The Quality in Later Life Questionnaire

Having the ability to appropriately measure the life quality of  older people has potential benefit for all of those engaged in the delivery of health and social care, including policy makers, planners, clinicians and other practitioners, and patients/ser

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REPORT


Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228

2

QOL Measurement and Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

3

Why a New Measure? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

4

The QuiLL and Its Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

5 QuiLL Development and Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 5.1 Qualitative Interviews . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238 5.2 Instrument Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 6

What Did We Learn? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240

7

Applications of the QuiLL Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241

8

The QuiLL’s Status as a QOL Measure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244

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Springer Science+Business Media LLC 2010 (USA)

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The Quality in Later Life Questionnaire

Abstract: Having the ability to appropriately measure the life quality of > older people has potential benefit for all of those engaged in the delivery of health and social care, including policy makers, planners, clinicians and other practitioners, and patients/service users and their carers. While there are a plethora of instruments available for the measurement of quality of life (QOL) very few relate specifically to older people. To date studies have focused almost exclusively on treated populations in hospital or residential settings and upon aspects of life quality that can be attributed directly to illness or treatments, rather than on the wider impact on family and social life, safety, housing and finances etc. The Quality in Later Life (QuiLL) Assessment was designed to fill this gap. It is a short > operational measure that assesses objective life circumstances and subjective feelings relating to nine > life domains (including health and mental health) that were identified as essential attributes of life quality by older people, carers, professionals and academics in the field; it has good psychometric properties and can be used routinely in operational practice, in evaluations of services and clinical or treatment interventions, and in health services and epidemiological research. The measure has been