Measurement of Quality of Life in the Frail Elderly

Publisher Summary This chapter reviews the literature on quality of life measures with a focus on those measures that are appropriate for use in the frail elderly. First, the literature is reviewed to determine whether there is consensus on a definition of quality of life and to define quality of life. An outline of the characteristics of measures is presented, highlighting the aspects of those characteristics that make a measure more or less desirable for assessing quality of life in the frail elderly. The chapter discusses and critically reviews several measures of quality of life that are currently available to determine the extent to which they are practical for use in the frail elderly. In order for a quality of life measure to be used, it must be practical for administration in the population of interest. Aspects of practicality to consider include the burden placed on respondents, the choice of respondent, the method of administration and likely refusal rates or rates of missing data.

[1]  C. Berry,et al.  Internal Consistency Analysis: a method for studying the accuracy of function assessment for health outcome and quality of life evaluation. , 1988, Journal of clinical epidemiology.

[2]  B. Ferrell,et al.  Quality of life as an outcome variable in the management of cancer pain , 1989, Cancer.

[3]  S. Wood-Dauphinée,et al.  Assessment of global function: The Reintegration to Normal Living Index. , 1988, Archives of physical medicine and rehabilitation.

[4]  C. Berry,et al.  Classifying Function for Health Outcome and Quality-of-life Evaluation: Self- Versus Interviewer Modes , 1986, Medical care.

[5]  J. Ware,et al.  Choosing measures of health status for individuals in general populations. , 1981, American journal of public health.

[6]  R H Brook,et al.  Advances in the Measurement of Functional Status: Construction of Aggregate Indexes , 1981, Medical care.

[7]  R. Uhlmann,et al.  Quality of life in chronic diseases: perceptions of elderly patients. , 1988, Journal of gerontology.

[8]  M. Bergner,et al.  The Sickness Impact Profile: Development and Final Revision of a Health Status Measure , 1981, Medical care.

[9]  R M Kaplan,et al.  A general health policy model: update and applications. , 1988, Health services research.

[10]  D J Balaban,et al.  Weights for Scoring the Quality of Well-being Instrument Among Rheumatoid Arthritics: A Comparison to General Population Weights , 1986, Medical care.

[11]  W. M. Gill Subjective well-being: properties of an instrument for measuring this (in the chronically ill). , 1984, Social science & medicine.

[12]  L. Cronbach Coefficient alpha and the internal structure of tests , 1951 .

[13]  A. Stewart,et al.  The MOS short-form general health survey. Reliability and validity in a patient population. , 1988, Medical care.

[14]  G. Maddox,et al.  Self-assessment of health: a longitudinal study of elderly subjects. , 1973, Journal of health and social behavior.

[15]  J. C. Flanagan Measurement of quality of life: current state of the art. , 1982, Archives of physical medicine and rehabilitation.

[16]  C. Berry,et al.  Interday reliability of function assessment for a health status measure. The Quality of Well-Being scale. , 1989, Medical care.

[17]  Robert M. Kaplan,et al.  Health-Related Quality of Life Measurement for Evaluation Research and Policy Analysis , 1982 .