title: Factors associated with self and informant ratings of the quality of life of people with dementia living in care facilities: a cross sectional study.
abstract: BACKGROUND
  There is no consensus regarding the optimal approach to assessment of the quality of life of people with dementia. We undertook the present study to describe and determine the factors associated with ratings of the quality of life of a cohort of people with dementia living in a residential care facility.
  
  
  RESULTS
  351 people with dementia living in residential care facilities, and their staff and family informants participated in this cross sectional observational study. Quality of life was measured using self (Quality of Life in Alzheimer's Disease [QoL-AD] scale), and informant (QoL-AD and Alzheimer's Disease Related QoL Scale) reports. 226 people (64%) with dementia (median MMSE 17; 12-21) were able to self rate the QoL-AD scale and these subjects' ratings were compared to ratings by staff and family. Both staff and family informant ratings of the QoL-AD underestimated self ratings (mean difference -7.8, 95% CI -8.8, -6.7 for staff rated QoL-AD; and mean difference -7.2, 95% CI -8.5, -6.0 for family rated QoL-AD). Self ratings of QoL were lower among people who were restrained, had fallen or had pain. Informant ratings of the QoL of the participants with dementia were consistently and significantly lower for people with severe cognitive impairment, who had fallen, had presence of neuropsychiatric symptoms, or where care giver distress was present. Documented restraint, reported pain and neuropsychiatric symptoms were independently associated with lower self rating of the QoL-AD in multivariate models. Cognitive impairment, case conferencing, hospitalizations and neuropsychiatric symptoms were found to be independently associated with staff rated ADRQL.
  
  
  CONCLUSIONS
  The majority of people with dementia living in residential care facilities can rate their own QoL. Informant ratings underestimate self ratings of QoL of people with dementia, and appear to be associated with factors which are not associated with self ratings.
authors.affiliation: WA Centre for Health and Ageing, Centre for Medical Research, Perth, Western Australia, Australia. Christopher.beer@uwa.edu.au
authors.forename: Christopher
authors.initials: C
authors.lastname: Beer
authors.forename: Leon
authors.initials: L
authors.lastname: Flicker
authors.forename: Barbara
authors.initials: B
authors.lastname: Horner
authors.forename: Nick
authors.initials: N
authors.lastname: Bretland
authors.forename: Samuel
authors.initials: S
authors.lastname: Scherer
authors.forename: Nicola T
authors.initials: NT
authors.lastname: Lautenschlager
authors.forename: Frank
authors.initials: F
authors.lastname: Schaper
authors.forename: Osvaldo P
authors.initials: OP
authors.lastname: Almeida
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000523:psychology / Q000628:therapy; D001315:Australia; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003704:Dementia / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011787:Quality of Health Care; D011788:Quality of Life; D012112:Residential Facilities