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Influences on health related quality of life in community dwelling adults aged 60 years and over.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Influences on health related quality of life in community dwelling adults aged 60 years and over./
作者:	Greenberger, Hilary Beth.
面頁冊數:	205 p.
附註:	Source: Dissertation Abstracts International, Volume: 67-08, Section: B, page: 4371.
Contained By:	Dissertation Abstracts International67-08B.
標題:	Gerontology. -
電子資源:	Download PDF (下載PDF全文)
ISBN:	9780542810404

Influences on health related quality of life in community dwelling adults aged 60 years and over.
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245 1 0 $a Influences on health related quality of life in community dwelling adults aged 60 years and over.
300 $a 205 p.
500 $a Source: Dissertation Abstracts International, Volume: 67-08, Section: B, page: 4371.
500 $a Adviser: Daniel Riddle.
502 $a Thesis (Ph.D.)--Virginia Commonwealth University, 2006.
520 $a Interest in patient-reported health care outcomes such as health related quality of life (HRQL) has increased dramatically over the past two decades. Typically, HRQL has been conceptualized as having at least three domains: physical, psychological, and social functioning. Although research has attempted to identify factors that influence HRQL, few studies have simultaneously examined how various factors impact HRQL in the elderly. The purpose of this study was to develop and test a causal model to identify factors influencing HRQL. The constructs and observed variables hypothesized to influence HRQL included medical burden, housing satisfaction, socioeconomic status, religion/spirituality, age, gender, and marital status.
520 $a Three hundred and sixty three (363) participants were drawn from a random sample of community dwelling elderly living in Tompkins County, NY (mean age, 74.9; SD, 8.5; range 60--103). Tompkins County is located in central NY, and home to a large university and mid-size college.
520 $a This study was a non-experimental retrospective design using secondary survey data from the "Pathways to Life Quality" study. Using confirmatory factor analysis, a measurement model of HRQL was tested and validated. The final HRQL model was defined by four constructs: general health perception, physical functioning, psychological functioning, and social functioning. Once this model was validated, structural equation modeling was used to test the full model examining factors influencing HRQL. Several goodness-of-fit indices were used to assess model fit. Modification indices were used to provide clues as to what changes would be appropriate to improve model fit. Respecifications to the model were based on theoretical rationale.
520 $a Greater levels of medical burden, increased frequency of attendance at religious events, and increased satisfaction with housing significantly influenced HRQL (p < .001, p = .005, p < .001, respectively). Socioeconomic status, age, gender, and marital status did not have a significant effect on HRQL. However, in an a posteriori analysis, greater ease in meeting monthly payments was associated with higher levels of HRQL. Age was indirectly associated with HRQL through its relationship with medical burden. When financial abilities and age were included in the full model, 46% of the variance in HRQL was explained. Therefore, medical burden, housing satisfaction, religion and financial abilities appear to independently influence HRQL. Other demographic variables including gender, age, and marital status do not have a direct effect on HRQL.
520 $a The results of this study suggest that there are other constructs and variables particularly salient and that directly influence HRQL in older community dwelling adults. These variables and constructs should be accounted for when conducting randomized clinical trials and cohort studies examining HRQL outcomes in older adults.
590 $a School code: 2383.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Public Health. $3 1000006002
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710 2 0 $a Virginia Commonwealth University. $3 1000006025
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791 $a Ph.D.
792 $a 2006
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