Change and predictors of quality of life in institutionalized older adults with dementia

Purpose: This study aims to assess the change in and predictive factors of the quality of life (QoL) of institutionalized older adults with dementia over a 20-month period. Methods: Information was used from a follow-up study conducted over an average period of 19.61 ± 1.93 months on a sample of 274...

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Autores: Castro-Monteiro, Emilia, Forjaz, Maria João, Ayala, Alba, Rodriguez-Blazquez, Carmen, Fernandez-Mayoralas, Gloria, Diaz-Redondo, Alicia, Martínez-Martín, Pablo
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/8093
Acceso en línea:http://hdl.handle.net/20.500.12105/8093
Access Level:acceso abierto
Palabra clave:Activities of Daily Living
Aged
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spelling Change and predictors of quality of life in institutionalized older adults with dementiaCastro-Monteiro, EmiliaForjaz, Maria JoãoAyala, AlbaRodriguez-Blazquez, CarmenFernandez-Mayoralas, GloriaDiaz-Redondo, AliciaMartínez-Martín, PabloActivities of Daily LivingAgedPurpose: This study aims to assess the change in and predictive factors of the quality of life (QoL) of institutionalized older adults with dementia over a 20-month period. Methods: Information was used from a follow-up study conducted over an average period of 19.61 ± 1.93 months on a sample of 274 institutionalized older adults aged 60 or over, diagnosed with dementia. Two linear regression models were built to predict change in the EQ-5D index and the quality of life in Alzheimer's disease (QOL-AD) scale, taking as independent variables: sociodemographic characteristics and measures of functional ability (Barthel Index), depression in dementia (Cornell Scale), number of chronic health problems, cognitive level (MEC, the Spanish Mini-Mental State Examination) and severity of dementia (Clinical Dementia Rating) at baseline. Results: The majority of the participants were women (81.75 %) with an average age of 84.70 ± 6.51 years, single (78.15 %), with severe dementia and moderate functional dependence. There was a significant decrease on the EQ-5D, EQ-VAS and QOL-AD between baseline and follow-up scores. The main predictors of QoL of the institutionalized older adults with dementia were the number of chronic problems and baseline scores of the QoL measures. Conclusions: A significant decrease in the QoL of institutionalized older adults was observed over a 20-month period. Results suggest that interventions aimed at reducing the number of chronic medical conditions may have a beneficial effect on older adults' QoL.SpringerInstituto de Salud Carlos III20192019-08-0120142014-11-0120142014-11-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/8093reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)InglésengES PI017 09open accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/80932026-06-12T12:43:37Z
dc.title.none.fl_str_mv Change and predictors of quality of life in institutionalized older adults with dementia
title Change and predictors of quality of life in institutionalized older adults with dementia
spellingShingle Change and predictors of quality of life in institutionalized older adults with dementia
Castro-Monteiro, Emilia
Activities of Daily Living
Aged
title_short Change and predictors of quality of life in institutionalized older adults with dementia
title_full Change and predictors of quality of life in institutionalized older adults with dementia
title_fullStr Change and predictors of quality of life in institutionalized older adults with dementia
title_full_unstemmed Change and predictors of quality of life in institutionalized older adults with dementia
title_sort Change and predictors of quality of life in institutionalized older adults with dementia
dc.creator.none.fl_str_mv Castro-Monteiro, Emilia
Forjaz, Maria João
Ayala, Alba
Rodriguez-Blazquez, Carmen
Fernandez-Mayoralas, Gloria
Diaz-Redondo, Alicia
Martínez-Martín, Pablo
author Castro-Monteiro, Emilia
author_facet Castro-Monteiro, Emilia
Forjaz, Maria João
Ayala, Alba
Rodriguez-Blazquez, Carmen
Fernandez-Mayoralas, Gloria
Diaz-Redondo, Alicia
Martínez-Martín, Pablo
author_role author
author2 Forjaz, Maria João
Ayala, Alba
Rodriguez-Blazquez, Carmen
Fernandez-Mayoralas, Gloria
Diaz-Redondo, Alicia
Martínez-Martín, Pablo
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
dc.subject.none.fl_str_mv Activities of Daily Living
Aged
topic Activities of Daily Living
Aged
description Purpose: This study aims to assess the change in and predictive factors of the quality of life (QoL) of institutionalized older adults with dementia over a 20-month period. Methods: Information was used from a follow-up study conducted over an average period of 19.61 ± 1.93 months on a sample of 274 institutionalized older adults aged 60 or over, diagnosed with dementia. Two linear regression models were built to predict change in the EQ-5D index and the quality of life in Alzheimer's disease (QOL-AD) scale, taking as independent variables: sociodemographic characteristics and measures of functional ability (Barthel Index), depression in dementia (Cornell Scale), number of chronic health problems, cognitive level (MEC, the Spanish Mini-Mental State Examination) and severity of dementia (Clinical Dementia Rating) at baseline. Results: The majority of the participants were women (81.75 %) with an average age of 84.70 ± 6.51 years, single (78.15 %), with severe dementia and moderate functional dependence. There was a significant decrease on the EQ-5D, EQ-VAS and QOL-AD between baseline and follow-up scores. The main predictors of QoL of the institutionalized older adults with dementia were the number of chronic problems and baseline scores of the QoL measures. Conclusions: A significant decrease in the QoL of institutionalized older adults was observed over a 20-month period. Results suggest that interventions aimed at reducing the number of chronic medical conditions may have a beneficial effect on older adults' QoL.
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-11-01
2014
2014-11-01
2019
2019-08-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/8093
url http://hdl.handle.net/20.500.12105/8093
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv ES PI017 09
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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