scholarly journals Factors associated with quality of life in elderly undertaking literacy programs

2014 ◽  
Vol 8 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Bruna Rodrigues dos Santos ◽  
Sofia Cristina Iost Pavarini ◽  
Allan Gustavo Brigola ◽  
Fabiana de Souza Orlandi ◽  
Keika Inouye

ABSTRACT Increased life expectancy has led to a significant number of elderly enrolling on Youth and Adult Education programs (YAE). These individuals leave inactivity and negative aspects of aging in search of opportunities for social inclusion. Objective: To evaluate the influence of sociodemographic factors and depressive and cognitive symptoms on quality of life (QL) of elderly attending the YAE of São Carlos city in São Paulo state. Methods: A descriptive and quantitative study approved by the Research Ethics Committee of São Carlos Federal University was conducted. The sample comprised all elderly undertaking the YAE literacy program in 2012. The instruments used were the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), WHOQOL-bref and WHOQOL-old, and a sociodemographic instrument. Results: We interviewed 23 elderly, predominantly females (91.3%) in the early stages of old age (69.6%). The number of years of YAE study showed no correlation with cognition scores obtained on the MMSE or with QL domains. However, scores on the GDS had a moderate inverse relationship with total scores for the Physical (p<0.01), Sensory Functioning (p<0.05), Independence (p<0.01), Past, Present and Future Activities (p<0.05), Social Participation (p<0.01), and Intimacy (p<0.05) QV domains, and a strong inversely proportional relationship with the Social Relationships QV domain (p<0.01). Scores attained on the MMSE showed a moderate and direct relationship with total scores on the Independence QL domain (p=0.001). Conclusion: Elderly on literacy programs have average quality of life scores. Several QL domains are influenced by depression and cognitive symptoms.

Disabilities ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 116-131
Author(s):  
Natasha Layton ◽  
Natasha Brusco ◽  
Tammy Gardner ◽  
Libby Callaway

Background: For people living with or affected by Huntington’s Disease (HD) to experience a good quality of life, tailored support is required to meet physical, cognitive-behavioral, psychological, and social support needs. Substantial service and knowledge gaps regarding HD exist across support providers and service systems. Measuring unmet needs and what quality of life looks like is a fundamental step required to determine the social impact of service investment and provision. The objectives of this study were to validate and map a draft set of HD Social Impact Domains (HD-SID) against existing national and international outcome frameworks; and evaluate and finalize the HD-SID set using a co-design approach with people with lived experience of, and expertise in, HD. Methods: This research used a qualitative co-design process, with 39 participants across four stakeholder groups (people who were HD gene-positive, gene-negative family members, academics, peak organizations, and service providers) to: (i) map and verify the social life areas impacted by HD; (ii) undertake a rigorous three-phased, qualitative process to critically evaluate the draft HD-SID; and (iii) seek feedback on and endorsement of the HD-SID through this co-design process, with a final set of HD-SID identified. Results: Endorsed HD-SID comprised risks and safety (including housing stability, and economic sustainability) and social inclusion (including health and symptom management, physical wellbeing, emotional wellbeing, and building resilient relationships). Conclusions: Effective measurement of the impacts and outcomes for people with HD is informed by both extant measures and an understanding of the specific population needs. This qualitative co-design research demonstrates that HD-SID resonate with the HD community.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6860 ◽  
Author(s):  
Bao-Liang Zhong ◽  
Yan-Min Xu ◽  
Wu-Xiang Xie ◽  
Xiu-Jun Liu

