Health status and quality of life of subjects treated at the Vichy Spa (France)
Bibliographic record
Abstract
To date, few studies investigated the quality of life in spas. In this context, a cross-sectional study was performed to evaluate the health status, quality of life and motivations of subjects treated for rheumatic disease or metabolic diseases at the Vichy Spa (France). Socio demographic data and health status data were collected with a self-administered standardized questionnaire. Quality of life was assessed with the validated generic questionnaire MOS-SF-36. 216 subjects were included (mean age: 66.8 ± 9.3 years - male: 31% / women: 69%). The coming in cure is motivated mainly by health benefits (improvement or stabilization of the disease). After spa treatment, the majority of subjects reported an improvement in their health status, decrease of medical consultations (53.7%) and decrease of drug use (57%) (painkillers and anti-inflammatory). The quality of life for spa subjects is significantly lower than that estimated in the French population. The Physical Composite Score (PCS) and the Mental Composite Score (MCS) are respectively 22.5 ± 2.3 and 37.4 ± 2.5, but differences are shown between genders. For the psychological health, MH (Mental Health), VT (Vitality) and SF (Social Functioning) scores were significantly higher in the male population; the Mental Composite Score (MCS) follows the same trend. For the physical health, BP (Bodily Pain), RP (Role Physical) and GH (General Health) were significantly higher in the male population; but the Physical Composite Score (PCS) was significantly higher in women. For the rheumatic diseases, our results agrees with those of studies performed also with the SF-36 MOS in Italy, Spain, Hungary and Australia. For the metabolical diseases, concordance of results is shown with a Canadian study. Spa treatment improves positively the perception of health status. Assessment of quality of life in spa can be powerful to health professionals to better answer the expectations of well-being and to provide care of patients. Key messages Spa treatment can positively improve health status of patients Comparatively to the global French population at the same age, Vichy Spa treatments improve have vitality and mental health
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".