Individual and interpersonal factors associated with care-related quality of life in older adults: a comparison of home-based services, nursing homes and sheltered housing.

Background Understanding how long-term care (LTC) services affect care-related quality of life (CRQoL) and potential differences between LTC services is important, especially considering ageing in place policies. However, data on CRQoL is lacking. This study aims to investigate characteristics assoc...

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Publicado en:Age & Ageing Vol. 55; no. 2; pp. 1 - 11
Autores principales: Burrell, Lisa Victoria, Towers, Ann-Marie, Veenstra, Marijke, Smith, Nick, Sogstad, Maren Kristine Raknes
Formato: Artículo
Publicado: Oxford University Press / USA Feb2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        10.1093/ageing/afag039
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        atl: Individual and interpersonal factors associated with care-related quality of life in older adults: a comparison of home-based services, nursing homes and sheltered housing.
      aug:
        au:
          Burrell, Lisa Victoria
          Towers, Ann-Marie
          Veenstra, Marijke
          Smith, Nick
          Sogstad, Maren Kristine Raknes
        affil:
          Department of Health Sciences in Gjøvik, Norwegian University of Science and Technology, Gjøvik 2815, Norway
          Health & Social Care Workforce Research Unit, The Policy Institute, King's College London, London, UK
          Health Services Research Unit, Akershus University Hospital, Lørenskog, Akershus, Norway
          Centre for Heath Services Studies (CHSS), University of Kent, Canterbury, Kent, UK
      su:
        Norway
        Home care services
        Cross-sectional method
        Socioeconomic factors
        Nursing care facilities
        Quality of life
        Senior housing
        Analysis of variance
        Interpersonal relations
        Old age
        Research funding
        Long-term health care
        Chi-squared test
        Odds ratio
        Medical care for older people
        Comparative studies
        Data analysis software
        Confidence intervals
      sug:
        subj:
          Home care services
          Cross-sectional method
          Socioeconomic factors
          Nursing care facilities
          Quality of life
          Senior housing
          Analysis of variance
          Interpersonal relations
          Old age
          Norway
          Offices of All Other Miscellaneous Health Practitioners
          Offices of all other health practitioners
          Home Health Care Services
          Services for the Elderly and Persons with Disabilities
          Community care facilities for the elderly
          Nursing Care Facilities (Skilled Nursing Facilities)
          Assisted Living Facilities for the Elderly
          Research funding
          Long-term health care
          Chi-squared test
          Odds ratio
          Medical care for older people
          Comparative studies
          Data analysis software
          Confidence intervals
      keyword:
        care related quality of life
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        home care services
        home-based services
        housing
        https://dx.doi.org/10.1093/ageing/afag039
        inLanguage:en
        long-term care
        nursing home resident
        nursing homes
        older adult
        older people
        publisher:Oxford University Press
        quality of life
        safety
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41739750/
        sheltered housing
        social participation
        visual accommodation
        care related quality of life
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        home care services
        home-based services
        housing
        https://dx.doi.org/10.1093/ageing/afag039
        inLanguage:en
        long-term care
        nursing home resident
        nursing homes
        older adult
        older people
        publisher:Oxford University Press
        quality of life
        safety
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41739750/
        sheltered housing
        social participation
        visual accommodation
      ab: Background Understanding how long-term care (LTC) services affect care-related quality of life (CRQoL) and potential differences between LTC services is important, especially considering ageing in place policies. However, data on CRQoL is lacking. This study aims to investigate characteristics associated with CRQoL and compare CRQoL across service types. Methods From October 2022 to January 2024, older adults in Norway were interviewed using ASCOT (Adult social care outcomes toolkit): 151 in nursing homes, 129 in sheltered housing and 134 in home-based services. Mixed effects models investigated associations between individual-, interpersonal- and care service characteristics and CRQoL, including specific domains. Results Age was positively associated with CRQoL, and men had lower cumulative odds of better CRQoL for social participation and control. Cognitive decline was associated with worse CRQoL for safety, social participation and control, while physical decline was associated with better CRQoL for safety. Frequent contact with friends was associated with better CRQoL for activity and social participation, and frequent contact with family was associated with better CRQoL for safety. However, frequent contact with friends was associated with worse CRQoL for safety, and frequent contact with family was associated with worse CRQoL for accommodation cleanliness and dignity. Home-based care recipients had significantly poorer control, safety and activity than sheltered housing residents, and had significantly poorer control than nursing home residents. Conclusions The present study revealed significant associations with individual and interpersonal characteristics and clear differences between service types. This information can help target quality improvement strategies toward groups with the lowest CRQoL.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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