Care-Related Quality of Life in Old Age

Concepts, Models and Empirical Findings

  • Marja Vaarama
  • Richard Pieper
  • Andrew Sixsmith

Table of contents

  1. Front Matter
    Pages i-xiv
  2. Research Framework

    1. Marja Vaarama, Richard Pieper, Andrew Sixsmith
      Pages 3-18
    2. Marja Vaarama, Richard Pieper, Andrew Sixsmith, Ene-Margit Tiit, Seija Muurinen, Kai Saks et al.
      Pages 19-44
    3. Ene-Margit Tiit, Kai Saks, Marja Vaarama
      Pages 45-61
  3. Theoretical Results

    1. Marja Vaarama, Richard Pieper
      Pages 65-101
    2. Marja Vaarama, Richard Pieper, Mona Frommelt, Seija Muurinen, Andrew Sixsmith, Margaret Hammond et al.
      Pages 102-124
    3. Richard Pieper, Mona Frommelt, Claus Heislbetz, Marja Vaarama
      Pages 125-150
  4. Empirical Results

    1. Marja Vaarama, Ene-Margit Tiit
      Pages 168-195
    2. Kai Saks, Ene-Margit Tiit, Seija Muurinen, Susanna Mukkila, Mona Frommelt, Margaret Hammond
      Pages 196-216
    3. Andrew Sixsmith, Margaret Hammond, Grant Gibson
      Pages 217-233
    4. Claus Heislbetz, Petteri Hertto, Marja Vaarama
      Pages 234-254
    5. Richard Pieper, Claus Heislbetz, Gunnar Ljunggren
      Pages 255-280
    6. Marja Vaarama, Gunnar Ljunggren, Richard Pieper, Thomas Emilsson
      Pages 281-298
  5. Summary

    1. Marja Vaarama, Richard Pieper, Gunnar Ljunggren, Seija Muurinen, Kai Saks, Andrew Sixsmith
      Pages 301-326
  6. Back Matter
    Pages 327-338

About this book


It’s a core issue at the heart of elder care: while best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. The result of an ambitious European research initiative, the Care Keys Project addresses quality of life issues among frail, care-dependent seniors, taking their social as well as health needs into account. Care-Related Quality of Life in Old Age explains the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients. This important book:

  • Brings together gerontological knowledge from medical, psychology, nursing, sociology, economics, and health care systems perspectives.
  • Introduces an integrated theory of care-related quality of life that emphasizes social, emotional and mental aspects as well as physical longevity.
  • Presents a practice oriented framework for quality management of long-term care toward improving elders’ quality of life.
  • Examines quality of life in home and long-term care settings across the five European member countries of Care Keys.
  • Describes the Care Keys Toolkit, featuring innovative measures for monitoring and evaluating care and troubleshooting for problem areas.

For those charged with improvements at any level of this vital area—administrative, policy, research, professional, or student—this volume will bring new insights and stimulation for potential answers on the complex challenges of elder health care.


Elderly and health care Life models Old age age dementia efficiency geriatrics gerontology health care patients quality quality of life

Editors and affiliations

  • Marja Vaarama
    • 1
  • Richard Pieper
    • 2
  • Andrew Sixsmith
    • 3
  1. 1.Department of Social WorkUniversity of LaplandFinland
  2. 2.University of BambergGermany
  3. 3.Department of GerontologySimon Fraser University at Harbour CentreVancouverCanada

Bibliographic information