling older adults aged ≥ 75 years in Sukagawa City. The second, an internet-based national survey (n = 4,124; mean age = 66), recruited participants aged ≥ 50 years. Structural validity of the JBPS was assessed via exploratory and confirmatory factor analysis. Reliability was evaluated using internal consistency and test–retest analysis. The s-BPSO was derived using item response theory and validated independently using data from the second survey. Convergent validity was examined through correlations with validated measures of mental and physical health. RESULTS: The JBPS demonstrated good internal consistency (Cronbach’s α = 0.87) and test–retest reliability (ICC = 0.84). Exploratory factor analysis supported a three-factor structure, though model fit in confirmatory analysis was modest. The JBPS showed strong correlations with depressive symptoms, loneliness, and HRQOL measures. Existing short versions of the BPS performed poorly in this older sample. A newly developed 6-item short version (s-BPSO) based on a two-factor structure exhibited acceptable model fit (CFI = 0.987, RMSEA = 0.056), high internal consistency (α = 0.80), and strong correlation with the full JBPS (r = 0.86). Higher boredom scores were associated with older age, lower income and education, reduced IADL, and lower HRQOL. CONCLUSIONS: The JBPS and s-BPSO are valid and reliable instruments for assessing boredom proneness among older Japanese adults. The s-BPSO provides a concise alternative for use in epidemiological surveys and clinical practice. These tools may inform interventions aimed at promoting active and mentally healthy aging, and support future cross-cultural research on aging-related psychological traits. </p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}