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

AuthorsCastro-Monteiro, Emilia; Forjaz, María João; Ayala García, Alba CSIC ORCID; Rodríguez Blázquez, Carmen; Fernández-Mayoralas, Gloria CSIC ORCID ; Díaz Redondo, Alicia; Martínez-Martín, Pablo
Quality of life
Older adults
Follow-up study
Issue Date2014
PublisherKluwer Academic Publishers
CitationQuality of Life Research 23(9): 2595- 2601 (2014)
AbstractPurpose This study aims to assess the change in andpredictive factors of the quality of life (QoL) of institu-tionalized older adults with dementia over a 20-monthperiod.Methods Information was used from a follow-up studyconducted over an average period of 19.61 ±1.93 monthson a sample of 274 institutionalized older adults aged 60or over, diagnosed with dementia. Two linear regressionmodels were built to predict change in the EQ-5D indexand the quality of life in Alzheimer’s disease (QOL-AD)scale, taking as independent variables: sociodemographiccharacteristics and measures of functional ability (BarthelIndex), depression in dementia (Cornell Scale), number ofchronic health problems, cognitive level (MEC, the Span-ish Mini-Mental State Examination) and severity ofdementia (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 onthe EQ-5D, EQ-VAS and QOL-AD between baseline andfollow-up scores. The main predictors of QoL of theinstitutionalized older adults with dementia were thenumber of chronic problems and baseline scores of theQoL measures. Conclusions A significant decrease in the QoL of insti-tutionalized older adults was observed over a 20-monthperiod. Results suggest that interventions aimed at reducingthe number of chronic medical conditions may have abeneficial effect on older adults’ QoL
Publisher version (URL)https://link.springer.com/article/10.1007%2Fs11136-014-0706-8
Identifiersissn: 0962-9343
Appears in Collections:(CCHS-IEGD) Artículos
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