Resurrecting the ‘fourth 90’ : towards a definition of health-related quality of life in HIV care

Bourne, Kathryn and Croston, Michelle (2022) Resurrecting the ‘fourth 90’ : towards a definition of health-related quality of life in HIV care. British Journal of Nursing, 31 (11). S23-S27. ISSN 0966-0461

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Abstract

Medical advancements in the treatment of HIV continue to return ever more impressive medical results; increasing life expectancy and reducing negative symptoms (either disease-related or medically-induced). Physical wellness, however, is only one of the many facets of human life. It has been 5 years since Lazarus et al proposed we should be looking towards a fourth 90—good health-related quality of life (QoL)—yet little has been done to take up this task within a coherent approach. We suggest that one of the barriers to this is a lack of definition about what we mean by ‘good health-related quality of life’ (HRQoL) for people living with HIV. This article considers existing definitions of this, and related terms, and the difficulties in finding a universal definition. It goes on to suggest a way to a conceptual HRQoL in people living with HIV based on the biopsychosocial model. It is proposed that by doing it this way, practitioners can assess HRQoL in a comprehensive way, and focus on the things that matter to the individual.

Item Type:
Journal Article
Journal or Publication Title:
British Journal of Nursing
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700
Subjects:
?? general nursingmedicine(all) ??
ID Code:
220358
Deposited By:
Deposited On:
22 May 2024 10:20
Refereed?:
Yes
Published?:
Published
Last Modified:
22 May 2024 10:20