The importance of facets of quality of life to older adults: an international investigation

Molzahn, Anita; Skevington, Suzanne M.; Kalfoss, Mary; Schick‐Makaroff, Kara

doi:10.1007/s11136-009-9579-7

Cited by 84 publications

(80 citation statements)

References 17 publications

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“…Significant and large correlations were observed between the four QoL domains, again supporting previous research [56,57]. This justifies our considering QoL in older adults at the facet level through a general QoL factor.…”

Section: Discussionsupporting

confidence: 89%

“…Cronbach's Alpha coefficients were calculated to assess the internal consistencies of the four quality of life domains. Some studies have highlighted the importance of considering QoL in older adults at a facet rather than domain level [56,57]. Therefore, PCA was used to derive a general quality of life factor for each cohort from all 26 items of the WHOQOL-BREF.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial factors and health as determinants of quality of life in community-dwelling older adults

et al. 2011

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Abstract:Purpose It is important to understand the determinants of differences in quality of life in old age, and to include a wide range of possible predictors. The present study investigated the determinants of quality of life in two groups of older adults for whom there was an unusually informative set of possible predictor variables. Results Linear regression analyses revealed that HADS depression had the greatest influence on quality of life. Personality traits, most notably Emotional Stability, also predicted quality of life to varying degrees, along with factors reflecting current life circumstances. There were differences between the two cohorts in the variables which predicted quality of life. There were different, conceptually relevant, contributions to the different QoL facets. MethodConclusions Personality traits and minor depressive symptoms have an important influence on selfreported quality of life in old age. Quality of life may be influenced more by current than past circumstances, and this relationship may change with age.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Psychosocial factors and health as determinants of quality of life in community-dwelling older adults

et al. 2011

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“…Even though many studies (Orfila et al 2006;Hsu 2007;Netuveli and Blane 2008;Molzahn et al 2010;Webb et al 2011) have demonstrated the importance of QoL in older adults, in Chile there are few publications devoted to it. A study done in older people in Antofagasta, Chile, found that people perceiving themselves as sick had significantly lower quality of life (Urzua et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the SF-36 in Chilean older adults: the ALEXANDROS study

et al. 2013

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To validate short-form-36 health survey (SF-36) with specific scoring algorithm obtained in a large sample of Chilean older people and to associate quality of life in this sample with social and health related factors. A cross-sectional study on 2,143 community-living subjects aged 60-92 years (33 % men and 67 % women) conducted in Santiago, Chile. Scores in 8 scales of SF-36-physical function (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE) and mental health (MH)-, were calculated. Factor analysis was used to extract two principal factors and logistic regression model was applied to estimate its association with socio-demographic and health variables. The internal consistency of scales was high (Cronbach's alpha 0.86-0.87). Factor analysis retained two factors: mental (MCS) and physical (PCS) components accounting for 65.3 % of total variance (55.3 and 10.0 % respectively). High correlations (0.61-0.94) between MCS and MH, V, RE and SF were obtained. PCS correlated highest (0.72-0.86) with RP, PF and BP. Self-perceived symptoms of depression (GDS-15 C5) was the main variable explaining low scores in both MCS and PCS (adjusted OR = 26.9; 95 % CI: 15.3-47.2; OR = 3.4; 95 % CI: 2.1-5.5, respectively). We have demonstrated the reliability and validity of SF-36 questionnaire to evaluate health related quality of life, reporting Chilean-Specific factor score coefficients for MCS and PCS based in national Chilean means and standard deviations for older people. After adjusting by age and gender, the main predictors of low health related QoL in Chilean older people were selfperceived symptoms of depression, the presence of two or more chronic diseases and illiteracy. Important gender inequalities were observed in all of these results, being consistently less favorable in women than in men.

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“…In a systematic review, Brown et al [34] found that good health and being independent and active were very important quality of life components for older persons. In a large sample of over 7000 adults from 22 countries, Molzhan et al [42] found that having the ability to perform activities of daily living, being healthy, sensory abilities, mobility, freedom, independence, and energy were most important. In a Norwegian study on factors related to QoL among healthy and hospitalized older adults, factors related to cognitive functioning and self-determination were important.…”

Section: Perceptions Of Quality Of Lifementioning

confidence: 99%

Public health nursing interventions to promote quality of life in older adult populations: A systematic review

Schaffer¹,

Kalfoss²,

Glavin³

2017

JNEP

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This review analyzes how nurse-led public health interventions promote quality of life (QoL) among older populations. Using Medline and Cinahl databases, authors completed a systematic review of experimental and quasi-experimental studies published between January 2010 and March 2016 that described interventions used by public health nurses to address health needs of older adult populations. Lawton's theoretical QoL concepts and the Public Health Intervention Wheel model, which names interventions at the individual, community and systems levels, were used to interpret results. The 23 studies were widely distributed geographically. Four of Lawton's theoretical QoL domains (Health, Functional Health, Personal Competency, Psychological Well-Being) were addressed in the majority of studies. Although public health nurses used Wheel interventions at all levels of practice, individual level interventions were featured in studies to a greater extent in comparison to community and systems level interventions. Few studies used QoL measures to determine intervention effectiveness. Nurses should consider QoL domains, as they design individual, community, and systems level interventions to improve the health of older adult populations.

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The importance of facets of quality of life to older adults: an international investigation

Abstract: It appears that many of the physical aspects of QOL such as energy, freedom from pain, ability to do activities of daily living and to move around are particularly important to older adults. Practitioners should give greater attention to energy, sensory abilities, and pain.

Cited by 84 publications

References 17 publications

Psychosocial factors and health as determinants of quality of life in community-dwelling older adults

Psychosocial factors and health as determinants of quality of life in community-dwelling older adults

Validity and reliability of the SF-36 in Chilean older adults: the ALEXANDROS study

Public health nursing interventions to promote quality of life in older adult populations: A systematic review

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