{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:34:10Z","timestamp":1786739650826,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>To evaluate the quality of life (QoL) in patients living with rheumatoid arthritis (RA) using a capability-based approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>A prospective, descriptive study was conducted at Agadir Regional Hospital, involving 30 RA patients. Participants completed a self-administered questionnaire based on the capability approach, assessing four key dimensions: physical health, emotional wellbeing, access to leisure activities, and control over the material environment. The Health Assessment Questionnaire (HAQ) was used to validate the capability-based approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The findings indicated that 80% of participants reported moderate to good QoL, while 20% experienced low QoL. Emotional wellbeing scored the lowest (3.50 \u00b1 1.31), highlighting significant emotional distress. Physical health (2.77 \u00b1 0.75) and access to leisure activities (2.83 \u00b1 0.75) were in the moderate range. Control over the material environment had a higher QoL score (2.52 \u00b1 0.94), indicating relatively stable financial conditions. Significant correlations were found between age and physical health (r = 0.54,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), and education level and QoL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028), with older and less educated participants reporting lower QoL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This study demonstrates that RA significantly impacts multiple dimensions of patients\u2019 QoL, particularly emotional wellbeing. The capability-based approach offers valuable insights into the broader aspects of RA\u2019s impact on daily life. However, limitations such as the small sample size and single-site study suggest that further research is needed with larger and more diverse populations to validate these findings and explore changes in QoL over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_589_25","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T13:01:39Z","timestamp":1769778099000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessing quality of life in persons living with rheumatoid arthritis: A capability-based approach"],"prefix":"10.4103","volume":"15","author":[{"given":"Abdelaaziz","family":"Bounabe","sequence":"first","affiliation":[{"name":"Laboratory of Immunogenetics and Human Pathology (LIGEP), Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siham","family":"El Ammare","sequence":"additional","affiliation":[{"name":"Laboratory of Immunogenetics and Human Pathology (LIGEP), Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadia","family":"Janani","sequence":"additional","affiliation":[{"name":"Laboratory of Immunogenetics and Human Pathology (LIGEP), Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilham","family":"Elarrachi","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Sciences, Agadir, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kawtar","family":"Lebouiz","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Sciences, Agadir, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassmine","family":"Ouhmmou","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Sciences, Agadir, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamal","family":"Tikouk","sequence":"additional","affiliation":[{"name":"Applied Modeling in Economics and Management Laboratory, Faculty of Legal, Economic and Social Sciences Ain Sebaa, University of Hassan II Casablanca, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"R1-20260130","doi-asserted-by":"crossref","DOI":"10.21825\/philosophica.82618","article-title":"What is quality of life?","author":"McCall","year":"1980"},{"key":"R4-20260130","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1136\/jme.10.3.124","article-title":"Quality of life in cancer patients--An hypothesis","volume":"10","author":"Calman","year":"1984","journal-title":"J Med Ethics"},{"key":"R5-20260130","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.revmed.2007.02.010","article-title":"Quality of life and its measurement","volume":"28","author":"Brousse","year":"2007","journal-title":"Rev Med Interne"},{"key":"R6-20260130","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1186\/s12955-017-0818-2","article-title":"A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases","volume":"15","author":"Ojelabi","year":"2017","journal-title":"Health Qual Life Outcomes"},{"key":"R7-20260130","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1182\/asheducation.V2012.1.284.3798319","article-title":"Health-related quality of life in patients with hemoglobinopathies","volume":"2012","author":"Panepinto","year":"2012","journal-title":"Hematology Am Soc Hematol Educ Program"},{"key":"R8-20260130","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1046\/j.1365-2648.1999.00889.x","article-title":"Conceptualization and measurement of quality of life as an outcome variable for health care intervention and research","volume":"29","author":"Anderson","year":"1999","journal-title":"J Adv Nurs"},{"key":"R9-20260130","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1046\/j.1467-789X.2001.00040.x","article-title":"Quality of life and obesity","volume":"2","author":"Kolotkin","year":"2001","journal-title":"Obes Rev"},{"key":"R10-20260130","doi-asserted-by":"crossref","first-page":"111512","DOI":"10.1016\/j.jpsychores.2023.111512","article-title":"Comparison and potential determinants of health-related quality of life among rheumatoid arthritis, psoriatic arthritis, and spondyloarthritis: A cross-sectional study","volume":"175","author":"Ristic","year":"2023","journal-title":"J Psychosom Res"},{"key":"R11-20260130","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S0889-857X(05)70201-5","article-title":"The