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                  <mods:namePart>Forjaz, Maria João</mods:namePart>
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                  <mods:namePart>Diaz-Redondo, Alicia</mods:namePart>
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                  <mods:namePart>Martínez-Martín, Pablo</mods:namePart>
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               <mods:identifier type="citation">Qual Life Res. 2014 Nov;23(9):2595-601.</mods:identifier>
               <mods:identifier type="doi">10.1007/s11136-014-0706-8</mods:identifier>
               <mods:identifier type="e-issn">1573-2649</mods:identifier>
               <mods:identifier type="issn">0962-9343</mods:identifier>
               <mods:identifier type="journal">Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation</mods:identifier>
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               <mods:abstract>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.</mods:abstract>
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                  <mods:title>Change and predictors of quality of life in institutionalized older adults with dementia</mods:title>
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