A1 Journal article (refereed)
Maintenance of high quality of life as an indicator of resilience during COVID-19 social distancing among community-dwelling older adults in Finland (2022)


Koivunen, K., Portegijs, E., Sillanpää, E., Eronen, J., Kokko, K., & Rantanen, T. (2022). Maintenance of high quality of life as an indicator of resilience during COVID-19 social distancing among community-dwelling older adults in Finland. Quality of Life Research, 31(3), 713-722. https://doi.org/10.1007/s11136-021-03002-0


JYU authors or editors


Publication details

All authors or editorsKoivunen, Kaisa; Portegijs, Erja; Sillanpää, Elina; Eronen, Johanna; Kokko, Katja; Rantanen, Taina

Journal or seriesQuality of Life Research

ISSN0962-9343

eISSN1573-2649

Publication year2022

Publication date27/09/2021

Volume31

Issue number3

Pages range713-722

PublisherSpringer

Publication countryNetherlands

Publication languageEnglish

DOIhttps://doi.org/10.1007/s11136-021-03002-0

Publication open accessOpenly available

Publication channel open accessPartially open access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/77973


Abstract

Purpose
Social distancing during the COVID-19 pandemic reduced possibilities for activities of choice potentially threatening quality of life (QoL). We defined QoL resilience as maintaining high quality of life and studied whether walking speed, absence of loneliness, living arrangement, and stress-coping ability predict QoL resilience among older people.

Methods
Community-dwelling 75-, 80-, and 85-year-old persons (n = 685) were interviewed and examined in 2017–2018 and were followed up during COVID-19 social distancing in 2020. We assessed QoL using the OPQOL-brief scale and set a cut-off for ‘constant high’ based on staying in the highest baseline quartile over the follow-up and categorized all others as having ‘low/moderate’. Perceived restrictiveness of the social distancing recommendations was examined with one item and was categorized as ‘yes’ or ‘no’ restrictiveness.

Results
Better stress-coping ability (OR 1.21, 95% CI 1.14–1.28) and not being lonely (OR 2.67, 95% CI 1.48–4.63) increased the odds for constant high QoL from before to amid social distancing, and the odds did not differ according to the perceived restrictiveness of the social distancing recommendations. Higher walking speed predicted constant high QoL only among those perceiving restrictiveness (OR 1.16, 95% CI 1.07–1.27). Living arrangement did not predict constant high QoL.

Conclusion
During social distancing, psychosocial resources helped to maintain good QoL regardless how restrictive the social distancing recommendations were perceived to be. Better physical capacity was important for constant high QoL only among those perceiving restrictiveness presumably because it enabled replacing blocked activities with open outdoor physical activities.


Keywordsolder peoplequality of lifephysical functioningpsychosocial factorsunusual conditionspandemicsCOVID-19adaptation (change)

Free keywordsphysical function; psychosocial resources; adversity; adaptation


Contributing organizations


Related projects


Ministry reportingYes

Reporting Year2022

JUFO rating2


Last updated on 2024-03-04 at 17:36