Perceived Quality of Life and Preferences for Life-Sustaining Treatment in Older Adults

1991 ◽  
Vol 151 (3) ◽  
pp. 495 ◽  
Author(s):  
Richard F. Uhlmann
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Perceived Quality ◽  
Perceived Quality Of Life ◽  
Life Sustaining Treatment

scholarly journals Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

2014 ◽  
Vol 48 (3) ◽  
pp. 390-397 ◽  
Author(s):  
Patrícia Aparecida Barbosa Silva ◽  
Sônia Maria Soares ◽  
Joseph Fabiano Guimarães Santos ◽  
Líliam Barbosa Silva
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Roc Curve ◽  
Characteristic Curve ◽  
Perceived Quality ◽  
World Health ◽  
Southeastern Brazil ◽  
World Health Organization Quality ◽  
Perceived Quality Of Life

OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref) as a predictor of quality of life in older adults. METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6). A Receiver-Operating Characteristic curve (ROC) was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref. RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5) and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6). CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

Perceived quality of life and living arrangements among older rural South Africans: do all households fare the same?

2018 ◽  
Vol 39 (12) ◽  
pp. 2735-2755
Author(s):  
Margaret Ralston ◽  
Enid Schatz ◽  
Sangeetha Madhavan ◽  
F. Xavier Gómez-Olivé ◽  
Mark A. Collinson
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Living Arrangements ◽  
Perceived Quality ◽  
World Health ◽  
Adult Health ◽  
Rural South ◽  
Multigenerational Households ◽  
Perceived Quality Of Life

AbstractThis study explores how living arrangements influence perceived quality of life in an elderly population in rural South Africa. We use data from the longitudinal World Health Organization Study of Global Ageing and Adult Health Survey (WHO-SAGE) and from the Agincourt Health and Socio-Demographic Surveillance System (HDSS). On average, older men and women who reside in single-generation and complex-linked multigenerational households report worse quality of life than those in two-generation and linear-linked multigenerational households. However, after controlling for prior wellbeing status, we find living arrangements to have a significant impact on women's perceived quality of life only, and that it is moderated by age. We conclude that not all multigenerational arrangements are protective of older adults’ wellbeing and highlight the gendered impact of living arrangements on quality of life. These results suggest the necessity to understand how living arrangements influence the social roles of older adults and change with age.

scholarly journals Associates of Perceived Quality of Life in Chinese Older Adults Living With Cognitive Impairment

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 245-245
Author(s):  
Xiang Gao
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Perceived Quality ◽  
Care Recipient ◽  
Chinese Older Adults ◽  
Care Recipients ◽  
Perceived Quality Of Life

Abstract This study examined perceived quality of life in Chinese older adults living with cognitive impairment in a group of urban Chinese older adults and explore its associations with caregivers’ characteristics. Questionnaires were administered in person to 300 caregiver-care recipient dyads from three urban communities in mainland China in 2019. The 40-item Alzheimer’s Disease-related Quality of Life tool asked caregiver respondents to indicate care recipients’ life conditions. Higher levels of caregiving burden (β = -0.19, p &lt; 0.01) and more depressive symptoms (β = -0.19, p &lt; 0.01) amongst caregivers were significantly associated with lower quality of life of care recipients. The results suggested that reducing caregivers’ burden and depressive symptoms are essential to promote quality of life of care recipients. Formal support from health professionals, service organizations, and communities are urgently called for to promote the wellbeing of Chinese families affected by cognitive impairment.

scholarly journals Community-Dwelling and Recently Widowed Older Adults: Effects of Spousal Loss on Psychological Well-Being, Perceived Quality of Life, and Health-Care Costs

2019 ◽  
Vol 92 (1) ◽  
pp. 65-82
Author(s):  
L. C. van Boekel ◽  
J. C. M. Cloin ◽  
K. G. Luijkx
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Care ◽  
Health Care Costs ◽  
Well Being ◽  
Perceived Quality ◽  
Spousal Loss ◽  
Perceived Quality Of Life ◽  
Care Costs

This study is on the effects of spousal loss among older adults who continue to live independently after bereavement. Little longitudinal studies focus on this group, which is of special interest, since in many countries, care policy and system reform are aimed at increasing independent living among older adults. Using longitudinal data from a Dutch public data repository, we investigate the effects of spousal loss on psychological well-being, perceived quality of life, and (indication of) yearly health-care costs. Of the respondents who had a spouse and were living independently ( N = 9,400) at baseline, the majority had not lost their spouse after 12 months ( T12, n = 9,150), but 2.7% ( n = 250) had lost their spouse and still lived independently. We compared both groups using multivariate regression (ordinary least squares) analyses. The results show that spousal loss significantly lowers scores on psychological well-being and perceived quality of life, but we found no effect on health-care costs.

scholarly journals Impact of Physical Activity on the Self-Perceived Quality of Life in Non-Frail Older Adults

2015 ◽  
Vol 7 (8) ◽  
pp. 585-593 ◽  
Author(s):  
Ulla Svantesson ◽  
Janelle Jones ◽  
Kristin Wolbert ◽  
Marie Alricsson
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Perceived Quality ◽  
The Self ◽  
Frail Older Adults ◽  
Perceived Quality Of Life

scholarly journals Assessing subjective burden and quality of life in family caregivers of older adults

2021 ◽  
Vol 15 ◽  
Author(s):  
Patrick Alexander Wachholz ◽  
Patricia Ribeiro Mattar Damiance
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Family Caregivers ◽  
Caregiver Burden ◽  
Support Group ◽  
Perceived Quality ◽  
Subjective Burden ◽  
Perceived Quality Of Life ◽  
The Family

OBJECTIVE: To evaluate subjective burden and perceived quality of life in primary caregivers who care for older adults at home. Caregivers were followed up in a pilot support group. The study also sought to describe the experience of encouraging dialogue and interaction within this group. METHODS: This quanti-qualitative study was limited to nine family caregivers. Data were collected using the following instruments: the World Health Organization Quality of Life abbreviated version, the Zarit caregiver burden interview, the family APGAR questionnaire, the Hospital Anxiety and Depression Scale, the Katz index of independence in activities of daily living, and the Neuropsychiatric Inventory. Dialogue and interaction in the support group meetings was encouraged through guiding questions. RESULTS: The family caregivers, mostly women with low education, were responsible for older patients who were functionally dependent and had a low frequency and intensity of neuropsychiatric symptoms. The caregivers actively participated in the pilot group. They reported a mild subjective burden and did not present depressive symptoms. They had borderline anxiety symptoms and scores above 60 for all quality of life domains, in addition to good family functionality. CONCLUSIONS: The participants in this pilot group had a mild subjective burden, good perceived quality of life, and showed interest in a caregiver support group. Such groups could be a complementary and instrumentalizing practice in home care and could contribute to a lower caregiver burden and caregiver anxiety, improving their perceived quality of life related to the psychological and social relationship domains.

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