What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

Social Research Methods to Support Involvement of Community Dwelling Older Adults With Complex Needs in Assessment of Their Care Related Quality of Life

10.21203/rs.3.rs-113429/v1 ◽

2020 ◽

Author(s):

Lyn Phillipson ◽

Ann-Marie Towers ◽

James Caiels ◽

Louisa Smith

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Social Care ◽

Social Research ◽

Geographic Region ◽

Community Dwelling ◽

Complex Needs ◽

Care Policies ◽

Related Quality

Abstract Background: Determining whether the needs and preferences of older adults are being met by new ‘ageing in place’ and ‘consumer directed’ care’ policies presents methodological challenges.Methods: This study explored how a cascading methodology, offering different supports as needed, promoted assessment of care related quality of life that was inclusive of home care services users with cognitive and physical disabilities. Multiple tools from the Adult Social Care Outcomes Toolkit (ASCOT) were tested in a sample of older adults living at home in one geographic region in NSW (Australia). Results: Both physical assistance, emotional support and an ‘Easy Read’ format facilitated the inclusion of those with greater physical and cognitive impairments. Importantly, their inclusion identified their greater unmet needs in seven out of eight quality of life domains. Conclusion: The adoption of more inclusive social research methodologies is critical to understanding if shifts in aged and social care policies support quality of life for the most vulnerable.

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Trajectories of Health-Related Quality of Life (HR-QoL) in Older Adults with Diabetes

Diabetes ◽

10.2337/db18-1477-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 1477-P

Author(s):

SUNHEE PARK ◽

TAEWHA LEE

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Association between eHealth Literacy and Health-Related Quality of Life among Chinese Older Adults: A Cross-Sectional Study (Preprint)

10.2196/preprints.19366 ◽

2020 ◽

Author(s):

Shaojie Li ◽

Yongtian Yin ◽

Lijun Chen ◽

Guanghui Cui ◽

Jiaqin Li ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Mental Component Summary ◽

Health Related Quality ◽

Cross Sectional ◽

Chinese Older Adults ◽

Ehealth Literacy ◽

Related Quality ◽

Health Related

BACKGROUND Older adults’ health literacy levels are crucial to improving health outcomes and health-related quality of life (HRQoL). However, the impact of eHealth literacy on HRQoL in older adults is unclear. OBJECTIVE The aim of this study was to examine the association between eHealth literacy and HRQoL of older adults and provide reference for the development of network intervention measures related to the health quality of life of the older adults. METHODS An anonymous cross-sectional survey was conducted among 1,201 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale and Short-Form Health Survey (SF-12) were used to measure eHealth literacy and HRQoL. We used linear regression to test the adjusted association between eHealth literacy and HRQoL. RESULTS Most participants (88.9%) had inadequate eHealth literacy. Lower eHealth literacy was related to older age ( F=12.618, P<.001), female gender( t=3.303, P<.01), living in rural areas( F=11.356, P<.001), having less education( F=59.084, P<.001), being unmarried, divorced or widowed( t=4.416, P<.001), having a lower family income( F=38.017, P<.001), living with others(χ2=4.319, P<.05), and not having health insurance( F=12.713, P<.001). There were significant differences across physical functioning( t=-4.862, P<.001), role- physical( t=-2.485, P<.05), bodily pain( t=-3.470, P<.01), general health( t=-4.449, P<.001), vitality( t=-3.498, P<.001), role-emotional( t=-2.654, P<.01), mental health( t=-4.150, P<.001), physical component summary( t=-6.350, P<.001) and mental component summary( t=-4.483, P<.001) between adequate eHealth literacy and inadequate eHealth literacy. After controlling for age, gender, and other covariates, adequate eHealth literacy was positively related to physical component summary ( beta=7.6, P<.001) and mental component summary(beta=4.6, P=.001). CONCLUSIONS This study showed that Chinese older adults with higher eHealth literacy were more likely to contribute to higher HRQoL. Thus, Older adults’ eHealth literacy levels need to be taken into account when formulating health education and promotion programs for older adults, especially when the expected outcome is to improve HRQoL.

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An International Comparison of the Community Mobility Patterns of Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.2335 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 673-673

Author(s):

Lizette Swanepoel ◽

Isabelle Gelinas ◽

Barbara Mazer

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Mobility Patterns ◽

Cross Sectional ◽

Community Mobility ◽

Related Quality ◽

Health Related ◽

Health Quality ◽

Safe Transport

Abstract Community mobility in older adults is important for maintaining health, quality of life and social participation. Globally, older adults who are non-drivers, access their community through various modes of transport to maintain community mobility. This international cross-sectional cohort study (n=246) explored the mobility patterns of older adults and examined their access to out-of-home activities and health related quality of life in seven countries. Quality of life was determined using EQ-5D-5L and was generally high among all participants. Findings from the study indicate that a complex myriad of factors influence safe transport mobility in older adults. Results suggested that inclement weather and place of residence negatively impacted access to out-of-home activities, yet these factors but did not increase use of public transport. Given the complexity of transportation use and mobility patterns in older adults, an individualised approach may be necessary to keep older adults connected to their out-of-home activities.

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