Back to Journals » Journal of Multidisciplinary Healthcare » Volume 1

Measuring health outcomes of a multidisciplinary care approach in individuals with chronic environmental conditions using an abbreviated symptoms questionnaire

Authors Roy Fox, Tara Sampalli, Jonathan Fox

Published 11 December 2008 Volume 2008:1 Pages 97—104

DOI https://doi.org/10.2147/JMDH.S4147

Review by Single-blind

Peer reviewer comments 1

Roy Fox1, Tara Sampalli1, Jonathan Fox1

1Nova Scotia Environmental Health Centre, Fall River, NS, Canada

Abstract: The Nova Scotia Environmental Health Centre is a treatment facility for individuals with chronic environmental conditions such as multiple chemical sensitivity, chronic fatigue syndrome, fibromyalgia, chronic respiratory conditions and in some cases chronic pain. The premise of care is to provide a patient-centred multidisciplinary care approach leading to self-management strategies. In order to measure the outcome of the treatment in these complex problems, with overlapping diagnoses, symptoms in many body systems and suspected environmental triggers, a detailed symptoms questionnaire was developed specifically for this patient population and validated. Results from a pilot study in which an abbreviated symptoms questionnaire based on the top reported symptoms captured in previous research was used to measure the efficacy of a multidisciplinary care approach in individuals with multiple chemical sensitivity are presented in this paper. The purpose of this study was to examine the extent, type and patterns of changes over time in the top reported symptoms with treatment measured using the abbreviated symptoms questionnaire. A total of 183 active and 109 discharged patients participated in the study where the health status was measured at different time periods of follow up since the commencement of treatment at the Centre. The findings from this study were successful in generating an initial picture of the nature and type of changes in these symptoms. For instance, symptoms such as difficulty concentrating, sinus conditions and tiredness showed early improvement, within the first 6 months of being in treatment, while others, such as fatigue, hoarseness or loss of voice, took longer while others showed inconsistent changes warranting further enquiry. A controlled longitudinal study is planned to confirm the findings of the pilot study.

Keywords: multiple chemical sensitivity, multidisciplinary, chronic conditions

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF] 

 

Readers of this article also read:

Low-dose naloxone provides an abuse-deterrent effect to buprenorphine

Webster LR, Smith MD, Unal C, Finn A

Journal of Pain Research 2015, 8:791-798

Published Date: 4 November 2015

Perspectives on the clinical significance of functional pain syndromes in children

Basch MC, Chow ET, Logan DE, Schechter NL, Simons LE

Journal of Pain Research 2015, 8:675-686

Published Date: 7 October 2015

Hematuria following Botox treatment for upper limb spasticity: a case report

Lo TC, Yeung ST, Lee S, Chang EY

Journal of Pain Research 2015, 8:619-622

Published Date: 14 September 2015

Targeted tumor imaging of anti-CD20-polymeric nanoparticles developed for the diagnosis of B-cell malignancies

Capolla S, Garrovo C, Zorzet S, Lorenzon A, Rampazzo E, Spretz R, Pozzato G, Núñez L, Tripodo C, Macor P, Biffi S

International Journal of Nanomedicine 2015, 10:4099-4109

Published Date: 22 June 2015

Narrative review of telemedicine consultation in medical practice

Di Cerbo A, Morales-Medina JC, Palmieri B, Iannitti T

Patient Preference and Adherence 2015, 9:65-75

Published Date: 13 January 2015

Reducing medication errors in critical care: a multimodal approach

Kruer RM, Jarrell AS, Latif A

Clinical Pharmacology: Advances and Applications 2014, 6:117-126

Published Date: 1 September 2014

Optimal treatment of actinic keratoses

Uhlenhake EE

Clinical Interventions in Aging 2013, 8:29-35

Published Date: 14 January 2013

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Integrated care and optimal management of pulmonary arterial hypertension

Geoff Strange, Robin Fowler, Corina Jary, Brad Dalton, Simon Stewart, Eli Gabbay

Journal of Multidisciplinary Healthcare 2009, 2:67-78

Published Date: 12 May 2009