Interventions to enhance the quality of life of older people in residential long-term care: A systematic review.

Lien Van Malderen, Tony Mets, Ellen Gorus

Research output: Contribution to journalArticlepeer-review

74 Citations (Scopus)

Abstract

Purpose: In residential long-term care (LTC), a growing interest exists in the older residents' quality of life (QoL). The active ageing-concept (AA) extended this focus, since AA has the aim to enhance QoL by optimising the opportunities for health, participation and security. In LTCs, AA can be outlined by 9 determinants. This systematic review aimed at identifying interventions to improve the QoL of LTC-residents. These interventions were organised according to the AA-determinants.

Methods: Pubmed, web of science, psychinfo and sociological abstracts were screened systematically. Articles were excluded when they only concerned a specific group of LTC-residents.

Results: Thirty five relevant articles, encompassing 3910 subjects were found. These concerned interventions concentrating on one or more of the 9 AA-determinants. The largest proportion of interventions regarded the physical activity level or the psychological factors of the residents. Overall, no systematic effects on QoL could be found and a low methodological quality was generally present.

Conclusion: Currently, studies aimed at enhancing the QoL of older LTC-resident are limited and often directed to physical and psychological interventions. The lack of a systematic effect on QoL is possibly related to the fact that these interventions were often not multidimensional, whereas QoL is a multidimensional concept.
Original languageEnglish
Pages (from-to)141-150
Number of pages10
JournalAgeing Research Reviews
Volume12
Issue number1
Publication statusPublished - Jan 2013

Keywords

  • Active Ageing
  • Nursing home
  • Quality of life
  • Intervention studies

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