Five-year effect of community-based intervention Hartslag Limburg on quality of life

A longitudinal cohort study

Saskia Pj Verkleij, Marcel C Adriaanse, Wm Monique Verschuren, Eric C Ruland, Gerrie C W Wendel-Vos, A.J. Schuit

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:

During the past decade, quality of life (QoL) has become an accepted measure of disease impact, therapeutic outcome, and evaluation of interventions. So far, very little is known about the effects of community-based interventions on people's QoL. Therefore, the effect of an integrative cardiovascular diseases community-based intervention programme 'Hartslag Limburg' on QoL after 5-years of intervention is studied.

Methods:

A longitudinal cohort study comparing 5-year mean change in QoL between the intervention (n = 2356) and reference group (n = 758). QoL outcomes were the physical and mental health composite scores (PCS and MCS) measured by the RAND-36. Analyses were stratified for gender and socio-economic status (SES).

Results:

After 5-years of intervention we found no difference in mean change in PCS and MCS between the intervention and reference group in both genders and low-SES. However, for the moderate/high SES intervention group, the scales social functioning (-3.6, 95% CI:-6.1 to -1.2), physical role limitations (-5.3, 95% CI:-9.6 to -1.0), general mental health (-3.0, 95% CI:-4.7 to -1.3), vitality (-3.2, 95% CI:-5.1 to -1.3), and MCS (-1.8, 95% CI:-2.9 to -0.6) significantly changed compared with the reference group. These differences were due to a slight decrease of QoL in the intervention group and an increase of QoL in the reference group.

Conclusion:

Hartslag Limburg has no beneficial effect on people's physical and mental QoL after 5-years of intervention. In fact, subjects in the intervention group with a moderate/high SES, show a decrease on their mental QoL compared with the reference group.

Original languageEnglish
Article number11
JournalHealth and Quality of Life Outcomes
Volume9
DOIs
Publication statusPublished - 27 Feb 2011
Externally publishedYes

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Mental Health

Keywords

  • Cardiovascular Diseases
  • Community Health Services
  • Diet, Fat-Restricted
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Promotion
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Netherlands
  • Poverty Areas
  • Quality of Life
  • Sickness Impact Profile
  • Smoking Cessation
  • Social Class
  • Journal Article

Cite this

Verkleij, Saskia Pj ; Adriaanse, Marcel C ; Verschuren, Wm Monique ; Ruland, Eric C ; Wendel-Vos, Gerrie C W ; Schuit, A.J. / Five-year effect of community-based intervention Hartslag Limburg on quality of life : A longitudinal cohort study. In: Health and Quality of Life Outcomes. 2011 ; Vol. 9.
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abstract = "Background: During the past decade, quality of life (QoL) has become an accepted measure of disease impact, therapeutic outcome, and evaluation of interventions. So far, very little is known about the effects of community-based interventions on people's QoL. Therefore, the effect of an integrative cardiovascular diseases community-based intervention programme 'Hartslag Limburg' on QoL after 5-years of intervention is studied.Methods: A longitudinal cohort study comparing 5-year mean change in QoL between the intervention (n = 2356) and reference group (n = 758). QoL outcomes were the physical and mental health composite scores (PCS and MCS) measured by the RAND-36. Analyses were stratified for gender and socio-economic status (SES).Results: After 5-years of intervention we found no difference in mean change in PCS and MCS between the intervention and reference group in both genders and low-SES. However, for the moderate/high SES intervention group, the scales social functioning (-3.6, 95{\%} CI:-6.1 to -1.2), physical role limitations (-5.3, 95{\%} CI:-9.6 to -1.0), general mental health (-3.0, 95{\%} CI:-4.7 to -1.3), vitality (-3.2, 95{\%} CI:-5.1 to -1.3), and MCS (-1.8, 95{\%} CI:-2.9 to -0.6) significantly changed compared with the reference group. These differences were due to a slight decrease of QoL in the intervention group and an increase of QoL in the reference group.Conclusion: Hartslag Limburg has no beneficial effect on people's physical and mental QoL after 5-years of intervention. In fact, subjects in the intervention group with a moderate/high SES, show a decrease on their mental QoL compared with the reference group.",
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author = "Verkleij, {Saskia Pj} and Adriaanse, {Marcel C} and Verschuren, {Wm Monique} and Ruland, {Eric C} and Wendel-Vos, {Gerrie C W} and A.J. Schuit",
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Five-year effect of community-based intervention Hartslag Limburg on quality of life : A longitudinal cohort study. / Verkleij, Saskia Pj; Adriaanse, Marcel C; Verschuren, Wm Monique; Ruland, Eric C; Wendel-Vos, Gerrie C W; Schuit, A.J.

