Development and Validation of a Measure of Quality of Life for the Young Elderly in Sri Lanka

Silva, Padmal de; Jayasuriya, Anura Rohan; Rajapaksa, Lalini C.; Silva, Ambepitiyawaduge Pubudu De; Barraclough, Simon

doi:10.1177/1010539515625113

Cited by 10 publications

(12 citation statements)

References 29 publications

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“… a Includes those who reported ‘never married’, ‘separated’, ‘widowed’ or ‘divorced’ b Based on the Katz Scale [ 32 ] c Based on the question, “How concerned are you about falling when going out to a social event?” (Falls Efficacy Scale International (FES –I)) [ 33 ] d Based on a cut-off score of ≥3 (GDS7) [ 34 ] e Derived from responses to the question, “How satisfied are you with your health?”(Quality of Life Index (EQLI)) [ 35 ] f Cheek and Bass sociability scale [ 36 ] g Derived from responses to question, “How satisfied are you with your contact with family and friends?” (Quality of Life Index (EQLI) [ 35 ] …”

Section: Resultsmentioning

confidence: 99%

“…g Derived from responses to question, “How satisfied are you with your contact with family and friends?” (Quality of Life Index (EQLI) [ 35 ]…”

Section: Resultsmentioning

confidence: 99%

“…The question “How satisfied are you with your health” answered on a five point scale from ‘not at all’ to ‘extremely’ is included in the Quality of Life Instrument for the Young Elderly in Sri Lanka (QLI-YES) [ 35 ]. Those who responded ‘not at all’, ‘a little’ or ‘somewhat’ were compared with those who responded ‘very much’ or ‘extremely’.…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with social participation amongst elders in rural Sri Lanka: a cross-sectional mixed methods analysis

Marsh

Agius

Jayakody³

et al. 2018

BMC Public Health

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BackgroundPopulations of low and middle-income countries are ageing rapidly; there is a need for policies that support an increase in the duration of old age lived in good health. There is growing evidence that social participation protects against morbidity and mortality, but few studies explore patterns of social participation. Analysis of baseline quantitative and qualitative data from a trial of the impact of Elders’ Clubs on health and well-being in the hill country of Sri Lanka provided an opportunity to better understand the extent of, and influences on, social participation among elders.MethodsWe analysed data from 1028 baseline survey respondents and from 12 focus group discussions. Participants were consenting elders, aged over 60 years, living in Tamil tea plantation communities or Sinhala villages in 40 randomly selected local government divisions. We assessed participation in organised social activities using self-reported attendance during the previous year. Multivariable regression analyses were used to explore associations with community and individual factors. The quantitative findings were complemented by thematic analysis of focus group discussion transcripts.ResultsSocial participation in these poor, geographically isolated communities was low: 63% reported ‘no’ or ‘very low’ engagement with organised activities. Plantation community elders reported significantly less participation than village elders. Attendance at religious activities was common and valued. Individual factors with significant positive association with social participation in multivariable analyses were being younger, male, Sinhala, married, employed, and satisfied with one’s health. Domestic work and cultural constraints often prevented older women from attending organised activities.ConclusionsElders likely to benefit most from greater social contact are those most likely to face barriers, including older women, the oldest old, those living alone and those in poor health. Understanding these barriers can inform strategies to overcome them. This might include opportunities for both informal and formal social contact close to elders’ homes, consulting elders, providing childcare, improving physical access, advocating with elders’ families and religious leaders, and encouraging mutual support and inter-generational activities. Influences on social participation are interrelated and vary with the history, culture and community environment. Further study is required in other low and middle-income country contexts.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5482-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…g Derived from responses to question, “How satisfied are you with your contact with family and friends?” (Quality of Life Index (EQLI) [ 35 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Factors associated with social participation amongst elders in rural Sri Lanka: a cross-sectional mixed methods analysis

Marsh

Agius

Jayakody³

et al. 2018

BMC Public Health

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“…Gadermann, Ghun and Zumbo (2012) argued that compared to Cronbach's α, ordinal α is a more accurate estimator of reliability coefficients for Likert-type or mixed items, with two to seven response options. In addition, acceptable internal (consistency) reliability requires α values of 0.52–0.93 for comparable multi-dimensional measures of quality of life (de Silva et al 2016). The ordinal α values for each city are given in Table 4.…”

