In gerontology, there is a substantial and increasing body of theoretical and empirical research on quality of life (QoL) in old age, especially in psychology and health-related research. However, a specific focus on QoL of frail older persons or older persons with permanent need of external help is rare, and even more neglected is the role of care for their QoL. In addition, the question of how much the existing definitions really reflect the opinions of older people themselves has got too little attention (Bowling, Gabriel, Banister, & Sutton, 2002). These notions motivated the Care Keys research to search for a better understanding of the role of homecare and institutional care for the QoL of frail older persons. Applying the production of welfare approach (see Chapter 1), the aim was to produce information on the specific life situations of these older persons, and on the linkages between care and QoL. By providing a model of care-related QoL we aimed at a concept that would allow for the evaluation of care practices in view of their outcomes for frail older persons, thus supporting development of care practices as well as quality management of (long-term) care.
Searching for a theoretical model of QoL of frail older persons we found suitable starting points, but also encountered unresolved issues and open questions. This situation prompted the Care Keys research to proceed in two directions. First, we selected concepts and instruments that were available in the literature, introduced some preliminary adaptations to the life circumstances of frail older persons receiving care, and investigated the relation of care quality to QoL as an outcome. Second, we took a closer look at the theoretical issues and their relevance for a concept of care-related QoL. While the empirical research is reported elsewhere (see Part III), the results of the theoretical reflections on QoL are presented and discussed in this chapter.
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References
Abeles, R. P. (1991). Sense of control, quality of life, and frail older people. In J. Birren, J. Lubben, J. Rowe, & D. Deutchman (Eds.), The concept of measurement of quality of life in frail elders. San Diego, CA: Academic Press.
Adams, T., & Gardiner, P. (2005). Communication and interaction within dementia care triads. Dementia, 4(2), 185–205.
Atkinson, T., Cantillon, B., Marlier, E., & Nolan, B. (2002). Social indicators. The EU and social inclusion. Oxford: Oxford University Press.
Averill, J. R. (1986). The acquisition of emotions during adulthood. In R. Harré (Ed.), The social construction of emotions (pp. 98–118). Oxford: Blackwell.
Badlock, J. C., & Hadlow, J. (2002). Self-Talk versus Needs-Talk: an exploration of the priorities of housebound older people. Quality in Ageing, 3(1), 42–48.
Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In P. B. Baltes, & M. Baltes (Eds.), Successful aging. Perspectives from the behavioural sciences. Cambridge, MA: Cambridge University Press.
Baltes, P. B., & Mayer, K. M. (Eds.). (1999). The Berlin Aging Study. Cambridge, MA: Cambridge University Press.
Bengtson, V. L., Putney N. M., & Johnson, M. L. (2005). The problem of theory in gerontology today. In M. L. Johnson (Ed.), The Cambridge handbook of age and ageing. Cambridge, MA: Cambridge University Press.
Biggs, S., Philipson, S., & Kingston, P. (1995). Elder abuse in perspective. Buckingham: Open University Press.
Birren J., Lubben J., Rowe J., & Deutchman D. (Eds.). (1991). The concept of measurement of quality of life in frail elders. San Diego, CA: Academic Press.
Bowling, A., Gabriel, Z., Banister, D., & Sutton, S. (2002). Adding quality to quantity: Older people’s views on their quality of life and its enhancement. Research Findings 7, Growing Older Project. <http://www.shef.ac.uk/uni/projects/gop/Bowling_F7.pdf>.
Brandstätter, J., & Lerner, R. M. (Eds.). (1999). Action and self-development. Theory and research through the life span. Thousand Oaks, CA: Sage.
Brandstätter, J., & Renner, G. (1990). Tenacious goal pursuit and flexible goal adjustment: Explication and age-related analysis of assimilative and accommodative strategies of coping. Psychology and Aging, 5(1), 58–67.
Brown, I., & Brown, R. I. (2003). Quality of life and disability. An approach for community practitioners. New York: Kingsley.
Corbin, J. M., & Strauss, A. L. (1988). Unending work and care: Managing chronical illness at home. San Francisco, CA: Wiley.
