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Gepubliceerd in: Quality of Life Research 11/2020

06-07-2020

Activities of daily living, life orientation, and health-related quality of life among older people in nursing homes: a national cross-sectional study in China

Auteurs: Junling Li, Xueying Xu, Jinbin Sun, Weijie Cai, Tiantian Qin, Mingcheng Wu, Hongbo Liu

Gepubliceerd in: Quality of Life Research | Uitgave 11/2020

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Abstract

Purpose

This study aimed to explore the current status of activities of daily living (ADLs), life orientation, and health-related quality of life (HRQoL) among older people in nursing homes and to further examine the mediating role of life orientation in the impact of ADLs on HRQoL.

Methods

A national cross-sectional study was conducted among older people aged 60 and above in nursing homes by the randomly stratified cluster sampling method. The status of ADLs, life orientation and HRQoL were measured using an ADL scale, a life orientation scale and the SF-12v2 scale, respectively. Multiple linear regression models were used to identify explanatory factors associated with ADLs, life orientation, and HRQoL. The potential mediating role of life orientation in the relationship between ADL and HRQoL was explored by mediation analysis.

Results

The overall prevalence of ADL disability was 52.67%, and 84.37% of older people in nursing homes had a negative life orientation. The mean scores of physical health and mental health among older people in nursing homes were 45.44 ± 6.46 and 42.67 ± 8.48, respectively. Some sociodemographic characteristics were associated with poor physical health and mental health. After adjustments were made for covariates, the life orientation score mediated 13.81% of the total effect of the ADL score on physical component score of HRQoL and mediated 45.33% of the mental component score of HRQoL.

