Quality of life and physical activity among older adults living in institutions compared to the community

Ramocha, Lesego M; Louw, Quinette; Tshabalala, Muziwakhe Daniel

doi:10.4102/sajp.v73i1.342

Cited by 28 publications

(34 citation statements)

References 22 publications

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“…Out of these 25 studies, 10 did not compare the QoL of institutionalized and non-institutionalized elderly; three used Likert scale or VAS for QoL evaluation; five were validation studies of the QoL questionnaire; and seven included participants with Alzheimer's disease, dementia, cognitive impairment or disability. Sixteen studies were included for the data extraction and qualitative synthesis [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] and 12 for the quantitative synthesis [10,12,13,[16][17][18][20][21][22][23][24][25].…”

Section: Study Selectionmentioning

confidence: 99%

“…Considering the raised institutionalization rates, nursing homes should provide good quality of life for their residents [9]. In this sense, studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] sought to understand if lives in homes for the aged may influence the elderly's QoL. Thereby, worse QoL was observed in elderly residents of long-term care institutions, in comparison with community-dwelling individuals [11, 13, 16-19, 22, 23, 25].…”

Section: Introductionmentioning

confidence: 99%

“…Thereby, worse QoL was observed in elderly residents of long-term care institutions, in comparison with community-dwelling individuals [11, 13, 16-19, 22, 23, 25]. In addition, the literature has shown that the elderly residing in nursing homes or institutionalized elderly have lower educational level [13,25], poorer health status [13,25], higher dependency level [18], higher risk of falls [18], lower physical activity [18,22], lower decision-making ability [23], lower leisure activities [25] and are older [13,25].…”

Section: Introductionmentioning

confidence: 99%

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Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

et al. 2020

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Background: Institutionalization is a global phenomenon and its impact on elderly's quality of life (QoL) is under discussion. This systematic review and meta-analysis evaluated the influence of the institutionalization on elderly's QoL. Methods: Searches were performed in Medline, Scopus, Web of Science, Lilacs, Cochrane Library and SIGLE by two independent reviewers up to May 2019. The eligibility criteria were based on PECO strategy, considering observational studies in elderly (P), which were (E) or not (C) institutionalized to identify differences in their QoL (O). For qualitative synthesis, data were extracted and risk of bias was evaluated through a validated guideline. Meta-analysis was based on Mean Difference (MD) and Standard Mean Difference (SMD) calculation (p ≤ 0.05). The evidence was quality-tested using Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: The initial search identified 3841 articles. Duplicates were removed, titles and abstracts were read and eligibility criteria were applied, remaining 16 sixteen cross-sectional studies that were included for data extraction and qualitative synthesis. Out of 16 articles, 14 evaluated the Health-Related Quality of Life, using Leipad (n = 2), WHOQOL-BREF and/or OLD (n = 8), SF-36 or RAND-36 (n = 4) questionnaires, and two assessed the Oral Health-Related Quality of Life, through GOHAI questionnaire. One eligible article was considered as low risk of bias. In the meta-analysis, 12 studies were included. Leipad questionnaire did not show differences on elderly's QoL (MD 0.11 [− 0.10, 0.32] I 2 = 76%). Differences on elderly's QoL were detected through WHOQOL-BREF (SMD-0.70 [CI95%: − 0.94, − 0.47] I 2 = 93%), WHOQOL-OLD (SMD-1.13 [− 1.47, − 0.80] I 2 = 91%) and SF-36/RAND-36 (MD-5.97 [CI95%: − 11.29, − 0.64] I 2 = 90%). All studies had very low or low certainty of evidence, since the study design influenced evidence classification, and show high heterogeneity. Conclusion: Although the institutionalization influences negatively the elderly's QoL, further well-designed studies are needed to confirm this evidence.

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Section: Study Selectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

et al. 2020

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“…In the remaining nine studies, the instruments were administered without need for translation, because either a translated form pre-existed or mode of administration was in English language. Lastly, in nine studies (using the WHOQOL, WHO-SAGE-INDEPTH, WHOQOL-OLD, SWLS, CASP-12 and EQ-6D) researchers removed or rephrase original phrases of the instruments and inserted statements that would be familiar to the population in question [14,22,21,30,31,32,33,34].…”

Section: Domains Time Investment and Possibility For Content Modifimentioning

confidence: 99%

“…To gain more insight into the QoL of older people living in slums, we need a suitable and widely accepted instrument to measure accurately the QoL of these older people. However, there is dearth of research in the area of QoL of the ageing population in Africa [14]. Differences between African countries are large, and it might be difficult to have an instrument that would suit all African countries.…”

Section: Introductionmentioning

confidence: 99%

Instruments for assessing quality of life among older adults in African countries: a scoping review

Attafuah

Everink

Halfens

et al. 2019

Preprint

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Background Over 60% of the population in sub-Saharan Africa lives in informal settlements (slums) with little or no resources. To be prepared to meet the needs of older people living in slums, it is necessary to know more about their quality of life (QoL). The objective of this review is to identify instruments, which can be used by researchers to assess the QoL of older adults living in African countries, especially those dwelling in slums.Methods A scoping review was performed using the databases Scopus, PubMed, and ISI Web of Science to retrieve studies published between January 2008 – February 2019. Studies were included if they reported generic QoL instruments, focused on adults with a mean age ≥50 and were conducted in African countries.Results In total, 22 studies were included using 14 unique instruments to measure QoL (WHOQOL, SWLS, WHOQOL-OLD, the WHOQOL-BREF, SF-36, SF-12, RAND 36, WHO-SAGE-INDEPTH, CASP-19, CASP-12, the EQ-5D+C, EQ-6D, CAF and the adapted AMS). Almost all instruments could be interviewer-administered and had the possibility for content modification to better suit the research setting. However, little is known about their psychometric properties (validity and reliability), time-investment and cultural sensitivity of the domains included in the instruments.Conclusions Even though this review retrieved instruments used to assess QoL of older adults in African countries, there is a need for further research on adjustment and validation of currently existing QoL instruments. In addition, the development and validation of a new instrument which can be used in (illiterate) older populations, living in slums in Africa should be considered.

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Resilience and successful aging: A systematic review and meta-analysis

Trică,

Golu,

Sava

et al. 2024

Acta Psychologica

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Quality of life and physical activity among older adults living in institutions compared to the community

Cited by 28 publications

References 22 publications

Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis

Instruments for assessing quality of life among older adults in African countries: a scoping review

Resilience and successful aging: A systematic review and meta-analysis

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