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Introduction: Several factors influence the quality of life (QoL) of older adults, particularly those on hemodialysis. Fear of falling and its resulting limitations are significant contributors. This study investigated the association between fear of falling and QoL in older hemodialysis patients in Tehran hospitals . Methods: A descriptive-correlational design was used with 197 older hemodialysis patients in Tehran hospitals (2021) recruited through convenience sampling. Data were collected using a demographic questionnaire, the Falls Efficacy Scale-International , and the Leiden International Psychogeriatric Assessment of Life Functions scale to assess QoL. Spearman's rank correlation was performed using SPSS-21 software. Results: The mean QoL score (54.68 ± 16.09) indicated a moderate level. The mean fear of falling score (35.29 ± 13.54) reflected a high level. A significant negative correlation (R = -0.63, p = 0.001) was found between fear of falling and QoL. Conclusion: Our findings suggest that increased fear of falling is associated with a decrease in QoL among older hemodialysis patients. Further research is warranted to explore interventions aimed at managing fear of falling, preventing falls, and ultimately improving QoL in this population. Corresponding Author: Nahid Rejeh View Orcid in Profile You can search for this author in PubMed Google Scholar Profile

objective (s): The study aimed to assess the effectiveness of Pilates on patients with type 2 diabetes Methods: A randomized controlled trial was carried out in forty patients with a diagnosis of diabetes type 2. Patients were randomly assigned to one of two groups: experimental group (EG) that in addition to the usual care performed eight weeks of pilates exercises and the control group (CG) that continued to receive the usual care and did not undergo any other intervention. Participants evaluated before and one week after the intervention completed. The quality of life questionnaire (CASP-19) and the short-term test (AMTs) were used to collect data. Results: The groups were homogeneous at baseline. According to the statistical analysis, no significant improvement was observed in the EG. Conclusion: The study did not show benefit for pilates group compared to control group. It is suggested that in the future, this study should be carried out with bigger sample size, increasing the intervention time and a specific questionnaire for assessing the quality of life of the elderly.

Abstract Background Assessing quality of life (QOL) in elderly needs specific instruments. The Older People’s Quality of Life Questionnaire (OPQOL-35) is one of the common tools that used for measuring quality of life in elderly populations. The questionnaires contains 35 items tapping into eight domains including life overall, health, social relationships and participation, independence, control over life and freedom, home and neighborhood, psychological and emotional well-being, financial circumstances, culture and religion. This study aimed to translate and validate the OPQOL-35 in Iran. Methods Forward-backward procedure was applied to translate the original questionnaire from English into Persian. Then following qualitative face and content validity, a sample of elderly people completed the questionnaire. In order to evaluate the construct validity, exploratory and confirmatory factor analyses was performed. Subsequently, convergent and divergent validity of the factors were evaluated. Reliability was evaluated by performing internal consistency analysis and Intraclass Correlation Coefficients (ICC). Results In all 500 older people completed the questionnaire. The mean age of participant was 68.92 (SD = 6.97) years, and mostly were males (66.6%). The result of exploratory factor analysis showed 8 factors with Eigen values of greater than one, which explained 67.4% of the variance observed. Confirmatory factor analysis showed acceptable fit indexes for the data [Comparative Fit Index (CFI) = 0.92, Minimum Discrepancy Function by Degrees of Freedom divided (CMIN/DF) = 2.832, Root Mean Square Error of Approximation (RMSEA) = 0.067]. The convergent and divergent validity did not support three latent factors (Life overall, Independence, control over life, freedom and Psychological and emotional well-being). Convergent and divergent validity shown that construct fulfilled for the health, social relationships and participation, home and neighborhood, financial circumstances, culture and religion latent factors, however the results did not support the convergent and divergent validity for three latent factors (Life overall, Independence, control over life, freedom and Psychological and emotional well-being). Cronbach’s alpha coefficient for the subscales ranged from 0.65–0.95. Test-retest reliability (ICC) of the questionnaire with two weeks interval were ranged from 0.88–0.95 indicating a good range of reliability. Conclusion The findings suggest that the Iranian version of OPQOL-35 is a valid measure for assessing quality of life in elderly populations in different settings.

Objective (s): Cardiovascular diseases are the main cause of death in developed and developing countries. The aim of this study was to investigate the effect of a family-centered empowerment model (FCEM) on quality of life in elderly patients with angina. Methods: This was a randomized trial on a convenient sample of patients 60 years and older with angina hospitalized in cardiology clinics of a teaching hospital in Qazvin, Iran. Patients were randomized to receive intervention or the usual care. The intervention group received a four dimensions program (perceived threat with group discussion method, self-efficacy with problem solving methods, self-esteem with educational partnership and outcome and process evaluations). To collect data we used an specific FCEM instrument, and the Seattle Angina Questionnaire. Results: Following the implementation of the program the intervention in group showed better quality of life in all dimensions compared to their own baseline score and the control group (p

