Assessing quality of life in older adults with XXXX .

@entity1 @entity308 @entity146 @entity303 @entity73
OBJECTIVE: This article discusses theoretical, psychometric, and practical considerations of quality of life assessment in older adults with @entity73 . It describes a new measure of quality of life in @entity303 , the QOL-AD, and examines the reliability and validity of @entity1 and caregiver reports of @entity1 quality of life. METHODS: Subjects were 177 @entity1 /caregiver dyads. @entity1 Mini Mental State Exam scores ranged from 0 to 29, with a mean score of 16 (SD = 7). Each @entity1 and caregiver rated the @entity1 's quality of life on the QOL-AD. @entity1 functional and cognitive status, psychological state, physical function, and @entity146 were also assessed. Reliability and validity of @entity1 QOL-AD reports were examined across three levels of @entity73 . RESULTS: One hundred, fifty-five @entity1 were able to complete the QOL-AD. Completers scored between 4 and 29 on the Mini Mental State Exam, whereas noncompleters all scored 10 or lower. Reliability for both @entity1 and caregiver reports on the QOL-AD was good (alpha values ranged from 0.83 to 0.90). Validity of @entity1 and caregiver reports across cognitive levels was supported by correlation with measures of @entity308 (r = -0.41 to -0.65), day-to-day functioning (r = -0.10 to -0.45), and pleasant events frequency (r = 0.18 to 0.51). Intraclass correlation between @entity1 and caregiver reports was positive across all cognitive levels (r = 0.14 to 0.39). CONCLUSIONS: The QOL-AD seems to be reliable and valid for individuals with MMSE scores greater than 10. Further research is needed to clarify the relationship between @entity1 and caregiver reports of @entity1 quality of life and to identify factors that influence quality of life throughout the progression of @entity303 .