Cummins, R. A. (1997). Assessing quality of life In R. I. Brown (Ed.), Quality of life for people with disabilities. Models, research and practice. Cheltenham: Stanley Thornes.
Davies, B., & Knapp, M. (1981). Old people’s homes and the production of welfare. London: Routledge & Kegan Paul.
Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31, 103–157.
Faulk, L. (1988). Quality of life factors in board and care homes for the elderly: A hierarchical model. Adult Foster Care Journal, 2, 100–117.
Felce, D., & Perry, J. (1997). Quality of life: The scope of the term and its breadth of measurement. In Roy I. Brown (Ed.), Quality of life for people with disabilities: Models, research and practice. London: Stanley Thornes.
Filipp, S.-H., & Klauer, T. (1991). Subjective well-being in the face of critical life events: The case of successful copers. In F. Strck, M. Argyle, & N. Schwarz (Eds.), Subjective well-being: An interdisciplinary perspective (pp. 213–234). Oxford: Pergamon Press.
Freund, A. M., Li, K. Z. H., & Baltes, P. B. (1999). Successful development and aging: The role of selection, optimization, and compensation. In J. Brandstätter, & R. M. Lerner (Eds.), Action and self-development. Theory and research through the life span (pp. 401–434). Thousand Oaks, CA: Sage.
Friedlmeier, W., & Holodynski, M. (Eds.). (1999). Emotionale Entwicklung. Funktion, Regulation und soziokultureller Kontext von Emotionen. Heidelberg: Spektrum Akademischer Verlag.
Gerritsen, D., Steverink, N., Ooms, M., & Ribbe, M. (2004). Finding a useful conceptual basis for enhancing the quality of life of nursing home residents. Quality of Life Research, 13, 611–624.
Gubrium, J. F. (1993). Speaking of life: Horizons of meaning for nursing home residents. New York: Aldine de Gruyter.
Hardy, B., Young, R., & Wistow, G. (1999). Dimensions of choice on the assessment and care management process: The views of older people, carers and care managers. Health and Social Care in the Community, 7, 483–491.
Harré, R., & van Langenhove, L. (Eds.). (1999). Positioning theory. Oxford: Blackwell.
Hughes, B. (1990). Quality of life. In S. Peace (Ed.), Researching Social Gerontology. London: Sage.
Jochimsen, M. A. (2003). Careful economics. Integrating caring activities and economic science. Boston, MA: Kluwer Academic Publishers.
Jonker, C., Gerritsen, D. L., Bosboom, P. R., & Van der Stehen, J. T. (2004). A model for quality of life measures in patients with dementia: Lawton’s next step. Dementia and Geriatric Cognitive Disorders, 18, 159–164.
Kenyon, G. M., Ruth, J.-E., & Mader, W. (1999). Elements of a narrative gerontology. In V. L. Bengtson, & K. W. Schaie (Eds.), Handbook of theories of aging. New York: Springer.
Kemper, T. D. (1978). A social interactional theory of emotion. New York: Wiley.
Kitwood, T. (1997). Dementia reconsidered: The person comes first. Buckingham: Open University Press.
Kitwood, T., & Bredin, K. (1992). Towards a theory of dementia care: Personhood and well-being. Ageing and Society, 12, 269–287.
Knapp, M. (1984). The economics of social care. Studies in social policy. Hong Kong: Macmillan Education.
Knapp, M. (1995). The economic evaluation of mental health care. PSSRU. CEMH, Aldershot.
Labouvie-Vief, G. (1999). Emotions in adulthood. In V. L. Bengtson, & K. W. Schaie (Eds.), Handbook of theories of aging (pp. 253–267). New York: Springer.
Lawton, M. P. (1983). Environment and other determinants of well-being in older people. The Gerontologist, 4, 349–357.
Lawton, M. P. (1991). A multidimensional view of quality of life in frail elders. In J. Birren, J. Lubben, J. Rowe, & D. Deutchman (Eds.), The concept of measurement of quality of life in frail elders (pp. 3–27). San Diego, CA: Academic Press.