Conclusion

A sizeable proportion of older people had ADL disability and negative life orientation, and HRQoL was poor among older Chinese people in nursing homes. Life orientation partially mediates the relationship between ADLs and HRQoL.
Literatuur
2.
go back to reference Prince, M. J., Wu, F., Guo, Y., Gutierrez Robledo, L. M., O'Donnell, M., Sullivan, R., et al. (2015). The burden of disease in older people and implications for health policy and practice. Lancet, 385(9967), 549–562. CrossRefPubMed Prince, M. J., Wu, F., Guo, Y., Gutierrez Robledo, L. M., O'Donnell, M., Sullivan, R., et al. (2015). The burden of disease in older people and implications for health policy and practice. Lancet, 385(9967), 549–562. CrossRefPubMed
3.
go back to reference Duan, W., Zheng, A., Mu, X., Li, M., Liu, C., Huang, W., et al. (2017). How great is the medical burden of disease on the aged? Research based on "System of Health Account 2011". Health Qual Life Outcomes, 15(1), 134. CrossRefPubMed Duan, W., Zheng, A., Mu, X., Li, M., Liu, C., Huang, W., et al. (2017). How great is the medical burden of disease on the aged? Research based on "System of Health Account 2011". Health Qual Life Outcomes, 15(1), 134. CrossRefPubMed
4.
go back to reference Skirbekk, V. F., Staudinger, U. M., & Cohen, J. E. (2019). How to measure population aging? The answer is less than obvious: A review. Gerontology, 65(2), 136–144. CrossRefPubMed Skirbekk, V. F., Staudinger, U. M., & Cohen, J. E. (2019). How to measure population aging? The answer is less than obvious: A review. Gerontology, 65(2), 136–144. CrossRefPubMed
5.
go back to reference Jin, C., Zheng, Z., Xian, W., Bai, M., Jin, L., Li, Y., et al. (2017). Gender differences in positive life orientation among the nursing home elders in China: A cross-sectional study. Archives of Gerontology and Geriatrics, 72, 86–90. CrossRefPubMed Jin, C., Zheng, Z., Xian, W., Bai, M., Jin, L., Li, Y., et al. (2017). Gender differences in positive life orientation among the nursing home elders in China: A cross-sectional study. Archives of Gerontology and Geriatrics, 72, 86–90. CrossRefPubMed
6.
go back to reference Arrieta, H., Rezola-Pardo, C., Echeverria, I., Iturburu, M., Gil, S. M., Yanguas, J. J., et al. (2018). Physical activity and fitness are associated with verbal memory, quality of life and depression among nursing home residents: Preliminary data of a randomized controlled trial. BMC Geriatr, 18(1), 80. CrossRefPubMed Arrieta, H., Rezola-Pardo, C., Echeverria, I., Iturburu, M., Gil, S. M., Yanguas, J. J., et al. (2018). Physical activity and fitness are associated with verbal memory, quality of life and depression among nursing home residents: Preliminary data of a randomized controlled trial. BMC Geriatr, 18(1), 80. CrossRefPubMed
7.
go back to reference Noel-Miller, C. (2010). Spousal loss, children, and the risk of nursing home admission. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65(3), 370–380. CrossRef Noel-Miller, C. (2010). Spousal loss, children, and the risk of nursing home admission. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65(3), 370–380. CrossRef
8.
go back to reference Paque, K., Goossens, K., Elseviers, M., Van Bogaert, P., & Dilles, T. (2017). Autonomy and social functioning of recently admitted nursing home residents. Aging Ment Health, 21(9), 910–916. CrossRefPubMed Paque, K., Goossens, K., Elseviers, M., Van Bogaert, P., & Dilles, T. (2017). Autonomy and social functioning of recently admitted nursing home residents. Aging Ment Health, 21(9), 910–916. CrossRefPubMed
9.
go back to reference Scocco, P., & Nassuato, M. (2017). The role of social relationships among elderly community-dwelling and nursing-home residents: findings from a quality of life study. Psychogeriatrics, 17(4), 231–237. CrossRefPubMed Scocco, P., & Nassuato, M. (2017). The role of social relationships among elderly community-dwelling and nursing-home residents: findings from a quality of life study. Psychogeriatrics, 17(4), 231–237. CrossRefPubMed
11.
go back to reference Xiao, H., Yoon, J. Y., & Bowers, B. (2017). Quality of life of nursing home residents in China: A mediation analysis. Nurs Health Sci, 19(2), 149–156. CrossRefPubMed Xiao, H., Yoon, J. Y., & Bowers, B. (2017). Quality of life of nursing home residents in China: A mediation analysis. Nurs Health Sci, 19(2), 149–156. CrossRefPubMed
