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      A Comparative Study of Health Status and Quality of Life of Elderly People Living in Old Age Homes and within Family Setup in Raigad District, Maharashtra

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          Abstract

          Background:

          The traditional concept of family in India to provide support to the elderly is changing soon with disintegration of joint families. In this scenario the concept of old age homes (OAHs) is gaining momentum and the number of people seeking OAH care is rapidly increasing. However, not much is known about the quality of life (QOL) of Indian elderly staying in the OAH setup.

          Objectives:

          To assess and compare the Health status, Quality of Life and Depression in elderly people living in OAHs & within family using WHOQOL –OLD questionnaire & Geriatric Depression Scale

          Methods:

          A cross sectional study was conducted in elderly aged above 60 years of age. After taking a written consent and matching for age and sex & socioeconomic status, 60 elderly from OAHs & 120 elderly living within family setup were selected randomly. The WHOQOL-OLD standard questionnaire & GDS were used to assess quality of life & depression in elderly.

          Result:

          The QOL of elderly in domains of autonomy, past present & future activities, social participation and intimacy was better in family setup (60.62, 70.62, 66.14 and 58.43) as compared to OAHs (51.35, 62.91, 59.47and 41.16) (p<0.05). There was statistically significant difference in mean geriatric depression scores of both the group (3.96 within family setup and 5.76 in OAH's).

          Conclusion:

          Quality of life of elderly within family setup was better as compared to elderly in OAHs.

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          Most cited references15

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          Development and validation of a geriatric depression screening scale: a preliminary report.

          A new Geriatric Depression Scale (GDS) designed specifically for rating depression in the elderly was tested for reliability and validity and compared with the Hamilton Rating Scale for Depression (HRS-D) and the Zung Self-Rating Depression Scale (SDS). In constructing the GDS a 100-item questionnaire was administered to normal and severely depressed subjects. The 30 questions most highly correlated with the total scores were then selected and readministered to new groups of elderly subjects. These subjects were classified as normal, mildly depressed or severely depressed on the basis of Research Diagnostic Criteria (RDC) for depression. The GDS, HRS-D and SDS were all found to be internally consistent measures, and each of the scales was correlated with the subject's number of RDC symptoms. However, the GDS and the HRS-D were significantly better correlated with RDC symptoms than was the SDS. The authors suggest that the GDS represents a reliable and valid self-rating depression screening scale for elderly populations.
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            The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties.

            This paper reports on the field testing, empirical derivation and psychometric properties of the World Health Organisation Quality of Life assessment (the WHOQOL). The steps are presented from the development of the initial pilot version of the instrument to the field trial version, the so-called WHOQOL-100. The instrument has been developed collaboratively in a number of centres in diverse cultural settings over several years; data are presented on the performance of the instrument in 15 different settings worldwide.
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              • Record: found
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              Geriatric Depression Scale.

              J Yesavage (1988)
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                Author and article information

                Journal
                Indian J Community Med
                Indian J Community Med
                IJCM
                Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
                Medknow Publications & Media Pvt Ltd (India )
                0970-0218
                1998-3581
                Jan-Mar 2018
                : 43
                : 1
                : 10-13
                Affiliations
                [1]Department of Paediatrics, MGM Medical College, Mumbai, Maharashtra, India
                [1 ]Department of Community Medicine, MGM Medical College, Mumbai, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Madhavi Jogesh Mankar, Riddhi Siddhi Residency, Sector 03, Flat No 601 (A) Wing, New Panvel, Navi Mumbai, Maharashtra, India. E-mail: Madhumankar@ 123456gmail.com
                Article
                IJCM-43-10
                10.4103/ijcm.IJCM_301_16
                5842466
                29531431
                88a62c3e-23e8-43f8-a415-62ea4fdfdd01
                Copyright: © 2018 Indian Journal of Community Medicine

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 26 August 2016
                : 07 November 2017
                Categories
                Original Article

                Public health
                gds,old age home,quality of life,whoqol- old
                Public health
                gds, old age home, quality of life, whoqol- old

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