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01-09-2016

Quality of life in older individuals with joint contractures in geriatric care settings

Gepubliceerd in: Quality of Life Research | Uitgave 9/2016

Abstract

Purpose

The purpose of this study was to analyze the association between functioning and disability and quality of life (QoL) in older individuals with joint contractures in the geriatric care setting. More specifically, this study aimed to identify determinants of QoL out of a defined set of contracture-related categories of the International Classification of Functioning, Disability and Health (ICF).

Methods

Participants for this multicenter cross-sectional survey were recruited from acute geriatric rehabilitation hospitals, nursing homes, and community nursing facilities in Germany between February and October 2013. QoL was assessed using the validated German version of the EQ-5D index score and the EQ-5D visual analog scale (VAS). Manual and automatic variable selection methods were used to identify the most relevant variables out of 125 contracture-related ICF categories.

Results

A total of 241 eligible participants (34.9 % male, mean age 80.1 years) were included. The final models contained 14 ICF categories as predictors of the EQ-5D index score and 15 categories as predictors of the EQ-5D VAS. The statistically significant ICF categories from both models were ‘muscle power functions (b730),’ ‘memory functions (b144),’ ‘taking care of plants (d6505),’ ‘recreation and leisure (d920),’ ‘religion and spirituality (d930),’ ‘drugs (e1101),’ and ‘products and technology for personal use in daily living (e115).’

Conclusions

We identified the most relevant ICF categories for older individuals with joint contractures and their health-related quality of life. These items describe potential determinants of QoL which may provide the basis for future health interventions aiming to improve QoL for the patients with joint contractures.

vorige artikel Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

volgende artikel Trajectories of quality of life in patients with traumatic limb injury: a 2-year follow-up study

Gnass, I., Bartoszek, G., Thiesemann, R., & Meyer, G. (2010). Joint contractures in older age. A systematic literature review. Zeitschrift fur Gerontologie und Geriatrie, 43(3), 147–157.CrossRefPubMed

Harrington, C. (2009). Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2003 Through 2008. Department of Social and Behavioral Sciences, University of California.

World Health Organisation. (2001). International Classification of Functioning, Disability and Health: ICF. Geneva: WHO.

Bartoszek, G., Fischer, U., von Clarenau, S. C., Grill, E., Mau, W., Meyer, G., et al. (2015). Development of an international classification of functioning, disability and health (ICF)-based standard set to describe the impact of joint contractures on participation of older individuals in geriatric care settings. Archives of Gerontology and Geriatrics, 61(1), 61–66. doi:10.1016/j.archger.2015.03.005.CrossRefPubMed

Fischer, U., Muller, M., Strobl, R., Bartoszek, G., Meyer, G., & Grill, E. (2015). Prevalence of functioning and disability in older patients with joint contractures: a cross-sectional study. European Journal of Physical and Rehabilitation Medicine, 51(3), 269–279.PubMed

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefPubMed

Bilotta, C., Bowling, A., Case, A., Nicolini, P., Mauri, S., Castelli, M., et al. (2010). Dimensions and correlates of quality of life according to frailty status: A cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health and Quality of Life Outcomes, 8, 56. doi:10.1186/1477-7525-8-56.CrossRefPubMedPubMedCentral

Bowling, A., Banister, D., Sutton, S., Evans, O., & Windsor, J. (2002). A multidimensional model of the quality of life in older age. Aging and Mental Health, 6(4), 355–371. doi:10.1080/1360786021000006983.CrossRefPubMed

Dattani, R., Ramasamy, V., Parker, R., & Patel, V. R. (2013). Improvement in quality of life after arthroscopic capsular release for contracture of the shoulder. Bone and Joint Journal, 95(7), 942–946. doi:10.1302/0301-620x.95b7.31197.CrossRefPubMed

10.

Muller, M., Fischer, U., Bartoszek, G., Grill, E., & Meyer, G. (2013). Impact of joint contractures on functioning and social participation in older individuals—development of a standard set (JointConFunctionSet): study protocol. BMC Geriatrics, 13(1), 18. doi:10.1186/1471-2318-13-18.CrossRefPubMedPubMedCentral

11.

Rabin, R., & de Charro, F. (2001). EQ-5D: a measure of health status from the EuroQol group. Annals of Medicine, 33(5), 337–343.CrossRefPubMed

12.

Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care, 35(11), 1095–1108.CrossRefPubMed

13.

World Health Organization (2003). ICF Checklist. Version 2.1a. Clinician Form for International Classification of Functioning, Disability and Health.

14.

Cieza, A., Ewert, T., Ustun, T. B., Chatterji, S., Kostanjsek, N., & Stucki, G. (2004). Development of ICF Core Sets for patients with chronic conditions. Journal of Rehabilitation Medicine, 44 Suppl, 9–11. doi:10.1080/16501960410015353.PubMed

15.