12.
go back to reference Jalali-Farahani, S., Amiri, P., Karimi, M., Vahedi-Notash, G., Amirshekari, G., & Azizi, F. (2018). Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose study. Health Qual Life Outcomes, 16(1), 90. CrossRefPubMed Jalali-Farahani, S., Amiri, P., Karimi, M., Vahedi-Notash, G., Amirshekari, G., & Azizi, F. (2018). Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose study. Health Qual Life Outcomes, 16(1), 90. CrossRefPubMed
13.
go back to reference Talarska, D., Tobis, S., Kotkowiak, M., Strugala, M., Stanislawska, J., & Wieczorowska-Tobis, K. (2018). Determinants of quality of life and the need for support for the elderly with good physical and mental functioning. Medical Science Monitor, 24, 1604–1613. CrossRefPubMed Talarska, D., Tobis, S., Kotkowiak, M., Strugala, M., Stanislawska, J., & Wieczorowska-Tobis, K. (2018). Determinants of quality of life and the need for support for the elderly with good physical and mental functioning. Medical Science Monitor, 24, 1604–1613. CrossRefPubMed
14.
go back to reference Jung, S., Lee, S. M., Suh, D., Shin, H. T., & Suh, D. C. (2018). The association of socioeconomic and clinical characteristics with health-related quality of life in patients with psoriasis: A cross-sectional study. Health Qual Life Outcomes, 16(1), 180. CrossRefPubMed Jung, S., Lee, S. M., Suh, D., Shin, H. T., & Suh, D. C. (2018). The association of socioeconomic and clinical characteristics with health-related quality of life in patients with psoriasis: A cross-sectional study. Health Qual Life Outcomes, 16(1), 180. CrossRefPubMed
15.
go back to reference Gutierrez-Vega, M., Esparza-Del Villar, O. A., Carrillo-Saucedo, I. C., & Montanez-Alvarado, P. (2018). The possible protective effect of marital status in quality of life among elders in a U.S.-Mexico border city. Community Mental Health Journal, 54(4), 480–484. CrossRefPubMed Gutierrez-Vega, M., Esparza-Del Villar, O. A., Carrillo-Saucedo, I. C., & Montanez-Alvarado, P. (2018). The possible protective effect of marital status in quality of life among elders in a U.S.-Mexico border city. Community Mental Health Journal, 54(4), 480–484. CrossRefPubMed
16.
go back to reference Lyu, W., & Wolinsky, F. D. (2017). The onset of ADL difficulties and changes in health-related quality of life. Health Qual Life Outcomes, 15(1), 217. CrossRefPubMed Lyu, W., & Wolinsky, F. D. (2017). The onset of ADL difficulties and changes in health-related quality of life. Health Qual Life Outcomes, 15(1), 217. CrossRefPubMed
17.
go back to reference Neo, J., Fettes, L., Gao, W., Higginson, I. J., & Maddocks, M. (2017). Disability in activities of daily living among adults with cancer: A systematic review and meta-analysis. Cancer Treatment Reviews, 61, 94–106. CrossRefPubMed Neo, J., Fettes, L., Gao, W., Higginson, I. J., & Maddocks, M. (2017). Disability in activities of daily living among adults with cancer: A systematic review and meta-analysis. Cancer Treatment Reviews, 61, 94–106. CrossRefPubMed
18.
go back to reference Fagerstrom, L. (2010). Positive life orientation-an inner health resource among older people. Scandinavian Journal of Caring Sciences, 24(2), 349–356. CrossRef Fagerstrom, L. (2010). Positive life orientation-an inner health resource among older people. Scandinavian Journal of Caring Sciences, 24(2), 349–356. CrossRef
19.
go back to reference Eloranta, S., Arve, S., Lavonius, S., et al. (2012). Positive life orientation in old age: A 15-year follow-up. Archives of Gerontology and Geriatrics, 55(3), 586–591. CrossRef Eloranta, S., Arve, S., Lavonius, S., et al. (2012). Positive life orientation in old age: A 15-year follow-up. Archives of Gerontology and Geriatrics, 55(3), 586–591. CrossRef
20.
go back to reference Azemati, B., Heshmat, R., Sanaei, M., Salehi, F., Sadeghi, F., Ghaderpanahi, M., et al. (2013). Nutritional knowledge, attitude and practice of Iranian households and primary health care staff: NUTRIKAP Survey. Journal of Diabetes Metabolic Disorders, 12(1), 12. CrossRefPubMed Azemati, B., Heshmat, R., Sanaei, M., Salehi, F., Sadeghi, F., Ghaderpanahi, M., et al. (2013). Nutritional knowledge, attitude and practice of Iranian households and primary health care staff: NUTRIKAP Survey. Journal of Diabetes Metabolic Disorders, 12(1), 12. CrossRefPubMed
