TY - JOUR

T1 - Resurrecting the ‘fourth 90’

T2 - towards a definition of health-related quality of life in HIV care

AU - Bourne, Kathryn

AU - Croston, Michelle

PY - 2022/6/9

Y1 - 2022/6/9

N2 - 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.

AB - 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.

KW - General Nursing

U2 - 10.12968/bjon.2022.31.11.s23

DO - 10.12968/bjon.2022.31.11.s23

M3 - Journal article

VL - 31

SP - S23-S27

JO - British Journal of Nursing

JF - British Journal of Nursing

SN - 0966-0461

IS - 11

ER -