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A mixed methods analysis of quality of life among late-life patients diagnosed with chronic illnesses

Overview of attention for article published in Health and Quality of Life Outcomes, November 2017
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Citations

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Title
A mixed methods analysis of quality of life among late-life patients diagnosed with chronic illnesses
Published in
Health and Quality of Life Outcomes, November 2017
DOI 10.1186/s12955-017-0797-3
Pubmed ID
Authors

Monica S. Frazer, Patrick Mobley

Abstract

Quality of life (QOL) is an important consideration for people living with advancing chronic conditions. Palliative care providers speak about how, despite physical decline in late life, many patients report growth and meaning in other domains. This mixed methods study uses QOL survey responses to explore domain trajectories and interview data to explore how patients with advancing chronic conditions experience distinct QOL domains. The study sample includes 156 now-deceased participants who completed the FACIT-Pal quarterly, and 40 (10 now-deceased) participants who discussed QOL in an interview. Mean subscale scores were plotted over participants' last 18 months to reveal QOL trajectories. Interview data were analyzed to reveal how participants' experience, actions and cognitive processes influenced QOL scores. Physical and functional subscale ratings show gradual decline. Emotional QOL maintains with a small dip 2-3 months before death, and social QOL ratings improve in participants' final 3 months. Participants create and strengthen relationships that help them better manage health and receive instrumental and emotional support; seek activities in which they can find joy, meaning, and purpose; and support cognitions through which patients accept and communicate about illness, and emphasize positives. QOL domains exist in different trajectories. Despite physical and functional decline, participant ratings of emotional QOL maintain and ratings of social QOL improve at end of life. Understanding the processes through which participants countered declining QOL may help providers identify how to best support and promote improved QOL for patients during their final months.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 26%
Researcher 4 12%
Student > Ph. D. Student 4 12%
Student > Postgraduate 2 6%
Student > Bachelor 2 6%
Other 3 9%
Unknown 10 29%
Readers by discipline Count As %
Nursing and Health Professions 12 35%
Medicine and Dentistry 7 21%
Psychology 2 6%
Social Sciences 2 6%
Arts and Humanities 1 3%
Other 0 0%
Unknown 10 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 November 2017.
All research outputs
#12,269,230
of 15,442,255 outputs
Outputs from Health and Quality of Life Outcomes
#1,139
of 1,660 outputs
Outputs of similar age
#289,345
of 403,300 outputs
Outputs of similar age from Health and Quality of Life Outcomes
#81
of 145 outputs
Altmetric has tracked 15,442,255 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,660 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 14th percentile – i.e., 14% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 403,300 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 145 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.