Abstract Background Angina pectoris causes substantial psychological and functional disabilities and adversely effects quality of life in patients. The aim of this study was to investigate the psychometric properties including validity and reliability of the Farsi version of the Seattle angina questionnaire. Methods The ‘forward-backward’ procedure was applied to translate this questionnaire from English to Farsi. The translated version of the Seattle angina questionnaire was assessed in terms of validity and reliability with a convenience sample of 200 patients suffering from angina pectoris who were recruited from the inpatient ward (post CCU) and outpatient department at two teaching hospitals in an urban area of Iran. Validity was assessed using content, face and construct validity. The calculation of the Cronbach’s alpha coefficient and the test-retest method helped with the assessment of reliability of the questionnaire’s five subscales. Construct validity of the questionnaire was evaluated using exploratory factor analysis. Results The results of exploratory factor analysis indicated a five-factor solution for the questionnaire including ‘physical limitation in middle to strenuous activities’, ‘physical limitation in slight activities’, ‘angina pattern and discomfort of treatment’, ‘treatment satisfaction’ and ‘disease perception’ that jointly accounted for 64.42% of variance observed. Convergent validity was mostly supported by the pattern of association between the Seattle angina questionnaire-Farsi version and the SF-36. Cronbach’s alpha of the subscales ranged from 0.60 to 0.86 and test-retest scores ranged from 0.79 to 0.97 indicating a good range of reliability. Conclusions The Seattle angina questionnaire-Farsi version had acceptable psychometric properties. Therefore, it can be used to assess health-related quality of life and assess the effects of different medical and nursing interventions on patients’ quality of life.

Objective (s): Due to the increasing elderly population in the world, need to access accurate data for planning and action to protect and promote the health of the elderly is more attention. Choosing right tools with good psychometrics properties is a prerequisite for access accurate data. The aim of this systematic review was to assess the common tool used measuring quality of life. Methods: A comprehensive search of databases of Pubmed, Medline, and Science Direct was conducted, using the related keywords to development and psychometrics of older quality of life instruments. Results: In all a total of 342 papers were included in this review. Most commonly used quality of life measures in elderly were generic instruments (81.3%). Among generic measures the 36-Item Short Form Health Survey (SF-36) was widely used (26.8%), while only specific tools to measure quality of life in elderly people accounted for 18.7%. Among specific measures the World Health Organization Quality of Life - OLD was widely used (9.6%). Conclusion: The results revealed that CASP-19, OPQOL-BRIEF and WHOQOL-AGE are the best specific measures that can be recommended for measuring quality of life in elderly populations.

Objective (s): Assessing quality of life in elderly needed specific instrument. The Older People’s Quality of Life Questionnaire (OPQOL-35) is one of the common measure used for assessing quality of life of the elderly. This study aimed to translate and validate the Persian version of OPQOL-35, in Iran. This questionnaire consists of 35 items measuring life overall, health, social relationships and participation, independence, control over life and freedom, home and neighborhood, psychological and emotional well-being, financial circumstances, leisure, activities and religion. Methods: Forward-backward procedure was used to translate the questionnaire into Persian. Then, face validity and content validity was performed. Data were collected from 200 older people. In order to evaluate the construct validity, known-groups comparison (elders living alone vs. elder living with family or someone) was performed. The correlation between the OPQOL-35 and SF-36 was tested to establish criterion validity. Reliability was evaluated using intraclass correlation coefficients (ICC) using test- retest analysis. Results: The result of known- groups comparisons showed that quality of life in elders living alone was significantly lower than other elders (P< 0.001). Criterion validity represented a significant correlation between Persian version of the OPQOL-35 and the SF-36 (P

Objective (s): To translate and validate a Persian version of the AAQ in Iran. The AAQ consists of 24 items which cover three theoretical domains: physical change, psychological growth, and psychosocial loss. Methods: The existing AAQ (English version) was translated into Persian according to process of translation and adaptation of instruments of The World Health Organization protocol. Data were then collected from 200 older people. Reliability (internal consistency, test- retest reliability) face validity, content validity, known-groups comparison and criterion validity of the AAQ, with the SF-36, and the WHOQOL, were examined. Results: The mean age of participants was 67.66 ±6.28, and more than half (50.5%) were female. There was satisfactory internal consistency (Cronbach’s a 0.80–0.89) for the subscales. Test-retest reliability (ICC) of the questionnaire with interval time of two weeks was 0.97(p < 0.001). The result of known-groups comparison showed that the questionnaire discriminated between subgroups of elderly people differing in gender, and education. Criterion validity was assessed by comparing scores for the eight dimensions of the SF-36, four factors of the WHOQOL and four factors of the AAQ (Persian version). The AAQ showed significant correlation with SF-36, and WHOQOL in most dimensions. Conclusion: We tested and validated a Persian version of the AAQ with 24 items. It appears to be a promising tool, providing reliable and valid data helping for measuring Attitudes to Ageing among elders in different settings such as clinics, homes and research environments. It is recommended in the future studies that structural validity of the Persian version AAQ in larger sample factor analysis be examined.