Lawton, M. P. (1994). Quality of life in Alzheimer disease. Alzheimers Disease and Associated Disorders, 8, 138–150.
Lawton, M. P. (1997). Assessing quality of life in Alzheimer disease research. Alzheimer Disease and Associated Disorders, 11(6), 91–99.
Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer, & M. P. Lawton (Eds.), The psychology of adult development and aging. Washington DC: American Journal of Psychology Association.
Luhmann, N. (1984). Soziale Systeme. Grundriß einer allgemeinen Theorie (Social Systems). Frankfurt: Suhrkamp.
Marshall, V. W. (1999). Analyzing social theories of aging. In V. L. Bengtson, & K. W. Schaie (Eds.), Handbook of theories of aging. New York: Springer.
Mead, G. H. (1934). Mind, self and society. Chicago: University of Chicago.
Netten, A. (2004). The social production of welfare. In M. Knapp, D. Challis, J.-L. Fernandez, & A. Netten (Eds.), Long-term care: Matching resources and needs. Aldershot: Ashgate Publishing.
Oerter, R. (1999). Daseinsthematische Emotionen. In W. Friedlmeier, & M. Holodynski (Eds.), Emotionale Entwicklung. Funktion, Regulation und soziokultureller Kontext von Emotionen. Heidelberg: Spektrum Akademischer Verlag.
Ormel, J., Lindenberg, S., Steverink, N., & Vonkorff, M. (1997). Quality of life and social production functions: A framework for understanding health effects. Social Science and medicine, 45, 1051–1063.
Owen, T., & NCHRDF (Eds.). (2006). My home life–quality of life in care homes. London: Help the Aged.
Pape, H. (1989). Erfahrung und Wirklichkeit als Zeichenprozess. Frankfurt: Suhrkamp.
Parsons, T. (1951). The social system. New York: Routledge & Kegan Paul.
Parsons, T. (1978). Action theory and the human condition. New York: Free Press.
Pearlin, L. I., Lieberman, M. A., Menaghan, E. G., & Mullen, J. (1981). The stress process. Journal of Health and Social Behaviour, 22, 337–356.
Peirce, Ch. S. (1931–1935). In Ch. Harthorne, & P. Weiss (Eds.), Collected papers, I–VI. Cambridge: Harvard University Press.
Peirce, Ch. S. (1960). In A. W. Burks (Ed.), Collected papers, VII–VIII, Cambridge: Harvard University Press.
Pieper, R. (1995). Strukturelle Emotionen, elementare Strukturbildung and strukturelle Evolution, Protosoziologie, 7, 181–199.
Pieper, R. (1997). Technology and the social triangle of home care: Ethical issues in the application of technology to dementia care. In S. Björneby, & A. van Berlo (Eds.), Ethical issues in the use of technology for dementia care. Knegsel: Akontes Publishing.
Power, M., Quinn, K., Schmidt, S., & WHOQOL-OLD Group (2005). Development of the WHOQOL-Old module. Quality of Life Research, 14, 2197–2214.
Renwick, R., & Brown, I. (1996). The Centre for Health Promotions conceptual approach to quality of life: Being, belonging, and becoming. In R. Renwick, I. Brown, & M. Nagler (Eds.), Quality of life in health promotion and rehabilitation: Conceptual approaches, issues, and applications. Thousand Oaks, CA: Sage.
Renwick, R., Brown, I., & Nagler, M. (Eds.). (1996). Quality of life in health promotion and rehabilitation: Conceptual approaches, issues, and applications. Thousand Oaks, CA: Sage.
Rutter, M. (1995). Psychosocial adversity: Risk, resilience and recovery. Southern African Journal of Child and Adolescent Psychology, 7, 75–78.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081.
Schalock, R. L., & Siperstein, G. N. (1996). Quality of life: Conceptualisation and measurement. Washington DC: American Association of Mental Retardation.
Schmidt-Atzert, L. (1996). Lehrbuch der Emotionspsychologie. Stuttgart: Kohlhammer.
Secker, J., Hill, R., Villeneau, L., & Parkman, S. (2003). Promoting independence: But promoting what and how? Ageing and Society, 23, 375–391.
