scholarly journals ‘I’ve got to be independent’: Older peoples’ views on recovery following road injury: A qualitative study

2020 ◽  
Author(s):  
Katherine Brown ◽  
Ian D Cameron ◽  
Lisa Keay ◽  
Ha Nguyen ◽  
Lisa Dillon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Content Analysis ◽  
Health Professionals ◽  
Older Age ◽  
Health Related Quality ◽  
Moderate Severity ◽  
Related Quality ◽  
Health Related ◽  
Road Injury

Abstract Background: Mild to moderate severity road injury in people of working age is associated with limited recovery. Less is known about people who sustain road injury in older age. This study explored perspectives, and factors related to recovery and health-related quality of life following road injury in older age. Methods: A qualitative study using content analysis was undertaken. Participants aged 65 or more years were purposively selected from a larger inception cohort study of health outcomes following mild to moderate severity road injury. Semi-structured interviews were undertaken at approximately 12 or 24 months after injury. Content analysis was used to code and analyse the data, with methodological rigour obtained by double-coding and discussing a portion of the data to reach consensus. Results were reported using the consolidated criteria for reporting qualitative research (COREQ). Results: Nineteen participants were invited to participate in the study, with thematic saturation reached after the 12 th interview. Recovery experiences were diverse. Five main themes were identified: recovery is regaining independence; injury & disability in older age; the burden of non-obvious disability; the importance of support, and positive personal approaches. Key facilitators of recovery were regaining independence; support from family and friends, and positive personal approaches. Key barriers were threats to independence; passive coping behaviours; non-obvious disabilities (chronic pain, psychological impacts), and for some, a reluctance to raise ongoing issues with General Practitioners. Threats to independence, especially not driving and self-care, appeared to have a more profound effect on recovery than physical functioning. Conclusion: Older people view injury as a threat to independent functioning. This is somewhat different to what younger people report. Regaining independence is key to older peoples’ recovery and health-related quality of life following road injury, and should be a key consideration for health professionals, services and supports working with this unique cohort. Greater efforts to help older people regain independence following road injury are needed and can be facilitated by health professionals and appropriate service provision.

scholarly journals ‘I’ve got to be independent’: Older peoples’ views on recovery following road injury: A qualitative study

2020 ◽  
Author(s):  
Katherine Brown ◽  
Ian D Cameron ◽  
Lisa Keay ◽  
Ha Nguyen ◽  
Lisa Dillon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Content Analysis ◽  
Qualitative Study ◽  
Older People ◽  
Health Professionals ◽  
Older Age ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background: Mild to moderate road traffic injury (RTI) in people of working age is associated with limited recovery. Less is known about RTI recovery in older age. This study explored perspectives, and factors related to recovery and health-related quality of life following mild to moderate RTI in older age.Methods: A qualitative study using content analysis was undertaken. Participants aged 65 or more years were purposively selected from a larger inception cohort study of health outcomes following mild to moderate RTI. Semi-structured interviews were undertaken at approximately 12 or 24 months after injury. Content analysis was used to code and analyse the data, with methodological rigour obtained by double-coding and discussing findings to reach consensus. Results were reported using the consolidated criteria for reporting qualitative research (COREQ). Results: Nineteen participants were invited to participate in the study of which 12 completed interviews. Data saturation was reached at the 12th interview. Recovery experiences were diverse. Five main themes were identified: recovery is regaining independence; injury & disability in older age; the burden of non-obvious disability; the importance of support, and positive personal approaches. Key facilitators of recovery were regaining independence; support from family and friends, and positive personal approaches. Key barriers were threats to independence; passive coping behaviours; non-obvious disabilities (chronic pain, psychological impacts), and for some, a reluctance to raise ongoing issues with General Practitioners. Threats to independence, especially not driving and self-care, appeared to have a more profound effect on recovery than physical functioning.Conclusion: Older people view injury as a threat to independent functioning. This is somewhat different to what younger people report. Regaining independence is key to older peoples’ recovery and health-related quality of life following RTI, and should be a key consideration for health professionals, services and supports working with this unique cohort. Greater efforts to help older people regain independence following RTI are needed and can be facilitated by health professionals and appropriate service provision.