Background Quality of life (QOL) is an important primary care outcome, but the QOL of older adults treated in primary care is understudied in China. This study examined QOL and its associated factors in older adults treated in Chinese primary care. Methods A total of 752 older patients (65+ years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire, concerning socio-demographics, major medical conditions, loneliness, and depression. QOL and depression were measured with the Chinese six-item QOL questionnaire and the shortened Geriatric Depression Scale, respectively. Multiple linear regression was used to identify factors associated with poor QOL. Results The average QOL score of primary care older adults was (20.7 ± 2.5), significantly lower than that of the Chinese general population. Factors significantly associated with poor QOL of Chinese primary care older adults included engaging in manual labor before older adulthood (unstandardized coefficient [β]: −0.702, P < 0.001), no living adult children (β: −1.720, P = 0.001), physical inactivity (β: −0.696, P < 0.001), having ≥ four major medical conditions (β: −1.813, P < 0.001), hearing problem (β: −1.004, P = 0.017), depression (β: −1.153, P < 0.001), and loneliness (β: −1.396, P < 0.001). Conclusions Older adults treated in Chinese primary care have poorer QOL than the general population. Addressing psychosocial problems at Chinese primary care settings could be helpful in improving QOL in Chinese older adults.


Author(s):  
Christian Oswaldo Acosta Quiroz ◽  
Raquel García-Flores ◽  
Sonia Beatriz Echeverría-Castro

The objective of this study was to evaluate the reliability and validity of the Geriatric Depression Scale in its 15-item version (GDS-15) in Mexican older adults. Participants included 1178 older adults between the ages of 60 and 94 ( M = 69.16, SD = 7.69); 53.9% were women and 55.8% were married or with a partner. They completed the GDS-15, a subjective well-being scale, and a quality-of-life questionnaire. A Kuder–Richardson coefficient of .80 was obtained, which indicates an acceptable internal consistency of the GDS-15, as well as evidence of divergent validity with significant correlations of −.783 with subjective well-being and −.569 with quality of life, in addition to concurrent validity when discriminating between participants with low scores from those with high scores of depressive symptoms. The need for a simple screening tool such as the GDS-15 that helps in the identification of depressive symptoms in Mexican older adults is underlined.


2014 ◽  
Vol 17 ◽  
Author(s):  
Carla Ponte ◽  
Vera Almeida ◽  
Lia Fernandes

AbstractThe global increase in elderly population all over the world, especially in Portugal, justifies the importance of mental health study in this age group. The aim of this study was to characterize the elderly patients in Gerontopsychiatry Consultation of Centro Hospitalar São João in Porto, related to socio-demographic aspects, physical and global disabilities, depression, suicidal ideation and quality of life, and to explore the association between suicidal ideation, depression, and quality of life and global and functional disability. In this cross-sectional study, 155 patients were recruited consecutively, with a final sample of 75 subjects (59 women and 16 men) without cognitive deficits and a mean age of 72.8 (SD = 6.04). Concerning the depression level measured with the Geriatric Depression Scale (Barreto et al., 2008) it was found that 66.7% presented severe depression and suicidal ideation (M = 41.96, SD = 36.38), a value considered with a potential risk of suicide using the Suicidal Ideation Questionnaire (Ferreira & Castela, 1999). The elderly also perceived their quality of life as low, revealing global disability assessed with the EasyCare- Elderly Assessment (Sousa & Figueiredo, 2000a). A significant positive correlation was also found between depression and suicidal ideation (rs =.71, p < .001), as well as quality of life (rs = .50, p < .001), and suicidal ideation with quality of life (rs = .40, p < .001). The data obtained in this study corroborate the results found in other studies.


2021 ◽  
Vol 22 (3) ◽  
pp. 281-309
Author(s):  
Szekeres Tamás ◽  
Hargitai Rita

