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

Abstract Objectives Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. Design A prospective, observational, longitudinal cohort design. Setting Nursing hom...

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Veröffentlicht in:	Journal of the American Medical Directors Association 2016-01, Vol.17 (1), p.44-52
Hauptverfasser:	Naylor, Mary D., PhD, RN, FAAN, Hirschman, Karen B., PhD, MSW, Hanlon, Alexandra L., PhD, Abbott, Katherine M., PhD, MGS, Bowles, Kathryn H., PhD, RN, FAAN, Foust, Janice, PhD, RN, Shah, Shivani, MPH, Zubritsky, Cynthia, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over assisted living Assisted Living Facilities Cognition Disorders - epidemiology Depression - epidemiology Female Health Status Home Care Services home- and community-based services Humans Internal Medicine Long-Term Care Longitudinal Studies Male Medical Education Mid-Atlantic Region - epidemiology Middle Aged nursing home Nursing Homes Prospective Studies Quality of Life Social Support
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Zusammenfassung:	Abstract Objectives Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. Design A prospective, observational, longitudinal cohort design. Setting Nursing homes (NHs), assisted living facilities (ALFs), community. Participants A total of 470 older adults who were first-time recipients of LTSS. Measurement Single-item quality-of-life measure assessed every 3 months over 2 years. HRQoL domains of emotional status, functional status, and social support were measured using standardized instruments. Results Multivariable mixed effects model with time varying covariates revealed that quality-of-life ratings decreased over time ( P
ISSN:	1525-8610 1538-9375
DOI:	10.1016/j.jamda.2015.07.019