21.
22.
go back to reference Su, S. W., & Wang, D. (2019). Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: A cross-sectional study. Quality of Life Research, 28(5), 1293–1303. CrossRefPubMed Su, S. W., & Wang, D. (2019). Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: A cross-sectional study. Quality of Life Research, 28(5), 1293–1303. CrossRefPubMed
23.
go back to reference Cheshmberah, A., Hoseini, M., Shojaee Zadeh, D., & Moghimi-Dehkordi, B. (2014). Determinants of physical health of older people in Iran. International Scholarly Research Notices, 2014, 1–5. CrossRef Cheshmberah, A., Hoseini, M., Shojaee Zadeh, D., & Moghimi-Dehkordi, B. (2014). Determinants of physical health of older people in Iran. International Scholarly Research Notices, 2014, 1–5. CrossRef
24.
go back to reference Lai, C. K. Y., Leung, D. D. M., Kwong, E. W. Y., & Lee, R. L. P. (2015). Factors associated with the quality of life of nursing home residents in Hong Kong. International Nursing Review, 62(1), 120–129. CrossRefPubMed Lai, C. K. Y., Leung, D. D. M., Kwong, E. W. Y., & Lee, R. L. P. (2015). Factors associated with the quality of life of nursing home residents in Hong Kong. International Nursing Review, 62(1), 120–129. CrossRefPubMed
25.
go back to reference Hall, S., Opio, D., Dodd, R. H., & Higginson, I. J. (2011). Assessing quality-of-life in older people in care homes. Age and Ageing, 40(4), 507–512. CrossRefPubMed Hall, S., Opio, D., Dodd, R. H., & Higginson, I. J. (2011). Assessing quality-of-life in older people in care homes. Age and Ageing, 40(4), 507–512. CrossRefPubMed
26.
go back to reference Xie, F., Jiang, X., Yuan, F., Chen, X., Yuan, Z., & Lu, Y. (2018). Impact of the new cooperative medical scheme on the rural residents’ hospitalization medical expenses: a five-year survey study for the Jiangxi Province in China. International journal of environmental research and public health, 15(7), 1368. CrossRef Xie, F., Jiang, X., Yuan, F., Chen, X., Yuan, Z., & Lu, Y. (2018). Impact of the new cooperative medical scheme on the rural residents’ hospitalization medical expenses: a five-year survey study for the Jiangxi Province in China. International journal of environmental research and public health, 15(7), 1368. CrossRef
27.
go back to reference Huo, T., Guo, Y., Shenkman, E., & Muller, K. (2018). Assessing the reliability of the short form 12 (SF-12) health survey in adults with mental health conditions: a report from the wellness incentive and navigation (WIN) study. Health Qual Life Outcomes, 16(1), 34. CrossRefPubMed Huo, T., Guo, Y., Shenkman, E., & Muller, K. (2018). Assessing the reliability of the short form 12 (SF-12) health survey in adults with mental health conditions: a report from the wellness incentive and navigation (WIN) study. Health Qual Life Outcomes, 16(1), 34. CrossRefPubMed
28.
go back to reference Ware, J. E., Kosinski, M., & Keller, S. D. (1995). SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales (2nd ed.). Boston: The Health Institute, New England Medical Center. Ware, J. E., Kosinski, M., & Keller, S. D. (1995). SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales (2nd ed.). Boston: The Health Institute, New England Medical Center.
29.
go back to reference Shou, J., Ren, L., Wang, H., Yan, F., Cao, X., Wang, H., et al. (2016). Reliability and validity of 12-item Short-Form health survey (SF-12) for the health status of Chinese community elderly population in Xujiahui district of Shanghai. Aging Clinical and Experimental Research, 28(2), 339–346. CrossRefPubMed Shou, J., Ren, L., Wang, H., Yan, F., Cao, X., Wang, H., et al. (2016). Reliability and validity of 12-item Short-Form health survey (SF-12) for the health status of Chinese community elderly population in Xujiahui district of Shanghai. Aging Clinical and Experimental Research, 28(2), 339–346. CrossRefPubMed
30.
