title: The choices, choosing model of quality of life: clinical evaluation and intervention.
abstract: Two previous papers presented a conjectured model of quality of life featuring the personal management of accessing choices and choosing among them (the c-c process). Those papers made the case that this model unifies the pathways leading to impaired quality of life, especially with regard to age associated multiple co-morbidities, changes in perception and functioning, and the effects of long term care environments; it also introduces a science base for understanding and guiding interventions that can assist people to achieve their quality-of-life goals. Our aim in this paper is to outline interprofessional strategies that could relieve restrictions or distortions of the c-c process imposed by aging, ill-health, or a restricting environment. We do so by outlining potential deficits in the c-c process and matching these with restorative person-centered interprofessional interventions including interprofessional teamwork. Findings suggest that interprofessional assessment and team work is well suited to assisting the c-c process. We conclude that the groundwork has been prepared for developing training programs and clinical trials for interprofessional interventions targeting the c-c process.
authors.affiliation: Columbia University Stroud Center for Study of Quality of Life, New York, NY 10032, USA. bjg1@columbia.edu
authors.forename: Barry J
authors.initials: BJ
authors.lastname: Gurland
authors.forename: Roni V
authors.initials: RV
authors.lastname: Gurland
authors.forename: Ethel
authors.initials: E
authors.lastname: Mitty
authors.forename: John
authors.initials: J
authors.lastname: Toner
mesh_terms: D000375:Aging; D002755:Choice Behavior; D003210:Concept Formation; D003299:Cooperative Behavior; D006801:Humans; D007400:Interprofessional Relations; D008962:Models, Theoretical; D011788:Quality of Life; D012586:Science