In: Health and Quality of Life Outcomes, Vol. 9, 11, 27.02.2011.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Five-year effect of community-based intervention Hartslag Limburg on quality of life

T2 - A longitudinal cohort study

AU - Verkleij, Saskia Pj

AU - Adriaanse, Marcel C

AU - Verschuren, Wm Monique

AU - Ruland, Eric C

AU - Wendel-Vos, Gerrie C W

AU - Schuit, A.J.

PY - 2011/2/27

Y1 - 2011/2/27

N2 - Background: During the past decade, quality of life (QoL) has become an accepted measure of disease impact, therapeutic outcome, and evaluation of interventions. So far, very little is known about the effects of community-based interventions on people's QoL. Therefore, the effect of an integrative cardiovascular diseases community-based intervention programme 'Hartslag Limburg' on QoL after 5-years of intervention is studied.Methods: A longitudinal cohort study comparing 5-year mean change in QoL between the intervention (n = 2356) and reference group (n = 758). QoL outcomes were the physical and mental health composite scores (PCS and MCS) measured by the RAND-36. Analyses were stratified for gender and socio-economic status (SES).Results: After 5-years of intervention we found no difference in mean change in PCS and MCS between the intervention and reference group in both genders and low-SES. However, for the moderate/high SES intervention group, the scales social functioning (-3.6, 95% CI:-6.1 to -1.2), physical role limitations (-5.3, 95% CI:-9.6 to -1.0), general mental health (-3.0, 95% CI:-4.7 to -1.3), vitality (-3.2, 95% CI:-5.1 to -1.3), and MCS (-1.8, 95% CI:-2.9 to -0.6) significantly changed compared with the reference group. These differences were due to a slight decrease of QoL in the intervention group and an increase of QoL in the reference group.Conclusion: Hartslag Limburg has no beneficial effect on people's physical and mental QoL after 5-years of intervention. In fact, subjects in the intervention group with a moderate/high SES, show a decrease on their mental QoL compared with the reference group.

AB - Background: During the past decade, quality of life (QoL) has become an accepted measure of disease impact, therapeutic outcome, and evaluation of interventions. So far, very little is known about the effects of community-based interventions on people's QoL. Therefore, the effect of an integrative cardiovascular diseases community-based intervention programme 'Hartslag Limburg' on QoL after 5-years of intervention is studied.Methods: A longitudinal cohort study comparing 5-year mean change in QoL between the intervention (n = 2356) and reference group (n = 758). QoL outcomes were the physical and mental health composite scores (PCS and MCS) measured by the RAND-36. Analyses were stratified for gender and socio-economic status (SES).Results: After 5-years of intervention we found no difference in mean change in PCS and MCS between the intervention and reference group in both genders and low-SES. However, for the moderate/high SES intervention group, the scales social functioning (-3.6, 95% CI:-6.1 to -1.2), physical role limitations (-5.3, 95% CI:-9.6 to -1.0), general mental health (-3.0, 95% CI:-4.7 to -1.3), vitality (-3.2, 95% CI:-5.1 to -1.3), and MCS (-1.8, 95% CI:-2.9 to -0.6) significantly changed compared with the reference group. These differences were due to a slight decrease of QoL in the intervention group and an increase of QoL in the reference group.Conclusion: Hartslag Limburg has no beneficial effect on people's physical and mental QoL after 5-years of intervention. In fact, subjects in the intervention group with a moderate/high SES, show a decrease on their mental QoL compared with the reference group.

KW - Cardiovascular Diseases

KW - Community Health Services

KW - Diet, Fat-Restricted

KW - Female

KW - Follow-Up Studies

KW - Health Behavior

KW - Health Promotion

KW - Humans

KW - Male

KW - Middle Aged

KW - Motor Activity

KW - Netherlands

KW - Poverty Areas

KW - Quality of Life

KW - Sickness Impact Profile

KW - Smoking Cessation

KW - Social Class

KW - Journal Article

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DO - 10.1186/1477-7525-9-11

M3 - Article

VL - 9

JO - Health and Quality of Life Outcomes

JF - Health and Quality of Life Outcomes

SN - 1477-7525

M1 - 11

ER -