Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports

Naylor, Mary D.; Hirschman, Karen B.; Hanlon, Alexandra L.; Abbott, Katherine; Bowles, Kathryn H.; Foust, Janice B.; Shah, Shivani; Zubritsky, Cynthia

doi:10.1016/j.jamda.2015.07.019

Cited by 42 publications

(42 citation statements)

References 77 publications

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“…Recent research developed in the United States showed improvement of QOL among the elderly with better emotional well-being (P <.001), general higher physical function and fewer depressive symptoms (GDS-SF) (P <.001), also, greater emotional or informational social support (P = 0.004) [29], reaffirming the findings of this research.…”

Section: Discussionsupporting

confidence: 84%

Changes in the quality of life of an elderly group of the family health strategy

Costa¹,

Torres²,

Oliveira³

et al. 2016

Int Arch Med

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Background: To analyze the quality of life of a group of elderly people enrolled in the Family Health Strategy of the Igapó neighborhood, in the city of Natal, Rio Grande do Norte, Brazil.Methods: This is a longitudinal study with a quantitative approach.The process of data collection occurred in two different moments. The instruments used to collect data were: "Questionnaire on sociodemographic data" and the "Brazilian Version of the Short Form-36 Quality of Life Questionnaire (SF-36)."Results: It was verified that most of them were women, with low purchasing power and low education level. There was a predominance of unmarried elderly individuals who did not perform work activities. Higher scores were identified for the emotional, physical and mental domains. In the first collection, lower scores regarding the general state of health and pain were observed. There were better percentages of improvement in the areas of General Health Status, Body Pain and Social Function and Physical Health dimension. The activities developed in the coexistence group together with the elderly were classified as educational, physical/functional and commemorative. Conclusion:This study showed higher scores in the physical, functional and mental aspects, where the autonomy of the elderly is directly related, reflecting an active aging favoring a better quality of life.

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Section: Discussionsupporting

confidence: 84%

Changes in the quality of life of an elderly group of the family health strategy

Costa¹,

Torres²,

Oliveira³

et al. 2016

Int Arch Med

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“…A secondary data analysis was conducted using an extant data set from a National Institute on Aging-funded longitudinal observational cohort study entitled, Health Related Quality of Life: Elders in Long Term Care (HRQoL), R01AG025524 , hereafter referred to as the “parent study” (Naylor et al, 2016; Zubritsky et al, 2013). …”

Section: Methodsmentioning

confidence: 99%

“…The study findings demonstrated that quality of life ratings decreased over time. Quality of life was highest among participants who received LTSS from ALFs, followed by NHs, then HCBS (Naylor et al, 2016). All participants in the parent study were included in the secondary data analysis reported in this manuscript.…”

Section: Methodsmentioning

confidence: 99%

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Multiple Chronic Conditions and Hospitalizations Among Recipients of Long-Term Services and Supports

et al. 2016

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Background Among older adults receiving long term-services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCC) are prevalent in LTSS recipients. However, the combination of MCC and diseases associated with hospitalizations of LTSS recipients is unclear. Objective The purpose of this analysis was to determine the association between classes of MCC in newly enrolled LTSS recipients and the number of hospitalizations over a one-year period following enrollment. Methods This report is based on secondary analysis of extant data from a longitudinal cohort study of 470 new recipients of LTSS, ages 60 years and older, receiving services in assisted living facilities, nursing homes, or through home- and community-based services. Using baseline chronic conditions reported in medical records, latent class analysis (LCA) was used to identify classes of MCC and posterior probabilities of membership in each class. Poisson regressions were used to estimate the relative ratio between posterior probabilities of class membership and number of hospitalizations during the 3 month period prior to the start of LTSS (baseline) and then every three months forward through 12 months. Results Three latent MCC-based classes named Cardiopulmonary, Cerebrovascular/Paralysis, and All Other Conditions were identified. The Cardiopulmonary class was associated with elevated numbers of hospitalization compared to the All Other Conditions class (relative ratio [RR] = 1.88, 95% CI [1.33, 2.65], p < .001). Conclusion Older LTSS recipients with a combination of MCCs that includes cardiopulmonary conditions have increased risk for hospitalization.

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“…All of these factors can be improved with increased physical activity. High QOL is found among older adults with high physical function, little pain, few diseases, and those able to independently perform activities of daily living (ADL) (Chen, Hicks, & While, 2013;Naylor et al, 2016). For public health professionals focused on aging populations, the ultimate goal is to design and implement physical activity interventions to improve components of QOL, such as psychological health, functional health, and physical health.…”

Section: Chapter 1: Introductionmentioning

confidence: 99%

Effects Of Bingocize® On Quality Of Life, Fall Risk, And Health Knowledge In Community-Dwelling Older Adults

Dispennette

Focht

Clark

et al. 2019

Medicine &Amp; Science in Sports &Amp; Exercise

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Quality of life (QOL) is an important aspects of overall well-being in older adults. QOL is associated with functional, physical, and psychological health; all of which can be improved with increased physical activity. A high fall risk is associated with low physical function and QOL. One in four older adults experiences a fall each year, making it necessary to focus public health interventions towards decreasing fall risk and improving QOL in older adults. Bingocize ® is a health promotion program designed to promote health, health knowledge, physical activity, and social engagement among older adults. The purpose of this study was to determine the effects of the new version of Bingocize ® on QOL and fall risk in community-dwelling older adults (N=36; mean age 73.63 ± 6.97). Participants were clustered and randomly assigned to (a) experimental (n=19; participating in Bingocize ® program, which included the bingo game, exercise, and health education) or (b) control (n=17; only played bingo). Each group completed a 12-week intervention that consisted of two 45-60 minute sessions per week. Pre and post data assessments included the TUG, 30-second chair stand, 4-staged balance, handgrip strength, WHOQOL-BREF, PANAS, and a health knowledge quiz. A mixed design analysis of variance (ANOVA) was used to compare intervention effects. There were no significant interactions for any of the variables, with the exception of positive affect (PA) (F (1,34) = 5.66, p = 0.02, 2 = 0.15, power = 0.64) and handgrip strength (F (1,34) = 8.31, p = 0.007, 2 = 0.196, power = 0.80).. There was also a significant main effect for vii time for health knowledge. Post hoc analysis using independent samples t-tests were conducted on PA (t (33) = 2.39, p = 0.023, two-tailed) and handgrip strength (t (34) = 2.85, p = 0.007, two-tailed). Participating in the Bingocize ® health promotion program can produce a meaningful and detectable change in handgrip strength and PA in community-dwelling older adults.

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Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports

Cited by 42 publications

References 77 publications

Changes in the quality of life of an elderly group of the family health strategy

Changes in the quality of life of an elderly group of the family health strategy

Multiple Chronic Conditions and Hospitalizations Among Recipients of Long-Term Services and Supports

Effects Of Bingocize® On Quality Of Life, Fall Risk, And Health Knowledge In Community-Dwelling Older Adults

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