Objective (s): This study aimed to translate and validate a Persian version of the CASP-19, in Iran. Methods: The existing CASP-19 (English version) was translated into Persian version according to the World Health Organization protocol for translation and adaptation of instruments. The operational measure (CASP-19) consists of 19 Likert-scaled items that cover four theoretical domains: control, autonomy, self-realization and pleasure. Data were collected from 100 older people. Reliability (internal consistency, test- retest reliability) face validity, content validity, known groups comparisons and criterion validity of the CASP-19 and the SF-36, were examined. Results: The mean age of the participants was 69.6 (standard deviation± 7.32) years, and more than half (54%) were female. We observed satisfactory internal consistency (Cronbach’s a 0.70–0.88) for the subscales. Test-retest reliability (ICC) of the questionnaire with two weeks interval was 0.96(p < 0.001). The result of known- groups comparisons showed that the questionnaire discriminated subgroups of elderly people who differed in neglect. Criterion validity was assessed by comparing SF-36 and CASP-19 (Persian version). Relationship between translated scale and the SF-36 subscales showed significant correlation in most dimensions. Conclusion: The findings suggest that the CASP-10 is a valid measure for assessing quality of life in elderly populations in different settings.

Objective (s): To translate and evaluate the the myocardial infarction dimensional assessment scale (MIDAS), as a disease-specific quality of life scale in patients with myocardial infarction in Iran. Methods: After permission, the questionnaire was translated. Then face validity, content validity, concurrent validity and criterion validity were assessed. In order to evaluate the construct validity, known-groups comparison (patients with and without smoking) was performed. For criterion validity the Short Form 36 (SF-36) was used. Cronbachchr('39')s alpha coefficients and the test retest were used to assess the scale reliability. Results: One hundred patients with myocardial infarction participated in the study. The criterion validity showed high and significant correlation between most the MIDAS and the SF-36 scores. The Cronbach’s alpha for the scale ranged from 0.74 to 0.887 and test-retest reliability (ICC) within 2 weeks, in all dimensions was greater than 0. 90. Conclusion: The findings suggest that the MIDAS is a valid and reliable disease-specific scale and can be considered for measuring health outcomes in research and clinical settings.

Objective (s): Angina pectoris greatly affects quality of life. The aim of this study was to examine quality of life and related factors in patients with angina pectoris. Methods: This was a cross-sectional study of 200 patients with angina pectoris attending a teaching hospital in Qom Iran, in 2012. The Short Form Health Survey (SF-36) was used to measure quality of life. Data were analyzed using the SPSS 16 performing descriptive statistical tests, Pearson correlation coefficient, independent t-test and ANCOVA. Results: Higher scores observed for social functioning (mean =59.0), while it was lowest for role limitation due to physical problems (mean =33.12). Female participants had lower quality of life, and these differences were statistically significant for all subscales (p

Objective (s): This study aimed to investigate the quality of life in older people suffering from abuse by family members in comparison with older patients without such experiences.Methods: Using a quantitative design and a cross-sectional approach, 360 older people (180 abused and 180 non- abused older people) aged over 65 years was entered into the study. Data were collected using the Iranian version of Abbreviated Mental Test Score, the Domestic Elder Abuse Questionnaire and the Iranian version of 36-item Short form Health Survey (SF-36) via face-to-face interviews.Results: It was found that the older people who did not experience abuse from family members reported higher quality of life in comparison with the abused older people(P

Objective (s): This study was performed to translate and validatie the Persian version of Critical Care Family Needs Inventory (CCFNI) assessing family needs of admitted patients in the intensive care units and to determine its validation.Methods: After translation qualitative face validity and content validity was established for the questionnaire. In order to evaluate the construct validity, known-groups comparison (nonsurgical versus surgical patients) was performed and to determine its differential validity, intensive care unit were compared with the conventional wards using independent-sample t -test. The internal consistency (Cronbach's alpha coefficients) were used to assess the scale reliability. 150 family members of patients in intensive care units and 150 patients' family members in general medical and surgical wards participated in this study.Results: Significant differences were found between surgical and nonsurgical patients' family (p=0.03) as well as the intensive care unit and conventional wards (p=0.007). There were significant positive correlations between all scale dimensions (0.684≤r≤0.439, p

Objective (s): To translate and evaluate the validity and reliability of the Seattle Angina Questionnaire, as a disease-specific quality of life scale in patients with angina pectoris.Method: After permission, the questionnaire was translated. Then face validity, content validity, concurrent validity and criterion validity were determined. In order to evaluate the construct validity, known-groups comparison (patients with and without chest symptoms) was performed and to determine its criterion validity the Short Form 36 (SF-36) was used. Cronbach's alpha coefficients and the test retest were used to assess the scale reliability. 100 patients with angina pectoris participated in this study. Results: The criterion validity showed high and significant correlation between most SAQ and SF-36 scores. Cronbach’s alpha of the total scale was 0.85 and test-retest reliability (ICC) within 2 weeks, in all dimensions was greater than 0. 90. Conclusion: The findings suggest that the SAQ is a valid and reliable disease-specific scale and can be considered for measuring health outcomes in research and clinical settings.