Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment
Abstract Background In 2019, an estimated 296 million people were living with chronic hepatitis B virus (HBV) globally with approximately 2.4 million living within the United States. Those living with HBV require years if not decades of regular monitoring to prevent liver complications from occurrin...
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SpringerOpen
2021
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oai:doaj.org-article:554aec1c79554416ae1a4603253b9d002021-11-14T12:28:56ZHealth-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment10.1186/s41687-021-00398-82509-8020https://doaj.org/article/554aec1c79554416ae1a4603253b9d002021-11-01T00:00:00Zhttps://doi.org/10.1186/s41687-021-00398-8https://doaj.org/toc/2509-8020Abstract Background In 2019, an estimated 296 million people were living with chronic hepatitis B virus (HBV) globally with approximately 2.4 million living within the United States. Those living with HBV require years if not decades of regular monitoring to prevent liver complications from occurring. The aim of this study was to explore the working conceptual framework of health related quality of life (HRQL) for those living with chronic HBV through qualitative analysis. Methods Data were collected by in-depth telephone interviews conducted in 2019 using purposeful sampling as part of a disease understanding assessment on the HBV patient experience within the United States. A directed content analysis approach was utilized by creation of a codebook to guide the organization of data, codes were developed by review of the literature (a priori) and through line-by-line reading of a subsample of queries. All transcripts were analyzed by at least two members of the study team and intercoder reliability was assessed using Dedoose software. Findings A sample of 19 individuals living with chronic HBV were included within this study. Themes identified from transcripts noted the significant overlap between the reported experience of HBV and constructs within the HRQL model. The psychological impact of chronic HBV on study participants’ HRQL overall was considerable and contributed to depression, anxiety, homelessness, drug use, and incarceration. Conclusion Our analysis supports the hypothesis that HBV impacts HRQL and often negatively affects emotional health. Our findings suggest that it would be beneficial to include HRQL assessment in the medical management of HBV, so that interventions can focus on reducing the burden of disease and improving quality of life for those living with HBV.Catherine FreelandRhea RachoMaureen KamischkeKate MorarasEvangeline WangChari CohenStuart KendrickSpringerOpenarticleHepatitis B Virus (HBV)Health related quality of life (HRQL)Patient reported outcomes (PRO)Viral hepatitisLiver diseaseLiver cancerPublic aspects of medicineRA1-1270ENJournal of Patient-Reported Outcomes, Vol 5, Iss 1, Pp 1-8 (2021) |
institution |
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collection |
DOAJ |
language |
EN |
topic |
Hepatitis B Virus (HBV) Health related quality of life (HRQL) Patient reported outcomes (PRO) Viral hepatitis Liver disease Liver cancer Public aspects of medicine RA1-1270 |
spellingShingle |
Hepatitis B Virus (HBV) Health related quality of life (HRQL) Patient reported outcomes (PRO) Viral hepatitis Liver disease Liver cancer Public aspects of medicine RA1-1270 Catherine Freeland Rhea Racho Maureen Kamischke Kate Moraras Evangeline Wang Chari Cohen Stuart Kendrick Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
description |
Abstract Background In 2019, an estimated 296 million people were living with chronic hepatitis B virus (HBV) globally with approximately 2.4 million living within the United States. Those living with HBV require years if not decades of regular monitoring to prevent liver complications from occurring. The aim of this study was to explore the working conceptual framework of health related quality of life (HRQL) for those living with chronic HBV through qualitative analysis. Methods Data were collected by in-depth telephone interviews conducted in 2019 using purposeful sampling as part of a disease understanding assessment on the HBV patient experience within the United States. A directed content analysis approach was utilized by creation of a codebook to guide the organization of data, codes were developed by review of the literature (a priori) and through line-by-line reading of a subsample of queries. All transcripts were analyzed by at least two members of the study team and intercoder reliability was assessed using Dedoose software. Findings A sample of 19 individuals living with chronic HBV were included within this study. Themes identified from transcripts noted the significant overlap between the reported experience of HBV and constructs within the HRQL model. The psychological impact of chronic HBV on study participants’ HRQL overall was considerable and contributed to depression, anxiety, homelessness, drug use, and incarceration. Conclusion Our analysis supports the hypothesis that HBV impacts HRQL and often negatively affects emotional health. Our findings suggest that it would be beneficial to include HRQL assessment in the medical management of HBV, so that interventions can focus on reducing the burden of disease and improving quality of life for those living with HBV. |
format |
article |
author |
Catherine Freeland Rhea Racho Maureen Kamischke Kate Moraras Evangeline Wang Chari Cohen Stuart Kendrick |
author_facet |
Catherine Freeland Rhea Racho Maureen Kamischke Kate Moraras Evangeline Wang Chari Cohen Stuart Kendrick |
author_sort |
Catherine Freeland |
title |
Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
title_short |
Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
title_full |
Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
title_fullStr |
Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
title_full_unstemmed |
Health-related quality of life for adults living with hepatitis B in the United States: a qualitative assessment |
title_sort |
health-related quality of life for adults living with hepatitis b in the united states: a qualitative assessment |
publisher |
SpringerOpen |
publishDate |
2021 |
url |
https://doaj.org/article/554aec1c79554416ae1a4603253b9d00 |
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