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Are We Missing the Target When Measuring Quality of Life?

机译:在衡量生活质量时,我们是否错过了目标?

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Abstract Over the last several decades, many instruments have been created to measure quality of life (QoL) in older adults, particularly for intervention research on individuals living with dementia. However, since definitions of QoL lack standardization across the research literature, the question of how to holistically capture an elusive and expansive concept such as QoL remain. This research uses qualitative content analysis to explore definitions and domains of QoL with an eye toward overlap and gaps. Definitions of QoL were extracted from gerontology encyclopedia entries and other peer-reviewed supplemental resources and analyzed for themes using Dedoose qualitative software. Results revealed three over-arching themes: no standardized or universal definition of QoL, use of subjective and objective factors for measurement, and varying domains of QoL. Additionally, we further distilled theme three to identify eight unique QoL domains: 1) economic/financial, 2) environment, 3) ADL/IADL function, 4) participation in activities, 5) personal resources, 6) physical health, 7) psychological well-being, and 8) social/relational, the total of which were only found in one of 15 definitions of QoL. Overall, findings led to an overarching definition of QoL that cuts across multiple dimensions and factors. We argue that by having all eight domains our understanding and measurement of QoL is enhanced, thereby improving our assessment of existing definitions of QoL, as well as the instruments used to measure QoL.
机译:摘要在过去的几十年里,已经创造了许多仪器中老年人来衡量生活(生活质量)的质量,特别是对患有老年痴呆症的个体干预研究。然而,由于生活质量的定义在整个研究文献缺乏标准化,如何的问题,以全面地捕捉难以捉摸和广泛的概念,如生活质量仍然存在。本研究采用定性内容分析,探讨定义和生活质量的领域朝向的重叠和空白的眼睛。生活质量的定义是从老年学百科全书的条目和其他同行评议的补充资源中提取和使用Dedoose定性软件主题进行分析。结果表明3涵盖范围广泛的主题:没有标准化或生活质量,使用的主观和客观因素测量普遍定义,和生活质量的变化的结构域。此外,我们进一步蒸馏主题三到识别八个不同的生活质量领域:1)经济/金融,2)环境,3)ADL / IADL功能,4)参与活动,5)个人资源,6)身体健康,7)心理福祉,和8)社会/关系,总其中在生活质量的15所定义一个才被发现。总体而言,结果导致生活质量的总体定义,跨多个维度和因素削减。我们认为,通过使所有8项我们的理解和生活质量的测量增强,从而提高生活质量我们的现有定义,以及用于衡量生活质量的手段进行评估。

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