Health, Quality of Homecare Services and Quality of Life: A Case of Frail Older Immigrant Adults
- 280 Downloads
This study explores the roles of two health-related concepts on the relationship between quality of homecare services and quality of life among a group of frail older immigrants residing in a large city in the Midwest region of the United States. Analyzing data from a community-based social service agency, this study tested two hypotheses: (1) health-related quality of life mediated the relationship between quality of health-related social services and overall quality of life, and (2) perceived importance of health moderated the relationship between quality of health-related social services and quality of life. Results of this study show that health-related quality of life, measured by satisfaction with health, mediated the relationship between quality of health-related social services, measured by satisfaction with homecare services, and overall quality of life, measured by overall life satisfaction. In addition, perceived importance of health moderated the relationship between quality of health-related social services, measured by satisfaction with homecare services, and quality of life, measured by overall life satisfaction. Quality of homecare services is significantly associated with clients’ quality of life. Homecare services may contribute to clients’ satisfaction with health which, in turn, enhances clients’ overall quality of life. The association between quality of homecare services and quality of life is likely to differ, depending on how important health is perceived.
KeywordsSubjective well-being Life satisfaction Social services Homemaker services Relative importance of health Health-related quality of life
This research was supported by a grant from the Institute of Research on Race and Public Policy, University of Illinois at Chicago. The author is grateful for the assistance and support of staff members at the Chinese American Service League, especially Ms. Connie Liu. The views expressed in this article do not necessarily represent those of the Chinese American Service League.
- Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.Google Scholar
- Applebaum, R. A., Straker, J. K., & Geron, S. M. (2000). Assessing satisfaction in health and long-term care: Practical approaches to hearing the voices of consumers. New York: Springer Publishing Company.Google Scholar
- Campbell, A., Converse, P. E., & Rogers, W. L. (1976). The quality of American life: Perceptions, evaluations, and satisfactions. New York: Russel Sage.Google Scholar
- Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
- Cummins, R. A. (2013). Positive psychology and subjective wellbeing homeostasis: A critical examination of congruence. In D. Moraitou & A. Efklides (Eds.), Quality of life: A positive psychology perspective (pp. 67–86). New York: Springer.Google Scholar
- Gibson, D. (1998). Aged care: Old policies, new problems. Cambridge: Cambridge University Press.Google Scholar
- Hayes, A. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford.Google Scholar
- Inglehart, R. (1978). Value priorities, life satisfaction, and political dissatisfaction among western publics. Comparative Studies in Sociology, 1, 173–202.Google Scholar
- International Wellbeing Group. (2013). Personal Wellbeing Index-Adult (PWI-A). Retrieved on 25 July 2016. http://www.acqol.com.au/iwbg/wellbeing-index/pwi-a-english.pdf.
- Jaccard, J., Turrisi, R., & Wan, C. K. (1990). Interaction effects in multiple regression. Thousand Oaks, CA: Sage.Google Scholar
- Nguyen, T. D., Attkisson, C. C., & Stegner, B. L. (1983). Assessment of patient satisfaction: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 16, 109–118.Google Scholar
- Rossi, P. H., Freeman, H. E., & Lipsey, M. W. (2004). Evaluation: A systematic approach (7th ed.). Newbury Park, CA: Sage.Google Scholar
- Royse, D., Thyer, B. A., & Padgett, D. K. (2010). Program evaluation: An introduction (5th ed.). Belmont, CA: Wadsworth.Google Scholar
- Rust, R. T., & Oliver, R. L. (Eds.). (1994). Service quality: New direction in theory and practice. Thousand Oaks, CA: Sage Publications.Google Scholar
- Seed, P., & Kayer, G. (1994). Handbook for assessing and managing care in the community. London: Jessica Kingsley.Google Scholar
- Tran, T. V. (1992). Subjective health and subjective well-being among minority elderly: Measurement issues. Journal of Social Service Research, 16(3/4), 133–146.Google Scholar
- Yi, Y. (1990). A critical review of consumer satisfaction. In V. A. Zeithaml (Ed.), Review of marketing 1990. Chicago: American Marketing Association.Google Scholar