go back to reference Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6(3), 493–508. CrossRefPubMed Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6(3), 493–508. CrossRefPubMed
31.
go back to reference Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186. CrossRefPubMed Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179–186. CrossRefPubMed
32.
go back to reference Sjölund, B. M., Wimo, A., Qiu, C., Engström, M., & von Strauss, E. (2014). Time trends in prevalence of activities of daily living (ADL) disability and survival: comparing two populations (aged 78+ years) living in a rural area in Sweden. Archives of Gerontology and Geriatrics, 58(3), 370–375. CrossRefPubMed Sjölund, B. M., Wimo, A., Qiu, C., Engström, M., & von Strauss, E. (2014). Time trends in prevalence of activities of daily living (ADL) disability and survival: comparing two populations (aged 78+ years) living in a rural area in Sweden. Archives of Gerontology and Geriatrics, 58(3), 370–375. CrossRefPubMed
33.
go back to reference Liu, Y. B., Xue, L. L., Xue, H. P., & Hou, P. (2018). Health literacy, physical and mental health, and activities of daily living among older Chinese adults in nursing homes. Asia-Pacific Journal of Public Health, 30(6), 592–599. CrossRefPubMed Liu, Y. B., Xue, L. L., Xue, H. P., & Hou, P. (2018). Health literacy, physical and mental health, and activities of daily living among older Chinese adults in nursing homes. Asia-Pacific Journal of Public Health, 30(6), 592–599. CrossRefPubMed
34.
go back to reference Tilvis, R. S., Laitala, V., Routasalo, P., Strandberg, T. E., & Pitkala, K. H. (2012). Positive life orientation predicts good survival prognosis in old age. Archives of Gerontology and Geriatrics, 55(1), 133–137. CrossRefPubMed Tilvis, R. S., Laitala, V., Routasalo, P., Strandberg, T. E., & Pitkala, K. H. (2012). Positive life orientation predicts good survival prognosis in old age. Archives of Gerontology and Geriatrics, 55(1), 133–137. CrossRefPubMed
35.
go back to reference Chu, C. H., Puts, M., Brooks, D., Parry, M., & McGilton, K. S. (2018). A Feasibility study of a multifaceted walking intervention to maintain the functional mobility, activities of daily living, and quality of life of nursing home residents with dementia. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurse. https://​doi.​org/​10.​1097/​rnj.​0000000000000186​. CrossRef Chu, C. H., Puts, M., Brooks, D., Parry, M., & McGilton, K. S. (2018). A Feasibility study of a multifaceted walking intervention to maintain the functional mobility, activities of daily living, and quality of life of nursing home residents with dementia. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurse. https://​doi.​org/​10.​1097/​rnj.​0000000000000186​. CrossRef
36.
go back to reference Tanuseputro, P., Hsu, A., Kuluski, K., Chalifoux, M., Donskov, M., Beach, S., et al. (2017). Level of need, divertibility, and outcomes of newly admitted nursing home residents. Journal of the American Medical Directors Association, 18(7), 616–623. CrossRefPubMed Tanuseputro, P., Hsu, A., Kuluski, K., Chalifoux, M., Donskov, M., Beach, S., et al. (2017). Level of need, divertibility, and outcomes of newly admitted nursing home residents. Journal of the American Medical Directors Association, 18(7), 616–623. CrossRefPubMed
37.
go back to reference Steves, C. J., Spector, T. D., & Jackson, S. H. (2012). Ageing, genes, environment and epigenetics: what twin studies tell us now, and in the future. Age and Ageing, 41(5), 581–586. CrossRefPubMed Steves, C. J., Spector, T. D., & Jackson, S. H. (2012). Ageing, genes, environment and epigenetics: what twin studies tell us now, and in the future. Age and Ageing, 41(5), 581–586. CrossRefPubMed
38.
go back to reference Crocker, T., Young, J., Forster, A., Brown, L., Ozer, S., & Greenwood, D. C. (2013). The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: Systematic review with meta-analysis. Age and Ageing, 42(6), 682–688. CrossRefPubMed Crocker, T., Young, J., Forster, A., Brown, L., Ozer, S., & Greenwood, D. C. (2013). The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: Systematic review with meta-analysis. Age and Ageing, 42(6), 682–688. CrossRefPubMed
39.