Bevezetés: Az időskori depresszió gyakran aluldiagnosztizált, noha a vezető pszichés problémát jelenti ebben az életkorban. A Rövid Geriátriai Depresszió Skála (GDS-SF) az időskori depresszió tüneteinek felmérésére alkalmas kérdőív, amelyet gyakran alkalmaznak nemzetközi viszonylatban a klinikumban. Célkitűzés: Jelen tanulmány célkitűzése kettős. Elsődleges célja a 15 tételes Rövid Geriátriai Depresszió Skála (GDS-SF) hazai normatív mintán történő tesztelése és az alkalmazásával szerzett tapasztalatok közreadása. Másodsorban arra a kérdésre keressük a választ, hogy az idősek mintáján van-e protektív szerepe az online tér használatának a depresszió vonatkozásában. Módszerek: A keresztmetszeti, kérdőíves kutatásban 65 éves és afeletti életkorú vizsgálati személyek önkéntesen vettek részt, az adatokat anonim módon, papír–ceruza alapon (n = 142) és online (n = 167) formában gyűjtöttük. A kérdőív validálásához az Egészségügyi Világszervezet Rövidített Életminőség Kérdőívét, a Rövidített WHO Jól-Lét Kérdőívet, valamint a Zung Önértékelő Depresszió Skálát használtuk. A válaszmeghamisító tendenciák szűrésére a Caprara-féle Big Five Kérdőív Szociális Kívánatosság alskáláját alkalmaztuk. Eredmények: A parallel-elemzés eredménye egyfaktoros struktúrát jelez, és az egyetlen faktor az összvariancia 64,8%-át magyarázza. A kérdőív megbízhatósága kiváló (Cronbach-α = 0,95). A GDS-SF az elvárásoknak megfelelő irányú és mértékű korrelációt mutatott a validáláshoz alkalmazott mérőeszközökkel: a GDS-SF és az életminőség alfaktorai közötti korrelációs együttható (r) értéke –0,59 és –0,61 közötti (p < 0,001), a jólléttel –0,71 (p < 0,001), míg a Zung Önértékelő Depresszió Skálával 0,74 (p < 0,001). A papíralapú és az online adatgyűjtésben részt vevő vizsgálati személyek körében nem találtunk szignifikáns különbséget a depreszszió előfordulási gyakoriságában, amennyiben kontroll alatt tartjuk az életkor és az iskolai végzettség hatását. Következtetések: A 15 tételes Rövid Geriátriai Depresszió Skála magyar verziója megbízható és érvényes eszköz az időskori depresszió mérésére normatív mintán, miközben a klinikai minta vonatkozásában további vizsgálatok szükségesek. Introduction: Geriatric depression is the leading mental disorder among the older population, although it is often underdiagnosed. The Geriatric Depression Scale (Short Form) (GDS-SF) is a screening tool designed to measure depressive symptoms in older adults and is used by clinicians globally. Objective: The primary objective of the study is the psychometric testing of GDS-SF among pensioners, as well as to present our experiences with using the questionnaire on a Hungarian sample. The secondary objective of the study is to explore whether the use of online space is a protective factor against developing depressive symptoms in this population. Methods: A total of 309 participants took part in this cross-sectional study, all of them above the age of 65, with full anonymity granted to all involved. The questionnaire was available in paper-based (n = 142) and online (n = 167) format as well. For the validation of GDS-SF, the Abbreviated World Health Organization Quality of Life Questionnaire, the Abbreviated WHO Well-Being Questionnaire, and the Zung Self-Rating Depression Scale were used. The Social Desirability Scale of the Caprara Big Five Questionnaire was used to filter out response distortion tendencies. Results: The results of the parallel analysis of the questionnaire supported a one-factor structure design, with 64.8% of the variance explained. According to the validity analysis, GDS-SF showed sufficient direction and degree of correlation with the questionnaires used for comparison and was in accordance with our a priori assumed direction and degree of correlation. Upon examination we discovered that the GDF-SF has a correlation coefficient (r) between –0.59 and –0.61 (p < 0.001) with the quality of life subfactors, –0.71 (p < 0.001) with wellbeing, and 0.74 (p < 0.001) with Zung Self-Rating Depression Scale. The reliability of the survey also proved to be excellent. There was no significant difference between the prevalence of depression between the two groups (paper-based and online), when controlling for the effects of age and level of education. Conclusions: The Hungarian version of the 15-item Geriatric Depression Scale is a reliable and valid tool for measuring depressive symptoms in the older normative adult population. Regarding the clinical sample, further exploration is needed.


2014 ◽  
Vol 27 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Seishi Terada ◽  
Etsuko Oshima ◽  
Chikako Ikeda ◽  
Satoshi Hayashi ◽  
Osamu Yokota ◽  
...  

