Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Health-related quality of life and related factors among a sample of older people with cognitive impairment
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0002-5135-0452
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-4312-2246
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0001-9870-8477
Show others and affiliations
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 849-859Article in journal (Refereed) Published
Abstract [en]

Aim: This study aimed to identify factors affecting health-related quality of life (HRQoL) of older adults with cognitive impairment and to describe the association of these factors with different components of HRQoL. Design: A cross-sectional, descriptive research design was used. Methods: Data were collected from 247 individuals aged 60 years and older from a Swedish longitudinal cohort study. The Short-Form Health Survey-12 (SF-12) and EuroQol (EQ-5D) were used to assess HRQoL. The data were analysed using descriptive and comparative statistics. Results: The present study identified several factors that influenced HRQoL of older adults with cognitive impairment. The results of a multiple logistic regression analysis revealed that the following factors were associated with physical and mental HRQoL: dependency in activities of daily living (ADL), receiving informal care and feelings of loneliness and pain. © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd , 2019. Vol. 6, no 3, p. 849-859
Keywords [en]
ageing, cognitive impairment, EuroQol, health-related quality of life, Short-Form Health Survey-12
National Category
Nursing
Identifiers
URN: urn:nbn:se:bth-18618DOI: 10.1002/nop2.265ISI: 000476917700022Scopus ID: 2-s2.0-85069794910OAI: oai:DiVA.org:bth-18618DiVA, id: diva2:1349886
Note

open access

Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2022-01-11Bibliographically approved
In thesis
1. Using Mobile Health Technology to Support Health-related Quality of Life: From the Perspective of Older Adults with Cognitive Impairment
Open this publication in new window or tab >>Using Mobile Health Technology to Support Health-related Quality of Life: From the Perspective of Older Adults with Cognitive Impairment
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The prevalence of cognitive impairment and illness increases with age. For older adults, maintaining or improving health-related quality of life (HRQoL) in the early stages of cognitive impairment is important to prevent consequences related to the progression of the condition. This thesis aims to identify factors affecting HRQoL and describe how mHealth technology can support HRQoL in older adults with cognitive impairment.

Four studies were conducted using quantitative and qualitative approaches. A cross-sectional design was used to identify factors affecting older adults’ HRQoL (Study I) and investigate the relationship between mHealth technology use and self-rated quality of life (QoL) (Study III). A phenomenographical design was used to describe variations in older adults’ perceptions of mHealth technology and its impact on HRQoL (Study II). A prospective longitudinal design was used to examine older adults’ HRQoL changes over time (Study IV).

Participants were selected from two longitudinal population studies using a purposive sampling strategy to include those aged 55 years and above with mild cognitive impairment or mild dementia. Data were obtained from questionnaires and semi-structured interviews. Data from the quantitative studies were analysed using statistical analysis, including descriptive and comparative analysis and regression analysis, while data from the qualitative study were examined using phenomenographical analysis in consecutive steps.

The results showed that most older adults experienced good HRQoL with regard to both physical and mental health. The likelihood of having good-to-excellent QoL increased with age and was higher among males and those with higher education levels. Those diagnosed with dementia reported poorer HRQoL. Factors associated with low HRQoL included dependency in activities of daily living, receiving informal care and feelings of loneliness and pain. The use of mHealth technology was perceived as supportive in maintaining social interactions and facilitating independent living. The technology literacy levels among the study sample varied significantly. Those who reported having moderate-to-high technical skills and using the internet regularly via mHealth technology had higher odds of experiencing good-to-excellent QoL. No significant changes were observed in the older adults’ HRQoL over time in relation to the non-use and use of a customized mHealth application.

The indicators of HRQoL are clinically relevant for the secondary prevention of dementia to help maintain good HRQoL in older adults with incipient cognitive impairment. The technology-related differences reflect the risk of digital exclusion. To improve preconditions for being digitally involved in society, societal initiatives that aim to empower the technology literacy level of older adults are needed.

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2022
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 2022:01
Keywords
Aging, Cognitive Impairment, Cohort Studies, Dementia, Gerontechnology, Health-related Quality of Life, Independent Living, Mental Health, Mobile Health, Phenomenography, Quality of Life, Telemedicine
National Category
Nursing
Research subject
Applied Health Technology
Identifiers
urn:nbn:se:bth-22553 (URN)978-91-7295-435-9 (ISBN)
Public defence
2022-02-25, J1630, Valhallavägen 1, 371 41 Karlskrona, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2022-01-12 Created: 2022-01-11 Last updated: 2022-01-26Bibliographically approved

Open Access in DiVA

fulltext(547 kB)180 downloads
File information
File name FULLTEXT01.pdfFile size 547 kBChecksum SHA-512
2dd59d059c05350c14c02becd42b4cfe4edb1d68eec18a664b4e58ec8b98c661efa1a4e2d6a4d7ed31ef2422bc1c63bcfcfb0b5ea435301d3c8f6f87f08ed30b
Type fulltextMimetype application/pdf

Other links

Publisher's full textScopus

Authority records

Christiansen, LineSanmartin Berglund, JohanLindberg, CatharinaAnderberg, PeterSkär, Lisa

Search in DiVA

By author/editor
Christiansen, LineSanmartin Berglund, JohanLindberg, CatharinaAnderberg, PeterSkär, Lisa
By organisation
Department of Health
In the same journal
Nursing Open
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 180 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 566 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf