Stress, social support, and coping correlates of the Short-Form 36 Health Survey (SF-36) were examined in 307 undergraduate students. Instruments included the SF-36, the Perceived Stress Scale, the Multidimensional Scale of Perceived Social Support, and the Ways of Coping Inventory-Revised. HRQOL appeared worse and reported stress and use of maladaptive coping strategies were higher than age-appropriate national norms. Stress, social-support, and coping strategies were correlated with SF-36 physical and mental health subscales. In a stepwise multiple regression equation predicting the SF-36 Mental Health Composite Scale, stress, escape-avoidance coping, problem-focused coping, and accepting-responsibility coping emerged as significant predictors. In another stepwise multiple regression equation predicting the SF-36 Physical Composite Scale, self-control coping and family support emerged as significant predictors. Results suggest that psychosocial measures are excellent predictors of mental HRQOL but are not as strong for physical HRQOL. Possible interventions for improving health status among college students are offered.

AIMS: Hospitalisation at home (HaH) achieves comparable health outcomes to conventional in-patient care, in terms of cost-effectiveness and quality of life. Our objective was to assess the impact of episodes of acute decompensation of heart failure (ADCHF) on functional status and quality of life, in patients under HaH care compared with a matched group receiving conventional in-patient care at a Cardiology ward (CW). Methods: Randomised clinical trial in 71 patients with ADCHF attending the Emergency Department. Patients were either admitted to the hospital’s CW or to the HaH service. The functional status and health related quality of life (HRQOL) were assessed using the Barthel Index (BI) and the EQ-5D, Short Form-36 (SF-36) and Minnessota Living with Heart Failure (MLHFQ) questionnaires, administered at admission and, depending on the test, at discharge and 1, 3, 6 and 12 months after discharge. Results: MLHFQ and SF-36 experienced significant improvement in most domains with respect to the initial values at discharge and 6 months after only in the HaH group; though by 12-months there were no significant differences. Barthel Index and EQ-5D value scores showed improvement with respect to initial values in both arms. The improvement could be appreciated in more components and for longer among the HaH patients. Conclusions: Functional independence and quality of life improve at discharge compared to admission, after both home-based and in-patient hospitalisation, outcomes being better in various respects over the first year of follow-up after hospital-at-home care.