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Title: Applicability of the modified quality-of-life concerns in the end of life questionnaire (mQOLC-E) for frail older people
Authors: Chan, HYL
Pang, SMC 
Keywords: Frail elderly
Quality of life
Issue Date: 2008
Publisher: Hong Kong Academy of Medicine Press
Source: Asian journal of gerontology & geriatrics, 2008, v. 3, no. 1, p. 17-26 How to cite?
Journal: Asian journal of gerontology & geriatrics 
Abstract: Objectives. Quality of life (QOL) has emerged as an outcome measure, since merely achieving longevity is no longer the goal of medicine. Older people, especially those who are frail, are more prone to morbidity and mortality. This study aimed at determining a specific QOL measurement for the frail elderly residing in long-term care facilities.
Methods. Quality-of-life Concerns in the End of Life Questionnaire (QOLC-E) was derived from an ethnographic study of patients with advanced chronic obstructive pulmonary disease and terminal cancer. It was adapted for the frail elderly in this study based on the assumption that they shared similar concerns in the last phase of their lives. A total of 313 frail older people from a geriatric outpatient clinic and 10 nursing homes were recruited for testing the psychometric status of the modified QOLC-E (mQOLC-E).
Results. The 23 items in the mQOLC-E entailed six factors for analysis. The factor structure resembled that of the original QOLC-E. Its internal consistency and inter-rater reliability of the mQOLC-E were acceptably high. Significant differences were noted between the frail and non-frail groups in terms of the mQOLC-E mean scores, thus demonstrating the test’s discriminative validity.
Conclusions. The findings provide evidence that the mQOLC-E was a valid and reliable instrument for assessing the quality-of-life concerns of frail older people. The findings also reveal that they share similar concerns to patients in need of palliative care. Knowledge from this study will be useful for designing care to address the concerns for this vulnerable group.
ISSN: 1819-1576
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