Document Detail

Factors associated with quality of life and caregiver strain amongst frail older adults referred to a community rehabilitation service: implications for service delivery.
MedLine Citation:
PMID:  20977392     Owner:  NLM     Status:  In-Data-Review    
Purpose. To identify factors contributing to reduced quality of life and increased caregiver strain in an older population referred to a community rehabilitation team and to recommend service delivery models. Methods. Analytical cross-sectional study arising from baseline assessments from 107 subjects drawn from a randomised controlled trial of community rehabilitation service delivery models. Setting. A community rehabilitation team based in Brisbane, Queensland, Australia. Measures. Primary outcome variables include quality of life (EQ-5D & VAS) and Carer Strain Index. Predictor variables include participation in functional activities, history of falls, number of medications, number of co-morbidities, depression, environmental hazards, physical function and nutrition. Association between variables assessed using linear regression. Results. Major factors contributing to reduced quality of life were having reduced participation in daily activities, depression, and having poor vision. Having poor nutrition and no longer driving also contributed to poor quality of life. The major factor contributing to increased caregiver strain was reduced participation in daily activities by the older person. Conclusions. Community rehabilitation services working with older populations must adopt models of care that screen for and address a wide range of factors that contribute to poor quality of life and caregiver strain.
Tracy A Comans; Michelle L Currin; Sandra G Brauer; Terry P Haines
Publication Detail:
Type:  Journal Article     Date:  2010-10-27
Journal Detail:
Title:  Disability and rehabilitation     Volume:  33     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1215-21     Citation Subset:  IM    
School of Medicine, Griffith University, University Drive, Brisbane, Australia.
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