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Use of the QOL-AD for measuring quality of life in people with severe dementia
 — the LASER-AD study
Author(s)Juanita Hoe, Cornelius Katona, Brigitte Roch
Journal titleAge and Ageing, vol 34, no 2, March 2005
Pagespp 130-135
Sourcehttp://www.ageing.oupjournals.org
KeywordsDementia ; Quality of life ; Measurement ; Evaluation ; London ; South East England.
AnnotationThe usefulness of the QOL scale in Alzheimer's disease (QOL-AD) was examined in people with severe dementia in London and the South East Region, by considering the ability of older people with a Mini-Mental State Examination score of <12 and their caregivers to complete the scale. Of 79 participants and their caregivers, 41 (52%) could complete the QOL-AD. Cognition and functional abilities were significantly higher in the completers than in the non-completers. The QOL-AD showed internal consistency and construct validity as it correlated with ability to look after self, fewer limitations due to physical health, positive mood status and low levels of apathy. There is evidence for the validity and reliability of the QOL-AD in people with MMSE scores of 3-11, as well as the practicality of administering the scale in the population. The scale is unlikely to generate useful information for people with MMSE scores of <3. QOL does not decrease as cognition worsens. This throws into question most people's assumption that decreasing cognition worsens QOL. The authors consider that it may be important to inform the public of this, as living wills are used increasingly in our culture. (RH).
Accession NumberCPA-050505202 A
ClassmarkEA: F:59: 3R: 4C: 82L: 82Z

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