ABSTRACTBackground:There are many quality of life (QOL) instruments for evaluating dementia patients. The QOL questionnaire for Dementia (QOL-D) is one of such instruments and a validated objective measure of QOL for patients with dementia. It comprises 31 items encompassing six domains. However, with 31 items, its length is a disadvantage. The purpose of this study was to develop a short version of QOL-D (short QOL-D).Methods:We used data from two studies. The participants were 264 inpatients with dementia in the first sample and 395 outpatients at a memory clinic in the second sample. We used maximum likelihood factor analysis with promax rotation to reduce the number of items.Results:We produced a nine-item version of QOL-D (short QOL-D) with positive (six items) and negative (three items) dimensions. The correlation coefficients of short and total versions of QOL-D were 0.892–0.918 for total scores, 0.903–0.936 for positive dimension scores, and 0.788–0.837 for negative dimension scores. Total short QOL-D scores showed a significant correlation to the Geriatric Depression Scale score and the apathy score of the Neuropsychiatric Inventory.Conclusions:The short QOL-D produced results comparable with that of the full version. Reducing the number of items may make administration of the instrument easier.


2018 ◽  
Vol 9 (4) ◽  
pp. 146-167
Author(s):  
Belaynesh Tefera ◽  
Alice Schippers ◽  
Marloes Van Engen ◽  
Jack Van der Klink

This article presents the findings of a qualitative study on the social inclusion of children with disabilities in Addis Ababa, Ethiopia and how this affects their achievement of valued life goals. The study is based on focus group discussions with children with disabilities and primary caregivers of such children. The thematic analysis is based on family quality of life and the capability approach, which are used to explain the effects of social inclusion (and exclusion) on children with disabilities and their families in three areas of quality of life: being, belonging, and becoming. The study also looked at how the social inclusion of children with disabilities can be actualised. The results of the study confirm the existence of considerable challenges to the social inclusion of children with disabilities in Addis Ababa, which is reflected in their capabilities. The results suggest that children with disabilities need assistance and support to achieve a good quality of life. They also indicate the need for the involvement of the wider community to support children with disabilities and their families to enhance the capability of such children, and so improve their family quality of life.


2010 ◽  
Vol 4 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Marcia M.P.C. Novelli ◽  
Paulo Caramelli

Abstract To investigate the influence of neuropsychiatric manifestations and functional performance on quality of life (QOL) of AD patients and their caregivers/family members. Methods: The QOL-AD scale, Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Cornell and Beck Scales for Depression, Physical and Instrumental-Self Maintenance scales (AIDL and ADL) and the Neuropsychiatric Inventory (NPI) were applied to 60 patients with probable AD, mild (n=30) or moderate (n=30) dementia, according to NINCDS-ADRDA and DSM-III-R criteria, respectively, and to their caregivers/family members. The total scores on the three QOL-AD versions were correlated with the measures previously mentioned. Results: The QOL-AD patients' version displayed significant correlations with GDS (-0.76 p<0.01), Cornell (-0.53 p<0.01) and NPI (-0.46 p<0.05) in the mild dementia subgroup. The caregivers' version about patients' QOL correlated with GDS (-0.48 p<0.01), Cornell (-0.57 p<0.01), NPI (-0.46 p<0.01) and AIDL (-0.36 p<0.05), while the caregivers' version about their own QOL was significantly correlated with NPI (-0.43 p<0.01), AIDL (-0.35 p<0.05) and Beck Depression (-0.67 p<0.01). In the moderate dementia subgroup, significant correlations were observed with GDS (-0.45 p<0.05) and Cornell (-0.46 p<0.01). For the caregivers' version about patients' QOL, significant correlations emerged with Cornell (-0.68 p<0.01), NPI (-0.67 p<0.01), AIDL (-0.41 p<0.05), ADL (-0.49, p<0.01) and Beck Depression (-0.33 p<0.05). For the caregivers' version about their own QOL, significant correlations with Beck Depression (-0.54 p<0.01) and ADL (-0.38, p<0.05) were found. Conclusion: The symptoms presented in AD affected the QOL in patients and caregivers/family members in both mild and moderate dementia.


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