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dc.contributor.authorHoben, M
dc.contributor.authorBanerjee, Sube
dc.contributor.authorBeeber, AS
dc.contributor.authorChamberlain, SA
dc.contributor.authorHughes, L
dc.contributor.authorO'Rourke, HM
dc.contributor.authorStajduhar, K
dc.contributor.authorShrestha, S
dc.contributor.authorDevkota, R
dc.contributor.authorLam, J
dc.contributor.authorSimons, I
dc.contributor.authorDymchuk, E
dc.contributor.authorCorbett, K
dc.contributor.authorEstabrooks, CA
dc.date.accessioned2022-01-18T14:06:18Z
dc.date.issued2021-08-16
dc.identifier.issn1525-8610
dc.identifier.issn1538-9375
dc.identifier.urihttp://hdl.handle.net/10026.1/18578
dc.description.abstract

OBJECTIVES: Maximizing quality of life (QoL) is the ultimate goal of long-term dementia care. However, routine QoL measurement is rare in nursing home (NH) and assisted living (AL) facilities. Routine QoL measurement might lead to improvements in resident QoL. Our objective was to assess the feasibility of using DEMQOL-CH, completed by long-term care staff in video calls with researchers, to assess health-related quality of life (HrQoL) of NH and AL residents with dementia or other cognitive impairment. DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: We included a convenience sample of 5 NHs and 5 AL facilities in the Canadian province of Alberta. Forty-two care staff who had worked in the facility for ≥3 months completed DEMQOL-CH assessments of 183 residents who had lived in the facility for 3 months or more and were aged ≥65 years. Sixteen residents were assessed independently by 2 care staff to assess inter-rater reliability. METHODS: We assessed HrQoL in people with dementia or other cognitive impairment using DEMQOL-CH, and assessed time to complete, inter-rater reliability, internal consistency reliability, and care staff ratings of feasibility of completing the DEMQOL-CH. RESULTS: Average time to complete DEMQOL-CH was <5 minutes. Staff characteristics were not associated with time to complete or DEMQOL-CH scores. Inter-rater reliability [0.735, 95% confidence interval (CI): 0.712-0.780] and internal consistency reliability (0.834, 95% CI: 0.779-0.864) were high. The DEMQOL-CH score varied across residents (mean = 84.8, standard deviation = 11.20, 95% CI: 83.2-86.4). Care aides and managers rated use of the DEMQOL-CH as highly feasible, acceptable, and valuable. CONCLUSIONS AND IMPLICATIONS: This study provides a proof of concept that DEMQOL-CH can be used to assess HrQoL in NH and AL residents and provides initial indications of feasibility and resources required. DEMQOL-CH may be used to support actions to improve the QoL of residents.

dc.format.extent1221-1226
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier BV
dc.subjectQuality of life
dc.subjectdementia
dc.subjectfeasibility
dc.subjectlong-term care
dc.subjectmeasurement
dc.subjectDEMQOL-CH
dc.titleFeasibility of Routine Quality of Life Measurement for People Living With Dementia in Long-Term Care
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000840266400024&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue7
plymouth.volume23
plymouth.publication-statusPublished
plymouth.journalJournal of the American Medical Directors Association
dc.identifier.doi10.1016/j.jamda.2021.07.018
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School/PMS - Manual
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.publisher.placeUnited States
dcterms.dateAccepted2021-01-01
dc.rights.embargodate2022-1-19
dc.identifier.eissn1538-9375
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.jamda.2021.07.018
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2021-08-16
rioxxterms.typeJournal Article/Review


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