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By Ronald Abeles PhD, Helen Gift PhD, Marcia G. Ory PhD MPH

During this well timed and demanding paintings, specialist gerontologists evaluate what has been discovered concerning the elderly and the method of getting older and hyperlink this data to interventions for making improvements to the standard of lifestyles. This quantity highlights the advance of preventive, healing, and rehabilitative interventions designed to help older humans preserve their independence and caliber of existence. as well as the editors, bankruptcy authors comprise Robert N. Butler, Matilda White Riley, Carroll Estes, and a foreword via James O. Mason.

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This issue merits some attention. Global evaluations may tend to be more stable than evaluations of specific aspects of one's life. Thus, global evaluations may be more useful as descriptors or predictors of other concepts rather than as outcomes. Longitudinal studies evaluating quality of life dimensions across the life span are needed to better understand this issue. Ordering of Questions The order in which quality of life concepts are asked may affect responses. , 1992). Kutner and colleagues suggest that the order should proceed from questions with less emotional impact to those with more.

In considering concepts of quality of life as potential outcome measures of interventions, we are assuming that such concepts are changeable or mutable, which remains an open question. , pain, fatigue) are surely mutable, some of the more subjective and evaluative components may be more stable. For example, levels of psychological distress and well-being may be somewhat stable (McNeil, Stones, & Kozma, 1986), reflecting the tendency of individuals to adapt to changing circumstances. McNeil and colleagues concluded this based on their evaluation of the consistently small proportion of variance explained by various predictors of subjective well-being and the high stability coefficients in many studies of older adults.

S. S. S. Department of Health & Human Services. Fries, J. F, (1989). The compression of morbidity: near or far? The Milbank Quarterly, 67, 208-232. GuralnikJ. A. (1989, May 26). Aging in the Eighties: The prevalence of camarbidity and its association with disability. Number 170, National Center for Health Statistics. Hing, E. & Bloom B. (1990). National Center for Health Statistics, Long-term Care For The Functionally Dependent Elderly. Vital and Health Statistics, Series 13, No. 104. National Center For Health Statistics.

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