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 ‘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 Impact of Pediatric COVID-19 on Family Health-Related Quality of Life: A Qualitative Study from Latvia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110123
Author(s):  
Inese Stars ◽  
Liene Smane ◽  
Zanda Pucuka ◽  
Ieva Roge ◽  
Jana Pavare
Keyword(s):  
Quality Of Life ◽  
Qualitative Study ◽  
Family Relationships ◽  
Family Health ◽  
Support Network ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Information on family health-related quality of life (FHRQoL) among families of children with the coronavirus disease 2019 (COVID-19) is limited. This qualitative study explores the impact of pediatric COVID-19 on FHRQoL from the parents’ perspective. Semi-structured interviews were conducted with parents (n = 20) whose children had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Inductive thematic analysis revealed the following 10 themes that represented parents’ perception of FHRQoL while taking care of a child with COVID-19: pediatric COVID-19 as a disease with many unknowns; emotional saturation; internal family relationships in the context of “a new experience”; routine household activities and daily regimen while family is in lockdown; plenty of free time; a wide social support network; social stigma associated with COVID-19; different options for work; savings and debts; challenges with family housing and transport availability. Our results show that parents experience multiple effects of pediatric COVID-19 with regard to FHRQoL.

Influence of nutritional status on health-related quality of life of non-institutionalized older people

2013 ◽  
Vol 18 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Susana Jiménez-Redondo ◽  
B. Beltran De Miguel ◽  
J. Gavidia Banegas ◽  
L. Guzman Mercedes ◽  
J. Gomez-Pavon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nutritional Status ◽  
Older People ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Institutionalized Older People

scholarly journals Association between physical, psychological and social frailty and health-related quality of life among older people

2019 ◽  
Vol 29 (5) ◽  
pp. 936-942 ◽  
Author(s):  
Xuxi Zhang ◽  
Siok Swan Tan ◽  
Carmen Betsy Franse ◽  
Tamara Alhambra-Borrás ◽  
Estrella Durá-Ferrandis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Health Centers ◽  
Full Model ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

Abstract Background Studies on the association between frailty and health-related quality of life (HRQoL) are scarce and show contradictory results. This study aimed to evaluate the association between physical, psychological and social frailty and HRQoL among community-dwelling older people. Methods A cross-sectional study was performed with baseline data collected in 2015 from the Urban Health Centers Europe (UHCE) project in five European countries, the United Kingdom, Greece, Croatia, The Netherlands and Spain. A total of 2325 participants were included in the baseline measurements of the Urban Health Centers Europe project; 2167 participants (mean age = 79.7; SD=5.6) were included in the analyses after excluding participants with missing data. The Tilburg Frailty Indicator measured overall frailty as well as physical, psychological and social frailty. The 12-Item Short-Form Health Survey was used to measured physical and mental HRQoL. Results Regarding physical HRQoL, a large difference (d=1.29) between physically and not physically frail participants was observed. Regarding mental HRQoL, a large difference (d=1.20) between psychologically and not psychologically frail participants was observed. In the full model with all three domains of frailty and the covariates to explain physical HRQoL, physical (P <0.001) and social frailty (P <0.001) remained significant. In the full model to explain mental HRQoL, all three domains of frailty remained significant (P <0.001). Conclusion Physical frailty had the strongest association with physical HRQoL, and psychological frailty had the strongest association with mental HRQoL. The associations between social frailty and both physical and mental HRQoL remain significant when controlling for physical and psychological frailty.

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