Quality of life in a high-risk group of elderly primary care patients: characteristics and potential for improvement
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Quality of life in a high-risk group of elderly primary care patients: characteristics and potential for improvement. / Döhring, Juliane; Williamson, Martin; Brettschneider, Christian; Fankhänel, Thomas; Luppa, Melanie; Pabst, Alexander; Weißenborn, Marina; Zöllinger, Isabel; Czock, David; Frese, Thomas; Gensichen, Jochen; Hoffmann, Wolfgang; König, Hans-Helmut; Thyrian, Jochen René; Wiese, Birgitt; Riedel-Heller, Steffi; Kaduszkiewicz, Hanna.
In: QUAL LIFE RES, Vol. 33, No. 7, 07.2024, p. 1841-1851.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Quality of life in a high-risk group of elderly primary care patients: characteristics and potential for improvement
AU - Döhring, Juliane
AU - Williamson, Martin
AU - Brettschneider, Christian
AU - Fankhänel, Thomas
AU - Luppa, Melanie
AU - Pabst, Alexander
AU - Weißenborn, Marina
AU - Zöllinger, Isabel
AU - Czock, David
AU - Frese, Thomas
AU - Gensichen, Jochen
AU - Hoffmann, Wolfgang
AU - König, Hans-Helmut
AU - Thyrian, Jochen René
AU - Wiese, Birgitt
AU - Riedel-Heller, Steffi
AU - Kaduszkiewicz, Hanna
N1 - © 2024. The Author(s).
PY - 2024/7
Y1 - 2024/7
N2 - PURPOSE: Quality of Life (QoL) is associated with a bandwidth of lifestyle factors that can be subdivided into fixed and potentially modifiable ones. We know too little about the role of potentially modifiable factors in comparison to fixed ones. This study examines four aspects of QoL and its associations with 15 factors in a sample of elderly primary care patients with a high risk of dementia. The main objectives are (a) to determine the role of the factors in this particular group and (b) to assess the proportion of fixed and potentially modifiable factors.METHOD: A high-risk group of 1030 primary care patients aged between 60 and 77 years (52.1% females) were enrolled in "AgeWell.de," a cluster-randomized, controlled trial. This paper refers to the baseline data. The multi-component intervention targets to decrease the risk of dementia by optimization of associated lifestyle factors. 8 fixed and 7 modifiable factors potentially influencing QoL served as predictors in multiple linear regressions.RESULTS: The highest proportion of explained variance was found in psychological health and age-specific QoL. In comparison to health-related QoL and physical health, the modifiable predictors played a major role (corr. R2: 0.35/0.33 vs. 0.18), suggesting that they hold a greater potential for improving QoL.CONCLUSION: Social engagement, body weight, instrumental activities of daily living, and self-efficacy beliefs appeared as lifestyle factors eligible to be addressed in an intervention program for improving QoL.TRIAL REGISTRATION: German Clinical Trials Register, reference number: DRKS00013555. Date of registration: 07.12.2017.
AB - PURPOSE: Quality of Life (QoL) is associated with a bandwidth of lifestyle factors that can be subdivided into fixed and potentially modifiable ones. We know too little about the role of potentially modifiable factors in comparison to fixed ones. This study examines four aspects of QoL and its associations with 15 factors in a sample of elderly primary care patients with a high risk of dementia. The main objectives are (a) to determine the role of the factors in this particular group and (b) to assess the proportion of fixed and potentially modifiable factors.METHOD: A high-risk group of 1030 primary care patients aged between 60 and 77 years (52.1% females) were enrolled in "AgeWell.de," a cluster-randomized, controlled trial. This paper refers to the baseline data. The multi-component intervention targets to decrease the risk of dementia by optimization of associated lifestyle factors. 8 fixed and 7 modifiable factors potentially influencing QoL served as predictors in multiple linear regressions.RESULTS: The highest proportion of explained variance was found in psychological health and age-specific QoL. In comparison to health-related QoL and physical health, the modifiable predictors played a major role (corr. R2: 0.35/0.33 vs. 0.18), suggesting that they hold a greater potential for improving QoL.CONCLUSION: Social engagement, body weight, instrumental activities of daily living, and self-efficacy beliefs appeared as lifestyle factors eligible to be addressed in an intervention program for improving QoL.TRIAL REGISTRATION: German Clinical Trials Register, reference number: DRKS00013555. Date of registration: 07.12.2017.
U2 - 10.1007/s11136-024-03647-7
DO - 10.1007/s11136-024-03647-7
M3 - SCORING: Journal article
C2 - 38740640
VL - 33
SP - 1841
EP - 1851
JO - QUAL LIFE RES
JF - QUAL LIFE RES
SN - 0962-9343
IS - 7
ER -