go back to reference Shou J, Du Z, Wang H, Ren L, Liu Y, Zhu S. (2018). Quality of life and its contributing factors in an elderly community-dwelling population in shanghai, China. Psychogeriatrics. Shou J, Du Z, Wang H, Ren L, Liu Y, Zhu S. (2018). Quality of life and its contributing factors in an elderly community-dwelling population in shanghai, China. Psychogeriatrics.
40.
go back to reference Huang, H., Liu, S., Cui, X., Zhang, J., & Wu, H. (2018). Factors associated with quality of life among married women in rural China: A cross-sectional study. Quality of Life Research, 27(12), 3255–3263. CrossRefPubMed Huang, H., Liu, S., Cui, X., Zhang, J., & Wu, H. (2018). Factors associated with quality of life among married women in rural China: A cross-sectional study. Quality of Life Research, 27(12), 3255–3263. CrossRefPubMed
41.
go back to reference Machon, M., Larranaga, I., Dorronsoro, M., Vrotsou, K., & Vergara, I. (2017). Health-related quality of life and associated factors in functionally independent older people. BMC Geriatrics, 17(1), 19. CrossRefPubMed Machon, M., Larranaga, I., Dorronsoro, M., Vrotsou, K., & Vergara, I. (2017). Health-related quality of life and associated factors in functionally independent older people. BMC Geriatrics, 17(1), 19. CrossRefPubMed
42.
go back to reference Hoile, V., Chuc, N. T., & Lindholm, L. (2010). Health-related quality of life, and its determinants, among older people in rural Vietnam. BMC Public Health, 10(1), 549. CrossRef Hoile, V., Chuc, N. T., & Lindholm, L. (2010). Health-related quality of life, and its determinants, among older people in rural Vietnam. BMC Public Health, 10(1), 549. CrossRef
43.
go back to reference Akhtari-Zavare, M., Mohd-Sidik, S., Periasamy, U., Rampal, L., Fadhilah, S. I., & Mahmud, R. (2018). Determinants of quality of life among Malaysian cancer patients: A cross-sectional study. Health Qual Life Outcomes, 16(1), 163. CrossRefPubMed Akhtari-Zavare, M., Mohd-Sidik, S., Periasamy, U., Rampal, L., Fadhilah, S. I., & Mahmud, R. (2018). Determinants of quality of life among Malaysian cancer patients: A cross-sectional study. Health Qual Life Outcomes, 16(1), 163. CrossRefPubMed
44.
go back to reference Zhou, J., & Hearst, N. (2016). Health-related quality of life of among elders in rural China: The effect of widowhood. Quality of Life Research, 25(12), 3087–3095. CrossRefPubMed Zhou, J., & Hearst, N. (2016). Health-related quality of life of among elders in rural China: The effect of widowhood. Quality of Life Research, 25(12), 3087–3095. CrossRefPubMed
45.
go back to reference Gonzalez-Saenz de Tejada, M., Bilbao, A., Baré, M., Briones, E., Sarasqueta, C., Quintana, J. M., et al. (2017). Association between social support, functional status, and change in health-related quality of life and changes in anxiety and depression in colorectal cancer patients. Psycho-Oncology, 26(9), 1263–1269. CrossRefPubMed Gonzalez-Saenz de Tejada, M., Bilbao, A., Baré, M., Briones, E., Sarasqueta, C., Quintana, J. M., et al. (2017). Association between social support, functional status, and change in health-related quality of life and changes in anxiety and depression in colorectal cancer patients. Psycho-Oncology, 26(9), 1263–1269. CrossRefPubMed
46.
go back to reference Ćwirlej-Sozańska, A. B., Sozański, B., Wiśniowska-Szurlej, A., & Wilmowska-Pietruszyńska, A. (2018). An assessment of factors related to disability in ADL and IADL in elderly inhabitants of rural areas of south-eastern Poland. Annals of Agricultural and Environmental Medicine, 25(3), 504–511. CrossRefPubMed Ćwirlej-Sozańska, A. B., Sozański, B., Wiśniowska-Szurlej, A., & Wilmowska-Pietruszyńska, A. (2018). An assessment of factors related to disability in ADL and IADL in elderly inhabitants of rural areas of south-eastern Poland. Annals of Agricultural and Environmental Medicine, 25(3), 504–511. CrossRefPubMed
Metagegevens
Titel
Activities of daily living, life orientation, and health-related quality of life among older people in nursing homes: a national cross-sectional study in China
Auteurs
Junling Li
Xueying Xu
Jinbin Sun
Weijie Cai
Tiantian Qin
Mingcheng Wu
Hongbo Liu
Publicatiedatum
06-07-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02571-w

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