Simmel, G. (1950) (Eds. and translated by Kurt H. Wolff). The sociology of Georg Simmel. Glencoe, IL: The Free Press.
Skevington, S. M., Lofty, M., & O’Connell, K. A. (2004). The World Health Organisation’s WHOQOL-BREF quality of life assessment. A report from the WHOQOL group. Quality of Life Research, 13, 299–310.
Skinner, E. A. (1999). Action regulation, coping, and development. In J. Brandstädter, & R. M. Lerner (Eds.), Action and self-development. Theory and research through the life span (pp. 465–503). Thousand Oaks, CA: Sage.
Staudinger, U. M., Freund, A. M., Linden, M., & Maas, I. (1999). Self, personality, and life regulation: Facets of psychological resilience in old age. In P. B. Baltes, & K. M. Mayer (Eds.), The Berlin Aging Study. Cambridge, MA: Cambridge University Press.
Strauss, A. L. (1978). Negotiations: Varieties, contexts, processes and social order, San Francisco, CA: Jossey-Bass.
Strauss, A. L., Schatzmann, L., Bucher, R., Erlich, D., & Sabshin, M. (1963). The hospital and it’s negotiated order. In E. Freidson (Ed.), The hospital in modern society (pp. 147–168). New York: Free Press.
Tanner, D. (2001). Sustaining the self in later life: Supporting older people in the community. Ageing and Society, 21, 255–278.
Tester, S., Hubbard, G., Downs, M., MacDonald, C., & Murphy, J. (2003). Exploring perceptions of quality of life of frail older people during and after their transition to institutional care. Research Findings 24, the Growing Older Project. <http://www.shef.ac.uk/uni/projects/gop/GOFindings24.pdf>.
Torstam, L. (1996). Gerontrancendence–a theory about maturing in old age. Journal of Aging and Identity, 1, 37–50.
Vaarama, M. (2004). Ikääntyneiden toimintakyky ja hoivapalvelut. Nykytila ja vuosi 2015 (Independent living and QoL in Old Age, and the role of care. State of the Art in Finland and prospects up to the year 2015). In Ikääntyminen voimavarana. Tulevaisuusselonteon liiteraportti 5 (Ageing as a resource). Valtioneuvoston kanslian julkaisusarja 33/2004. Helsinki: Edita Prima Oy. <www.vnk.fi/julkaisut>.
Vaarama, M., & Hertto, P. (2003). Efficiency and equity of the care of older persons—exploring an evaluation model. Revista Española de Geriatría y Gerontología. <http://www.stakes.fi/carekeys/presentations.html>.
Vaarama, M., & Kaitsaari, T. (2002). Ikääntyneiden toimintakyky ja koettu hyvinvointi. Teoksessa Heikkilä, M., & Kautto, M. (Toim.) Suomalaisten hyvinvointi (The Well-being of Finns). STAKES. Gummerrus Printing. Jyväskylä.
Vaarama, M., Pieper, R., & Sixsmith, A. (2007). Care-related quality of life. Conceptual and empirical exploration. In H. Mollenkopf, & A. Walker (Eds.), Quality of Life in Old Age. International and Multi-Disciplinary Perspectives. Dordrecht. The Netherlands: Springer, pp. 215–232.
Veenhoven R. (1996). Happy life-expectancy. A comprehensive measure of quality-of-life in nations. Social Indicators Research, 39, 1–58.
Veenhoven, R. (2000). The four qualities of Life. Ordering concept and measures of the good life. Journal of Happiness Studies, 1, 1–39.
Weiner, M. F., Martin-Cook, K., Svetlik, D. A., Saine, K., Foster, B., & Fontain, C. S. (2000). The quality of life in late-stage dementia (QUALID) scale. Journal of the American Medical Directors Association, 1, 114–116.
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Vaarama, M., Pieper, R. (2008). The Concept of Care-Related Quality of Life. In: Vaarama, M., Pieper, R., Sixsmith, A. (eds) Care-Related Quality of Life in Old Age. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72169-9_4
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