epidemiology of rheumatoid arthritis","volume":"27","author":"Gabriel","year":"2001","journal-title":"Rheum Dis Clin North Am"},{"key":"R12-20260130","doi-asserted-by":"crossref","first-page":"290","DOI":"10.3109\/s10165-007-0604-9","article-title":"Impact of rheumatoid arthritis on quality of life","volume":"17","author":"Haroon","year":"2007","journal-title":"Mod Rheumatol"},{"key":"R13-20260130","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1007\/s10067-012-2037-x","article-title":"Health-related quality of life in Moroccan patients with rheumatoid arthritis","volume":"31","author":"Ibn Yacoub","year":"2012","journal-title":"Clin Rheumatol"},{"key":"R14-20260130","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1159\/000318187","article-title":"Evaluation of health-related quality of life in patients with prostate cancer after treatment with radical retropubic prostatectomy and permanent prostate brachytherapy","volume":"85","author":"Dragi\u0107evi\u0107","year":"2010","journal-title":"Urol Int"},{"key":"R15-20260130","first-page":"157","article-title":"Quality of life in patients with rheumatoid arthritis-A preliminary study","volume":"58","author":"Martinec","year":"2019","journal-title":"Acta Clin Croat"},{"key":"R16-20260130","first-page":"27","article-title":"Health-related quality of life in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis treated with certolizumab pegol","volume":"46","author":"Sarobe","year":"2022","journal-title":"Farm Hosp"},{"key":"R17-20260130","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.socscimed.2013.09.019","article-title":"Operationalising the capability approach for outcome measurement in mental health research","volume":"98","author":"Simon","year":"2013","journal-title":"Soc Sci Med"},{"key":"R20-20260130","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/j.jval.2016.05.006","article-title":"The capability approach: A critical review of its application in health economics","volume":"19","author":"Karimi","year":"2016","journal-title":"Value Health"},{"key":"R21-20260130","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1191\/1464993402ps037ra","article-title":"Development as freedom: The spaces of Amartya Sen","volume":"2","author":"Corbridge","year":"2002","journal-title":"Prog Dev Stud"},{"key":"R22-20260130","first-page":"99","article-title":"Comparison of the effectiveness of mindfulness-based stress reduction versus cognitive-behavioral therapy on emotion regulation, mindfulness, and cognitive-executive functions in female patients with rheumatoid arthritis","volume":"14","author":"Alkasir","year":"2025","journal-title":"J Educ Health Promot"},{"key":"R23-20260130","first-page":"29","article-title":"The effectiveness of group intervention focused on intolerance of uncertainty on psychological distress and quality of life in multiple sclerosis patients","volume":"12","author":"Rahimi","year":"2023","journal-title":"J Educ Health Promot"},{"key":"R26-20260130","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1007\/s11205-014-0625-7","article-title":"Developing a capability-based questionnaire for assessing well-being in patients with chronic pain","volume":"120","author":"Kinghorn","year":"2014","journal-title":"Soc Indic Res"},{"key":"R28-20260130","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.socscimed.2015.08.002","article-title":"Operationalising the capability approach as an outcome measure in public health: The development of the OCAP-18","volume":"142","author":"Lorgelly","year":"2015","journal-title":"Soc Sci Med"},{"key":"R29-20260130","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s11136-011-9927-2","article-title":"Development of a self-report measure of capability wellbeing for adults: The ICECAP-A","volume":"21","author":"Al-Janabi","year":"2012","journal-title":"Qual Life Res"},{"key":"R30-20260130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta16160","article-title":"Outcomes of social care for adults: Developing a preference-weighted measure","volume":"16","author":"Netten","year":"2012","journal-title":"Health Technol Assess"},{"key":"R32-20260130","first-page":"982","article-title":"Which HAQ is best? A comparison of the HAQ, MHAQ and RA-HAQ, a difficult 8 item HAQ (DHAQ), and a rescored 20 item HAQ (HAQ20): Analyses in 2,491 rheumatoid arthritis patients following leflunomide initiation","volume":"28","author":"Wolfe","year":"2001","journal-title":"J Rheumatol"},{"key":"R33-20260130","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.semarthrit.2014.05.001","article-title":"The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis","volume":"44","author":"Matcham","year":"2014","journal-title":"Semin Arthritis Rheum"},{"key":"R34-20260130","first-page":"27","article-title":"Health-related quality of life in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis treated with certolizumab pegol","volume":"46","author":"Sarobe","year":"2021","journal-title":"Farm Hosp"},{"key":"R35-20260130","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s10067-010-1604-2","article-title":"Health-related quality of life in ankylosing spondylitis, fibromyalgia syndrome, and rheumatoid arthritis: A comparison with a selected sample of healthy individuals","volume":"30","author":"Ovayolu","year":"2011","journal-title":"Clin Rheumatol"},{"key":"R36-20260130","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s41927-019-0080-9","article-title":"Health-related quality of life in patients with rheumatoid arthritis","volume":"3","author":"Katchamart","year":"2019","journal-title":"BMC Rheumatol"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_589_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:30:52Z","timestamp":1786735852000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_589_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_589_25","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}