Subjective Quality-of-Life Predictors for Older Adults with Physical Disabilities.

Abstract:

OBJECTIVES:To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities. DESIGN:A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the Quality of Life Index, which includes four domains: health and functioning, socioeconomic, psychological/spiritual, and family. The potential predictors evaluated at baseline were health condition, activity, participation (level and satisfaction), personal factors, and environmental factors (obstacles and facilitators). RESULTS:No change over time in QOL mean score was observed (mean: -0.41; SD: 2.5; 95% confidence interval: -1.1 to 0.30; P = 0.25). However, about half the participants had a clinically significant change (either increase or decrease). Greater satisfaction with participation in social roles and fewer obstacles in the physical environment were identified as the best predictors (R2 = 0.27; P = 0.001) of better QOL. Greater participation in daily activities, fewer obstacles in the physical environment, and greater satisfaction with participation in social roles were found to be the best predictors (R2 = 0.49; P < 0.001) of high health and functioning QOL. Finally, increased QOL score over the 2-yr period was best predicted by initial lower socioeconomic QOL and activity level perceived as unstable (R2 = 0.27; P = 0.001). CONCLUSIONS:QOL is partially explained by participation and environmental factors. These factors may be positively modified and thus may warrant special attention in health interventions. Identified predictors of QOL changes over time need to be considered in intervention studies.

journal_name

Am J Phys Med Rehabil

authors

Levasseur M,Desrosiers J,St-Cyr Tribble D

doi

10.1097/PHM.0b013e318186b5bd

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

830-41

issue

10

eissn

0894-9115

issn

1537-7385

pii

00002060-200810000-00007

journal_volume

87

pub_type

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