scholarly journals Physiotherapists Have Accurate Expectations of Their Patients’ Future Health-Related Quality of Life after First Assessment in a Subacute Rehabilitation Setting

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Steven M. McPhail ◽  
Emily Nalder ◽  
Anne-Marie Hill ◽  
Terry P. Haines
Keyword(s):  
Quality Of Life ◽  
Health Professionals ◽  
Intraclass Correlation ◽  
Health Related Quality ◽  
Future Health ◽  
Exact Agreement ◽  
Related Quality ◽  
Health Related ◽  
Prospective Longitudinal

Background. Expectations held by health professionals and their patients are likely to affect treatment choices in subacute inpatient rehabilitation settings for older adults. There is a scarcity of empirical evidence evaluating whether health professionals expectations of the quality of their patients’ future health states are accurate.Methods. A prospective longitudinal cohort investigation was implemented to examine agreement (kappa coefficients, exact agreement, limits-of-agreement, and intraclass-correlation coefficients) between physiotherapists’ (n=23) prediction of patients’ discharge health-related quality of life (reported on the EQ-5D-3L) and the actual health-related quality of life self-reported by patients (n=272) at their discharge assessment (using the EQ-5D-3L). The mini-mental state examination was used as an indicator of patients’ cognitive ability.Results. Overall, 232 (85%) patients had all assessment data completed and were included in analysis. Kappa coefficients (exact agreement) ranged between 0.37–0.57 (58%–83%) across EQ-5D-3L domains in the lower cognition group and 0.53–0.68 (81%–85%) in the better cognition group.Conclusions. Physiotherapists in this subacute rehabilitation setting predicted their patients’ discharge health-related quality of life with substantial accuracy. Physiotherapists are likely able to provide their patients with sound information regarding potential recovery and health-related quality of life on discharge. The prediction accuracy was higher among patients with better cognition than patients with poorer cognition.

scholarly journals Older Age- and Health-related Quality of Life in Inflammatory Bowel Diseases

2017 ◽  
Vol 23 (2) ◽  
pp. 283-288 ◽  
Author(s):  
Gabriella Velonias ◽  
Grace Conway ◽  
Elizabeth Andrews ◽  
John J. Garber ◽  
Hamed Khalili ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Diseases ◽  
Older Age ◽  
Health Related Quality ◽  
Bowel Diseases ◽  
Related Quality ◽  
Health Related ◽  
Inflammatory Bowel

scholarly journals P142 Factors associated with change in health-related quality of life in people living with gout: a three-year prospective cohort study in primary care

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Lorraine Watson ◽  
John Belcher ◽  
Elaine Nicholls ◽  
Priyanka Chandratre ◽  
Milisa Blagojevic-Bucknall ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
At Risk ◽  
Older Age ◽  
Health Related Quality ◽  
Factors Associated ◽  
Related Quality ◽  
Health Related ◽  
Socio Demographic Factors

