Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh

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Rana, A.K.M. MasudDepartment of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet (author)

Impact of health education on health-related quality of life among elderly persons : results from a community-based intervention study in rural Bangladesh

Article/chapterEnglish2009

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2008-11-12
Oxford University Press,2009
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LIBRIS-ID:oai:DiVA.org:su-29038
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-29038URI
https://doi.org/10.1093/heapro/dan042DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:118223391URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

Notes

This study was conducted under the auspices of Primary Health-care in Later Life: Improving Services in Bangladesh and Vietnam (PHILL) project funded by the European Commission (Contact No: ICA4-CT-2002-10035). The Swedish Institute (SI) and BRAC supported A.K.M.M.R. during the completion of this manuscript.
This study examines the change in health-related quality oflife (HRQoL) among (60 years) elderly persons as a result ofhealth education intervention. A community-based interventionstudy was performed in eight randomly selected villages (Intervention:n = 4; Control: n = 4) in rural Bangladesh. A total of 1135elderly persons was selected for this study. The analyses include839 participants (Intervention: n = 425; Control: n = 414) whoparticipated in both baseline and post-intervention surveys.Participants in the intervention area were further stratifiedinto compliant (n = 315) and non-compliant (n = 110) groupsbased on the reported compliance to the intervention activities.The intervention includes, for example, physical activity, adviceon healthy food intake and other aspects of management. To createan enabling environment, social awareness was provided by meansof information about the contribution of and challenges facedby elderly persons at home and the community, including informationabout elderly persons' health and health care. The interventionactivities were provided to the elderly persons, caregivers,household members and community people for 15 months. The HRQoLwas assessed using a multi-dimensional generic instrument designedfor elderly persons. Multivariate analyses revealed that inthe non-compliant group the probabilities of increased scoreswere less likely in overall HRQoL (OR 0.52, 95% CI 0.32–0.82).Among the Control group, increased scores were less likely inthe physical (OR 73, 95% CI 0.54–0.99), social (OR 0.37,95% CI 0.27–0.50), spiritual (OR 0.60, 95% CI 0.34–0.94),environment (OR 0.36, 95% CI 0.26–0.49) dimensions andoverall HRQoL (OR 0.44, 95% CI 0.32–0.59) (adjusted forage, sex, literacy, marital status and economic status). Thisstudy concludes that provision of community-based health educationintervention might be a potential public health initiative toenhance the HRQoL in old age.

Subject headings and genre

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
health-related quality of life
elderly
health education
Bangladesh
rural
Psychology
Psykologi
Psychology
psykologi

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Wahlin, ÅkeStockholms universitet,Psykologiska institutionen,Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden (author)
Stålsby Lundborg, CeciliaKarolinska Institutet (author)
Kabir, Zarina NaharKarolinska Institutet (author)
Department of Neurobiology, Care Sciences and Society (NVS), Karolinska InstitutetPsykologiska institutionen (creator_code:org_t)

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In:Health Promotion International: Oxford University Press24:1, s. 36-450957-48241460-2245

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

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