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Published in: Quality of Life Research 2/2021

Open Access 01-02-2021 | Care

Developing dimensions for a new preference-based quality of life instrument for older people receiving aged care services in the community

Authors: Jenny Cleland, Claire Hutchinson, Candice McBain, Ruth Walker, Rachel Milte, Jyoti Khadka, Julie Ratcliffe

Published in: Quality of Life Research | Issue 2/2021

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Abstract

Purpose

To identify the salient quality of life characteristics relevant to older people in receipt of community aged care services in order to develop dimensions for a draft descriptive system for a new preference-based quality of life instrument.

Methods

Forty-one in-depth semi-structured interviews were undertaken with older people (65 years and over) receiving community aged care services across three Australian states to explore quality of life characteristics of importance to them. The data were analysed using framework analysis to extract broader themes which were organised into a conceptual framework. The data were then summarised into a thematic chart to develop a framework matrix which was used to interpret and synthesise the data. Care was taken throughout to retain the language that older people had adopted during the interviews to ensure that appropriate language was used when identifying and developing the quality of life dimensions.

Results

The analysis resulted in the identification of five salient quality of life dimensions: independence, social connections, emotional well-being, mobility, and activities.

Conclusion

This research finds that quality of life for older people accessing aged care services goes beyond health-related quality of life and incorporates broader aspects that transcend health. The findings represent the first stage in a multiphase project working in partnership with older people to develop a new preference-based instrument of quality of life for informing quality assessment and economic evaluation in community aged care. In future work, draft items will be developed from these dimensions and tested in face validity interviews before progressing to further psychometric testing.
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Metadata
Title
Developing dimensions for a new preference-based quality of life instrument for older people receiving aged care services in the community
Authors
Jenny Cleland
Claire Hutchinson
Candice McBain
Ruth Walker
Rachel Milte
Jyoti Khadka
Julie Ratcliffe
Publication date
01-02-2021
Publisher
Springer International Publishing
Keyword
Care
Published in
Quality of Life Research / Issue 2/2021
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02649-5

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