Abstract Background Gout affects 2.5% of adults in the UK but is often poorly managed. It can impair health-related quality of life (HRQOL), yet little is known about which people with gout are at risk of worse outcomes. We investigated factors associated with change in HRQOL over a three-year period in people living with gout in primary care. Methods People with gout registered with 20 general practices in the West Midlands completed the Gout Impact Scale (GIS), Short-Form-36 Physical Function subscale (PF10) and health assessment questionnaire disability index (HAQ-DI) at five time-points (baseline & 6, 12, 24 and 36 months) via postal questionnaire. Linear mixed modelling (LMM) with multivariate adjustment for baseline and time-varying covariates was used to investigate gout-specific, comorbid and socio-demographic factors associated with change in the Concern Overall (GIS-CO), PF10 and HAQ-DI over three years. Higher scores are worse for GIS-CO and HAQ-DI, but better for PF10. Results Of 1,184 baseline respondents, 818 (80%), 721 (73%), 696 (75%), 605 (68%) responded at 6, 12, 24 and 36 months respectively. Mean age (SD) at baseline was 65.6 (12.5) years. 990 (84%) were male, 494 (42%) reported >2 gout flares in the previous year, 624 (54%) were taking allopurinol and 318 (27%) had an eGFR<60mL/min/1.73m2. Factors identified as being associated with a deterioration in HRQOL over three years (table), were gout flare frequency (GIS-CO, PF10), history of oligo/polyarticular flares (GIS-CO, HAQ-DI), having a flare currently (GIS-CO), allopurinol use (PF10), having body pain (GIS-CO, PF10, HAQ-DI), higher pain severity (GIS-CO, PF10, HAQ-DI), number of comorbidities (PF10), eGFR <60mL/min/1.73m2 (PF10, HAQ-DI), anxiety (GIS-CO), depression (PF10, HAQ-DI), and older age (PF10, HAQ-DI). Factors associated with an improvement in HRQOL were longer gout duration (GIS-CO), older age (GIS-CO), lower socioeconomic deprivation (PF10, HAQ-DI) and more frequent alcohol consumption (PF10, HAQ-DI). Conclusion Gout-specific, comorbid and socio-demographic factors associated with change in HRQOL over a three-year period in people living with gout in primary care were identified, highlighting people at risk of worse outcomes over three years and at greatest need of urate-lowering therapy and other targeted interventions. Disclosures L. Watson None. J. Belcher None. E. Nicholls None. P. Chandratre None. M. Blagojevic-Bucknall None. S. Hider None. S.A. Lawton None. C.D. Mallen None. S. Muller None. K. Rome None. E. Roddy None.

Ageing Well in the Over 45s: Using a Health Check Log

2008 ◽  
Vol 14 (1) ◽  
pp. 90
Author(s):  
June N. Sheriff ◽  
Lynn Chenoweth
Keyword(s):  
Quality Of Life ◽  
Health Survey ◽  
Health Professionals ◽  
Health Check ◽  
Health Related Quality ◽  
Sf 36 ◽  
Post Test ◽  
Related Quality ◽  
Health Related

This study aimed to promote health awareness, health monitoring skills, timely consultation with health professionals and health-related quality of life for persons 45 years and over through maintaining a specially-designed Health Check Log (HCL). A pre-/post-test quasi-experimental research design was employed with data triangulation, to compare health-related quality of life for treatments with matched controls. Data were obtained from a convenience sample of 120 community-dwelling participants and 69 health professionals living and/or working in the South Eastern Sydney/Illawarra Area Health Service catchment area, and volunteer members of the Council on the Ageing. Eighty of the treatment group maintained the HCL for 12 months. Outcome measures included the SF-36 health survey, monthly/bi-monthly telephone/electronic mail interviews, feedback survey, and focus group discussions. The majority of treatments reported that keeping the HCL raised levels of awareness (69%), assisted in developing skills (59%) and confidence (57%) in assessing and monitoring health, and in adopting preventative illness approaches (54%). Stratified analyses of the SF-36 health survey revealed significant differences between groups at post-test; in particular, positive health perceptions in those who are retired and living on their own.

scholarly journals Favorable Cardiovascular Risk Profile in Middle Age and Health-Related Quality of Life in Older Age

2003 ◽  
Vol 163 (20) ◽  
pp. 2460 ◽  
Author(s):  
Martha L. Daviglus ◽  
Kiang Liu ◽  
Amber Pirzada ◽  
Lijing L. Yan ◽  
Daniel B. Garside ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Risk ◽  
Middle Age ◽  
Risk Profile ◽  
Older Age ◽  
Cardiovascular Risk Profile ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related
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