Elderly Quality of Life and Its Predictors in Chronic Disease Management Program: Indonesian Version of WHOQOL-BREF and WHOQOL-OLD

Abstract

Indonesia is currently experiencing increasing proportion of older population, which also increases the prevalence of chronic diseases that may decrease the quality of life (QoL). The Indonesian Social Security Agency develops a program to control chronic diseases, which is referred to as the Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis, PROLANIS) for the National Health Insurance participants. Its goals is to control chronic diseases in order to improve participants’ QoL. To evaluate the QoL of the elderly, the World Health Organization (WHO) has developed two questionnaires, namely WHOQOL-BREF and WHOQOL-OLD. The objective of this study was to analyze the differences in the QoL of the elderly between PROLANIS and non-PROLANIS participants using the Indonesian-verson of WHOQOL-BREF and WHOQOL-OLD as well as the QoL predictors. A cross-sectional study was carried out to 84 elderly PROLANIS participants (n=42) and non-PROLANIS participants (n=42). Respondents were sampled consecutively from 6 public health health centers (Pusat Kesehatan Masyarakat, Puskesmas) in Bangka District, Indonesia in 2018. Mann Whitney test or the unpaired T test were used to statistically analyze the difference between the two groups. A multiple linear regression test was then carried out to determine the predictors of the QoL. This study discovered that no difference was observed in the QoL of the elderly between PROLANIS and non-PROLANIS participants. Disease status and depression were the predictors of the QoL. Therefore, PROLANIS has not been proven to be able to improve the QoL of the elderly.

Keywords

• elderly, prolanis, qol, whoqol-bref, whoqol-old