Quality of Life for Late Life Patients: Mixed-Methods Evaluation of a Whole-Person Approach for Patients With Chronic Illnesses

Tetyana Shippee, Nathan Shippee, Karl Fernstrom, Patrick Mobley, Monica Frazer, Judy Jou, Heather Britt

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Quality of life (QOL) for patients with serious illness in late life is important for patients and policy makers and has implications for improved care delivery. This mixed-methods evaluation examined the effectiveness of a new whole-person approach to late life care—the LifeCourse—which provides patients with ongoing, across-setting assistance from lay health care workers, supported by a clinical team. We investigated whether participation in LifeCourse improves QOL for intervention patients, compared with usual care controls. QOL was assessed using baseline and 6 months Functional Assessment of Chronic Illness Therapy–Palliative version tool (n = 181 patients and 126 controls). LifeCourse had a significant positive effect on overall QOL for patients when compared with controls. Interview data revealed that participants adjusted expectations when assessing QOL and actively sought out ways to maintain QOL with meaningful activities and needed services. LifeCourse offers a promising model for improving QOL for late life patients.

Original languageEnglish (US)
Pages (from-to)910-930
Number of pages21
JournalJournal of Applied Gerontology
Volume38
Issue number7
DOIs
StatePublished - Jul 1 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2017.

Keywords

  • care guides
  • interventions
  • late life care
  • mixed methods
  • quality of life

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