Section: Methodsmentioning

confidence: 99%

Quality of urban life among older adults in the world major metropolises: a cross-cultural comparative study

Chahal

Ward

2016

Ageing and Society

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The concept of quality of urban life (QoUL) can be interpreted quite differently across different cultures. Little evidence has shown that the measure of QoUL, which is based on Western culture, can be applied to populations cross-culturally. In the current study, we use data from the 2006 Assessing Happiness and Competitiveness of World Major Metropolises study to identify underlying factors associated with QoUL as well as assess the consistency of the QoUL measurement among adults, aged 60 and older, in ten world major metropolises (i.e. New York City, Toronto, London, Paris, Milan, Berlin, Stockholm, Beijing, Tokyo and Seoul). Exploratory factor analysis and multiple-group confirmatory factor analysis (CFA) are used to analyse the data. Findings of the study suggest that the measure of QoUL is sensitive to socio-cultural differences. Community factor and intrapersonal factor are two underlying structures that are related to QoUL among older adults in ten metropolises cross-culturally. Results from the CFA indicate that Toronto is comparable with Beijing, New York City, Paris, Milan and Stockholm in QoUL, while other cities are not. The results provide insights into the development of current urban policy and promotion of quality of life among older residents in major metropolitan areas. Future researchers should continue to explore the relationship between QoUL and socio-cultural differences within international urban settings, while remaining cautious when making cross-cultural comparisons.

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“…Sreedevi et al 10 have translated and validated the World Health Organization Quality of Life (WHOQOL-BREF), a popular instrument to assess the quality of life in Malayalam language. De Silva et al 11 have developed and validated a new instrument to measure the quality of life (QoL) in the young elderly in Sri Lanka. This will allow for assessment of the QoL with more culturally and socially relevant aspects.…”

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confidence: 99%

Building Noncommunicable Disease Research Capacity in the South Asian Region

Oldenburg

Wickramasinghe

Byrnes

2016

Asia Pac J Public Health

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Program is delighted that this supplementary issue of the Asia-Pacific Journal of Public Health has come to fruition. This special edition of the journal features research articles from a number of the research trainees from the ASCEND program, a noncommunicable disease (NCD) research training and mentoring program for early-and mid-career researchers from India, Malaysia, and Sri Lanka, which has been established by funding from the Fogarty International Center, United States National Institutes of Health 1 since 2010.As noted by Mehta 2 in his commentary piece in this same issue, NCDs including cardiovascular disease (CVD), diabetes, chronic respiratory diseases, and cancers now account for the highest burden of disease and mortality in both the developing and developed world. Alarmingly, rates of NCDs such as CVD, diabetes, mental health disorders, and cancers are continuing to rise, particularly in low-and middle-income countries (LMICs), including in South Asia. Too little research has been undertaken in LMICs about how to implement programs and policies that can improve health, prevent chronic conditions, and also help improve their management. This improved evidence base needs to take account of the many special issues and challenges that confront low and middle income countries in addressing the prevention and control of NCDs. Often, there are health system challenges, a lack of health professionals and most importantly, a lack of a health research workforce to undertake the research to develop an evidence base that considers the enablers of and barriers to effective implementation in the local context.The ASCEND Program strives to build this evidence-base by strengthening NCD research capacity across Asia, providing high-quality research training and building a regional network of NCD researchers and research institutions with a special focus on prevention and more "upstream" determinants of health and interventions. The program has also focused on the new field of implementation science as applied to public health interventions and programs. To date, it has provided training to 50 young researchers from university and research institutions within participating countries and it has also established a diverse network of regional collaborators from government, nongovernment and other organizations as well as researchers from a number of other countries.

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Development and Validation of a Measure of Quality of Life for the Young Elderly in Sri Lanka

Cited by 10 publications

References 29 publications

Factors associated with social participation amongst elders in rural Sri Lanka: a cross-sectional mixed methods analysis

Factors associated with social participation amongst elders in rural Sri Lanka: a cross-sectional mixed methods analysis

Quality of urban life among older adults in the world major metropolises: a cross-cultural comparative study

Building Noncommunicable Disease Research Capacity in the South Asian Region

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