A meta-analysis of quality of life in older adults
| dc.contributor.author | Hapshe, Elaine M. | |
| dc.contributor.committeeChair | Beard, Margaret | |
| dc.contributor.committeeMember | Drapo, Peggy | |
| dc.contributor.committeeMember | Hamilton, Basil | |
| dc.date.accessioned | 2021-02-02T03:05:32Z | |
| dc.date.available | 2021-02-02T03:05:32Z | |
| dc.date.issued | 1994-12 | |
| dc.description.abstract | The purpose of the study was to identify physical, psychological, social, spiritual, and economic variables predictive of Quality of Life (QOL) among community-residing healthy and chronically ill adults aged 55$\sp{+}$ years. In this study, QOL was specifically defined as the older adult's subjective evaluation and perceived importance of life domains over a particular period of time. QOL is an elusive, multidimensional, and dynamic concept that reflects ongoing responses to events affecting a person's life. The conceptual framework developed for the study was adapted from Zhan's (1992) Conceptual Model of Quality of Life. The framework included: (a) antecedents--personal background, health-related, environmental, and cultural factors; (b) intervening variables--personal meaning in life, adaptation, and coping behaviors; and (c) consequences--QOL and domains such as physical/psychological/social well-being, spiritual integrity, and economic security. The research design of the study was based upon the methodological framework of meta-analysis. Nonprobability sampling was used to select subject-studies from the disciplines of: nursing, psychology, sociology, medicine, allied/public health, and education. Of the 249 studies reviewed, 83 subject-studies comprised the final sample which consisted of published studies and unpublished dissertations/theses conducted between the years 1970-1993. Subjects in the meta-analytic studies were predominantly caucasian and Afro-American females. Prior to data collection, the subject-studies were rated for methodological quality. The methodological and substantive data of the studies were collected using a two-part Coding Instrument developed by this investigator. Data obtained were analyzed using Pearson's product moment and eta coefficients, t-test, oneway analysis of variance, test of homogeneity, Fail Safe N, and multiple regression. Of the five QOL domains, social well-being demonstrated the largest effect size and strongest domain predictive of QOL. Although economic security was not a predictor of QOL, it did reveal a small to medium effect size. In terms of the indicator variables, religiosity was strongly predictive of QOL followed by: subjective health, mental health, social activity/support, socioeconomic status, and adequacy of social resources. Findings of the meta-analytic study have implications for nursing theory, research, and practice. | en_US |
| dc.identifier.uri | https://hdl.handle.net/11274/12659 | |
| dc.language.iso | en_US | en_US |
| dc.subject | Nursing | en_US |
| dc.subject | Gerontology | en_US |
| dc.subject | Sociology | en_US |
| dc.subject | Quality of life | en_US |
| dc.subject | Older people | en_US |
| dc.subject | Health and environmental sciences | en_US |
| dc.subject | Social sciences | en_US |
| dc.subject | Elderly | en_US |
| dc.subject | Health | en_US |
| dc.subject | Social well-being | en_US |
| dc.title | A meta-analysis of quality of life in older adults | en_US |
| dc.type | Dissertation | en_US |
| thesis.degree.college | College of Nursing | en_US |
| thesis.degree.discipline | Nursing | en_US |
| thesis.degree.grantor | Texas Woman's University | en_US |
| thesis.degree.level | Doctoral | en_US |
| thesis.degree.name | Doctor of Philosophy | en_US |