Quality of life and its predictors among aging people in urban and rural Nepal

Risal, Ajay; Manandhar, Sabina; Manandhar, Kedar; Manandhar, Nirmala; Kunwar, Dipak; Holen, Are

doi:10.1007/s11136-020-02593-4

Cited by 20 publications

(22 citation statements)

References 30 publications

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“…As a result of reduced fertility rates and increased life expectancy, there is a significant increase in the number of elderly worldwide (1) . Studies estimate that, by the year 2050, the world population of individuals aged 60 and over will double (2) . In addition, in the same year, Brazil will occupy the sixth position among the countries with the highest number of elderly, which will correspond to 16% of its population (3) .…”

Section: Introductionmentioning

confidence: 99%

“…As per the definition of the World Health Organization (WHO), which will be a reference in the present study, QoL is "an individual's perception of their position in life in the context of the culture and value systems in which he/she lives and about their goals, expectations, standards and concerns" (11) . It is a comprehensive concept, influenced in a complex way by personal beliefs, physical and psychological health, social relationships, and the environment (2) .…”

Section: Introductionmentioning

confidence: 99%

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Relationship between family functionality and the quality of life of the elderly

et al. 2022

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Objective: To analyze the correlation between family functionality and the quality of life of the elderly. Method: Sectional and correlational study conducted with 692 Brazilian elderly between July and October 2020. The elderly filled three instruments: biosociodemographic, family APGAR and WHOQOL-Old. The tests Kruskal-Wallis, Pearson correlation, and linear regression analyzed the data. The study considered a 95% confidence interval (p < 0.05) for all analyses. Results: The elderly with mild and severe family dysfunction presented worse quality of life when compared to the elderly with a functional family. All facets of quality of life correlated positively with family functionality. Conclusion: Family functionality is positively correlated with the quality of life of the elderly, therefore requiring the inclusion of the family in health care plans to identify potential family stressors early and plan interventions to solve the problems raised.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship between family functionality and the quality of life of the elderly

et al. 2022

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“…The WHOQOL-BREF scale was already translated into the Nepali language and used in Nepal. 33 The tools were pretested prior to administration, and the Cronbach’s alpha for WHOQOL-BREF scale was 0.71.…”

Section: Methodsmentioning

confidence: 99%

Socio-demographic variables related to self-esteem, psychological stress and health-related quality of life among older adults: A cross-sectional study in Kavrepalanchowk district of Nepal

et al. 2021

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Objective: The study aimed to assess how socio-demographic variables related to self-esteem, psychological stress and health-related quality of life among older adults in Nepal. Method: A cross-sectional community-based study was conducted in the Kavrepalanchowk district of Nepal. A two-stage cluster sampling technique was used for selecting the study areas, and 239 older adult participants were selected randomly from the clusters. The interview technique was applied to gather data using validated tools. The tools used in the study were Rosenberg self-esteem scale, Perceived Stress Scale and WHOQOL-BREF scale. Scoring was carried out for self-esteem, perceived stress and WHOQOL-BREF in accordance with the procedures. Data were analyzed using descriptive statistics and inferential statistics (Chi-square, independent t-test and one-way analysis of variance). Results: Among the total participants, 27.2% were 60–64 years old and more than two-thirds (69.9%) were male. The majority of participants were married (65.5%) and cannot read and write (60.7%). Half of the older adults (49.8%) were living with their partners. Self-esteem was high among the age group 70–74 years (24.80 ± 3.01), and psychological stress was high among the age group 60–64 years (17.23 ± 2.93) within the older adults. Furthermore, the mean score for the social relationship domain and physical health domain of health-related quality of life were 12.0 and 11.9, respectively. Comparing the domains of physical health, psychological health and social relationship with age and education level were statistically significant. Conclusion: Self-esteem was lower among older male adults aged 60–64 years and those who attended secondary level education. An increase in participants’ age increases the psychological stress and decreases the psychological domain of health-related quality of life.

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“…WHOQOL-8 has demonstrated acceptable psychometric properties in different studies and sociocultural settings [35]. The scale has been translated and culturally adapted for use among the Nepali population with an acceptable internal consistency (Cronbach's alpha 0.74) [36,37]. Each item of the WHOQoL-8 is rated on a five-point scale, scored from 1 (worst) to 5 (best); the sum score has a potential range from 5 to 40.…”

Section: World Health Organization Quality-of-life 8-question Scale (mentioning

confidence: 99%

Adapting World Health Organization Disability Assessment Schedule 2.0 for Nepal

et al. 2021

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Background Disability is a vital public health issue for health care programs. Affluent countries usually prioritize disability-related research, while often it remains neglected in resource-poor countries like Nepal. The aim of this study was to make available a translated and culturally adapted version of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for measuring disability in the Nepalese population. Methods WHODAS 2.0 (12-items version) was translated into Nepali using a standard forward–backward translation protocol. Purposive and convenience recruitment of participants with psychiatric disabilities was done at the Psychiatry services in a tertiary care hospital. Age and gender-matched participants with physical disabilities were selected from the Internal Medicine department, and participants with no disability were recruited from their accompanying persons. A structured interview in Nepali including the translated WHODAS 2.0 was administered to all participants. Exploratory factor analysis and parallel analysis assessed the construct validity. Content validity was explored, and a quality of life instrument was used for establishing criterion validity. Reliability was measured via Cronbach alpha. Mann–Whitney test explored score differences between the disabled and non-disabled. Results In total, 149 persons [mean age: 40.6 (12.8); 43.6% males, 56.4% females; 61.7% disabled, 38.3% non-disabled] consented to participate. Parallel analysis indicated that a single factor was adequate for the Nepali WHODAS version that captured 45.4% of the total variance. The translated scale got a good Cronbach alpha (= 0.89). Satisfactory construct, content and criterion validity was found. The WHODAS total scores showed a significant difference between the disabled and non-disabled (U = 2002.5; p = 0.015). However, the difference between psychiatric and physical disabilities was not significant, which underscores that the scale is rating disability in general. Conclusion The one-factor structure of the translated and culturally adapted Nepali-version of WHODAS 2.0 showed acceptable validity and an adequate reliability. For epidemiological research purposes, this version of WHODAS 2.0 is now available for measuring global disability in Nepal.

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Quality of life and its predictors among aging people in urban and rural Nepal

Cited by 20 publications

References 30 publications

Relationship between family functionality and the quality of life of the elderly

Relationship between family functionality and the quality of life of the elderly

Socio-demographic variables related to self-esteem, psychological stress and health-related quality of life among older adults: A cross-sectional study in Kavrepalanchowk district of Nepal

Adapting World Health Organization Disability Assessment Schedule 2.0 for Nepal

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