Grill, E., Ewert, T., Chatterji, S., Kostanjsek, N., & Stucki, G. (2005). ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities. Disability and Rehabilitation, 27(7–8), 361–366. doi:10.1080/09638280400013974 [pii].

16.

Fischer, U., Bartoszek, G., Muller, M., Strobl, R., Meyer, G., & Grill, E. (2014). Patients’ view on health-related aspects of functioning and disability of joint contractures: A qualitative interview study based on the international classification of functioning disability and health (ICF). Disability and Rehabilitation,. doi:10.3109/09638288.2014.899634.PubMed

17.

Dalichau, G., Grüner, H., & Müller-Alten, L. (2002). Pflegeversicherung, Sozialgesetzbuch (SGB), Elftes Buch. (XI), Kommentar.

18.

Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The barthel index. Maryland State Medical Journal, 14, 61–65.PubMed

19.

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.CrossRefPubMed

20.

Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935.CrossRefPubMed

21.

EuroQol Group. (1990). EuroQol—a new facility for the measurement of health-related quality of life. Health Policy, 16(3), 199–208.CrossRef

22.

Whynes, D. K. (2008). Correspondence between EQ-5D health state classifications and EQ VAS scores. Health and Quality of Life Outcomes, 6, 94. doi:10.1186/1477-7525-6-94.CrossRefPubMedPubMedCentral

23.

Grandy, S., & Fox, K. M. (2008). EQ-5D visual analog scale and utility index values in individuals with diabetes and at risk for diabetes: Findings from the study to help improve early evaluation and management of risk factors leading to diabetes (SHIELD). Health and Quality of Life Outcomes, 6, 18. doi:10.1186/1477-7525-6-18.CrossRefPubMedPubMedCentral

24.

Parkerson, G. R, Jr, Connis, R. T., Broadhead, W. E., Patrick, D. L., Taylor, T. R., & Tse, C. K. (1993). Disease-specific versus generic measurement of health-related quality of life in insulin-dependent diabetic patients. Medical Care, 31(7), 629–639.CrossRefPubMed

25.

Sapin, C., Fantino, B., Nowicki, M. L., & Kind, P. (2004). Usefulness of EQ-5D in assessing health status in primary care patients with major depressive disorder. Health and Quality of Life Outcomes, 2, 20. doi:10.1186/1477-7525-2-20.CrossRefPubMedPubMedCentral

26.

Grill, E., Gloor-Juzi, T., Huber, E. O., & Stucki, G. (2011). Assessment of functioning in the acute hospital: Operationalisation and reliability testing of ICF categories relevant for physical therapists interventions. Journal of Rehabilitation Medicine, 43(2), 162–173. doi:10.2340/16501977-0642.CrossRefPubMed

27.

Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustun, B., & Stucki, G. (2005). ICF linking rules: An update based on lessons learned. Journal of Rehabilitation Medicine, 37(4), 212–218. doi:10.1080/16501970510040263.CrossRefPubMed

28.

Cieza, A., & Stucki, G. (2005). Content comparison of health-related quality of life (HRQOL) instruments based on the international classification of functioning, disability and health (ICF). Quality of Life Research, 14(5), 1225–1237. doi:10.1007/s11136-004-4773-0.CrossRefPubMed

29.

Cieza, A., Bickenbach, J., & Chatterji, S. (2008). The ICF as a conceptual platform to specify and discuss health and health-related concepts. Gesundheitswesen, 70(10), e47–e56. doi:10.1055/s-2008-1080933.CrossRefPubMed

30.

Tibshirani, R. (1996). Regression shrinkage and selection via the lasso. Journal of the Royal Statistical Society: Series B, 58, 267–288.

31.

Schwarz, G. (1978). Estimating the dimension of a model. Annals of Statistics, 6, 461–464.CrossRef

32.

Shibata, R. (1981). An optimal selection of regression variables. Biometrika, 68, 45–54.CrossRef

33.

Vrieze, S. I. (2012). Model selection and psychological theory: A discussion of the differences between the Akaike information criterion (AIC) and the Bayesian information criterion (BIC). Psychological Methods, 17(2), 228–243. doi:10.1037/a0027127.CrossRefPubMedPubMedCentral

34.

Barnickle, T., & Midden, K. (2003). The effects of a horticulture activity program on the psychological well-being of older people in a long-term care facility. Hort-Technology, 13, 81–85.

35.

Bruck, L. (1977). Welcome to Eden. Nursing Homes, 46(1), 28–33.

36.

