Search

The goal of this paper is the elaboration of an instrument to assess quality of life (QL) of aging persons with disability. It has been applied to a sample of 2.292 persons older than 45 years, from different regions of Spain. The need of QL assessment instruments for this group of persons with disability who are aging will allow us to make valid and reliable measures to plan efficient intervention actions and strategies, and has motivated the creation of this Quality of Life Questionnaire (QLQ). The analysis of the scale psychometric properties shows high internal consistency, Cronbach's alfa of 0,92. Scale dimensionality offers a hexafactorial solution that tests six of the main QL dimensions, such as, physical well being, social inclusion, emotional well being, personal development and self-determination, interpersonal relationship and material well being. These results give evidence of the QLQ suitability to assess the QL, as it is perceived by the sample of our study, the ageing persons with disability. [ABSTRACT FROM AUTHOR]

This paper adopts the Council of Europe political view of care need. This is defined in psychosocial terms and takes place within a socio-medical framework. Obviously, people may be in need of care for a number of reasons such as becoming old or with disability or a combination of both situations. Thus, regardless of these reasons, what appears is a population having difficulties to get by with basic daily activities. Therefore, the bigger the change in the social structures of the living-together, the higher the need of care. Likewise, the less developed the social services, particularly the so-called socio-medical space, the more vulnerable the people in need of care. With respect to the prospects of the 1999 Survey on Deficiencies, Disabilities and Health Conditions, we think that if an efficient National Care Need System is not developed the biological success attained in the past century will be followed by a resounding social failure. [ABSTRACT FROM AUTHOR]