Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/8093
Change and predictors of quality of life in institutionalized older adults with dementia
Castro-Monteiro, Emilia | Forjaz, Maria Joao ISCIII | Ayala, Alba ISCIII | Rodriguez-Blazquez, Carmen ISCIII | Fernandez-Mayoralas, Gloria ISCIII | Diaz-Redondo, Alicia | Martinez-Martin, Pablo ISCIII
Qual Life Res. 2014 Nov;23(9):2595-601.
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.
Activities of Daily Living | Aged | Aged, 80 and over | Alzheimer Disease | Chronic Disease | Cross-Sectional Studies | Dementia | Depression | Female | Follow-Up Studies | Humans | Institutionalization | Linear Models | Male | Neuropsychological Tests | Spain | Surveys and Questionnaires | Quality of Life | Residential Facilities
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