Collins, C., & O’Callaghan, A. (2008). The impact of horticultural responsibility on health indicators and quality of life in assisted living. Hort-Technology, 18, 611–618.

37.

Browne, J. P., O’Boyle, C. A., McGee, H. M., Joyce, C. R., McDonald, N. J., O’Malley, K., et al. (1994). Individual quality of life in the healthy elderly. Quality of Life Research, 3(4), 235–244.CrossRefPubMed

38.

Li, Y. P., Lin, S. I., Fetzer, S. J., & Chen, C. H. (2014). The relationships between activity and quality of life for older men and women at different ages in Taiwan. Journal of Women and Aging, 26(3), 219–237. doi:10.1080/08952841.2014.888222.CrossRefPubMed

39.

Heydari-Fard, J., Bagheri-Nesami, M., Shirvani, M. A., & Mohammadpour, R. A. (2014). Association between quality of life and religious coping in older people. Nursing Older People, 26(3), 24–29. doi:10.7748/nop2014.03.26.3.24.e496.CrossRefPubMed

40.

WHOQOL. (2006). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. Social Science and Medicine, 62(6), 1486–1497. doi:10.1016/j.socscimed.2005.08.001.CrossRef

41.

Pereira, A., Izquierdo, M., Silva, A. J., Costa, A. M., Gonzalez-Badillo, J. J., & Marques, M. C. (2012). Muscle performance and functional capacity retention in older women after high-speed power training cessation. Experimental Gerontology, 47(8), 620–624. doi:10.1016/j.exger.2012.05.014.CrossRefPubMed

42.

Resnick, B. (2000). Functional performance and exercise of older adults in long-term care settings. Journal of gerontological nursing, 26(3), 7–16.CrossRefPubMed

43.

Katula, J. A., Rejeski, W. J., & Marsh, A. P. (2008). Enhancing quality of life in older adults: A comparison of muscular strength and power training. Health and Quality of Life Outcomes, 6, 45. doi:10.1186/1477-7525-6-45.CrossRefPubMedPubMedCentral

44.

Villadsen, A., Overgaard, S., Holsgaard-Larsen, A., Christensen, R., & Roos, E. M. (2014). Immediate efficacy of neuromuscular exercise in patients with severe osteoarthritis of the hip or knee: A secondary analysis from a randomized controlled trial. Journal of Rheumatology, 41(7), 1385–1394. doi:10.3899/jrheum.130642.CrossRefPubMed

45.

Montejo, P., Montenegro, M., Fernandez, M. A., & Maestu, F. (2012). Memory complaints in the elderly: Quality of life and daily living activities. A population based study. Archives of Gerontology and Geriatrics, 54(2), 298–304. doi:10.1016/j.archger.2011.05.021.CrossRefPubMed

46.

Logsdon, R. G., McCurry, S. M., & Teri, L. (2007). Evidence-based interventions to improve quality of life for individuals with dementia. Alzheimers Care Today, 8(4), 309–318.PubMedPubMedCentral

47.

Wagner, L. M., Capezuti, E., Brush, B. L., Clevenger, C., Boltz, M., & Renz, S. (2008). Contractures in frail nursing home residents. Geriatric Nursing, 29(4), 259–266.CrossRefPubMed

48.

MacSorley, R., White, J., Conerly, V. H., Walker, J. T., Lofton, S., Ragland, G., et al. (2014). Pain assessment and management strategies for elderly patients. Home Healthcare Nurse, 32(5), 272–285. doi:10.1097/nhh.0000000000000065. (quiz 287).CrossRefPubMed

49.

Malinowsky, C., Almkvist, O., Kottorp, A., & Nygard, L. (2010). Ability to manage everyday technology: A comparison of persons with dementia or mild cognitive impairment and older adults without cognitive impairment. Disability and Rehabilitation Assistive Technology, 5(6), 462–469. doi:10.3109/17483107.2010.496098.CrossRefPubMed

50.

Mann, W. C., Ottenbacher, K. J., Fraas, L., Tomita, M., & Granger, C. V. (1999). Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly. A randomized controlled trial. Archives of Family Medicine, 8(3), 210–217.CrossRefPubMed

51.

McKee, K., Matlabi, H., & Parker, S. G. (2012). Older people’s quality of life and role of home-based technology. Health Promotion Perspectives, 2(1), 1–8. doi:10.5681/hpp.2012.001.PubMedPubMedCentral

52.

OECD (2015) Hip and knee replacement. Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. doi:10.1787/health_glance-2015-36-en.

Titel: Quality of life in older individuals with joint contractures in geriatric care settings
Publicatiedatum: 01-09-2016
Gepubliceerd in: Quality of Life Research / Uitgave 9/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1262-1

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Abstract

Purpose

Methods

Results

Conclusions

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