caa a22 4500 606178678 CHVBK 20210128100757.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s11136-014-0912-4 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0912-4 The impact of social support at home on health-related quality of life among veterans with spinal cord injury participating in a supported employment program [Elektronische Daten] [Bryce Sutton, Lisa Ottomanelli, Eni Njoh, Scott Barnett, Lance Goetz] Purpose: To investigate the impact of social support at home on health-related quality of life (HRQOL) as measured by the VR-6D utility index for spinal cord injury (SCI) veterans participating in a program of supported employment (SE). Methods: We calculated a preference-based utility index called the VR-6D from the responses from a 36-item instrument called the VR-36. We estimated a growth curve model to examine the change in the VR-6D utility index over time adjusting for social support status, demographics, and chronic comorbidities. Results: Study participants experienced an increase in HRQOL over time. The initial level and the rate of increase in HRQOL varied by groups based on their support status. The rate of increase in HRQOL diminished over time. Participants reporting no support at home experienced lower initial HRQOL but reached the same level of those who reported having support at home by the ninth month of follow-up. Quality-adjusted life-years, as measured by the area under the curves, were approximately the same for both groups after 2years. Conclusions: Differences in the rate of change in HRQOL by support status have important implications for evaluations of SE programs. Participants in this program of SE experienced improvement in HRQOL beyond 12months and extending to 2years. Follow-up times for evaluations should extend beyond 12months to assess complete improvements in HRQOL. Future comparison groups in comparative effectiveness evaluations of SE need to be balanced carefully on support status in addition to other factors. Springer International Publishing Switzerland(out side the USA), 2015 Supported employment nationallicence Health-related quality of life nationallicence Veterans nationallicence Social support nationallicence Spinal cord injuries nationallicence VR-6D nationallicence Sutton Bryce Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut Ottomanelli Lisa Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut Njoh Eni Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut Barnett Scott Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut Goetz Lance Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA aut Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1741-1747 0962-9343 24:7<1741 2015 24 11136 https://doi.org/10.1007/s11136-014-0912-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0912-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sutton Bryce Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut NATIONALLICENCE 700 1- Ottomanelli Lisa Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut NATIONALLICENCE 700 1- Njoh Eni Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut NATIONALLICENCE 700 1- Barnett Scott Health Services Research and Development/Rehabilitation Research and Development, Center of Innovation on Disability and Rehabilitation Research, Veterans Integrated Systems Network 8, James A. Haley Hospital, 8900 Grand Oak Circle (151R), 33637-1022, Tampa, FL, USA aut NATIONALLICENCE 700 1- Goetz Lance Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1741-1747 0962-9343 24:7<1741 2015 24 11136