{"title":"社区居住老年人可逆性认知衰弱、功能能力和健康相关生活质量：社会支持的调节作用","authors":"Hejing Chen, Jiaqi Yu, Wenyu Wang, Qinqin Liu, Yanyan Li, Wendie Zhou, Cuili Wang","doi":"10.1007/s11482-025-10433-1","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Providing the necessary supportive environment is important for promoting healthy ageing and ensuring the well-being of older adults. However, whether social support could buffer the detrimental effect of reversible cognitive frailty (RCF) on health outcomes among older adults has not been empirically examined.</p><h3>Objective</h3><p>To examine the moderating effect of three dimensions of social support on the relationship between RCF and health outcomes, including functional ability (FA) and health-related quality of life (HRQoL).</p><h3>Methods</h3><p>This was a cross-sectional study with 1171 community-dwelling older adults. Social support was assessed using the Social Support Rating Scale. RCF was identified by the Frailty Phenotype and simplified subjective cognitive decline questionnaire. As for FA, the Katz index and the Lawton Scale were used to measure activities of daily living (ADL) and instrumental ADL (IADL), respectively. HRQoL was measured by the Short Form Health Survey. Hierarchical linear regression analysis was implemented to test the moderating effects.</p><h3>Results</h3><p>Support utilization buffered the effect of RCF on IADL ability while subjective support buffered the effect of RCF on physical HRQoL. However, objective support had no significant moderating effect on the relationship between RCF and any health outcomes.</p><h3>Conclusion</h3><p>The moderating effect of social support on the relationship between RCF and health outcomes varies by support types and by specific health outcomes. Effective interventions should target the perception and utilization of available support among older adults with RCF to maintain their functional independence and HRQoL.</p></div>","PeriodicalId":51483,"journal":{"name":"Applied Research in Quality of Life","volume":"20 2","pages":"789 - 808"},"PeriodicalIF":2.5000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reversible Cognitive Frailty, Functional Ability and Health-related Quality of Life among Community-Dwelling Older Adults: the Moderating Role of Social Support\",\"authors\":\"Hejing Chen, Jiaqi Yu, Wenyu Wang, Qinqin Liu, Yanyan Li, Wendie Zhou, Cuili Wang\",\"doi\":\"10.1007/s11482-025-10433-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Providing the necessary supportive environment is important for promoting healthy ageing and ensuring the well-being of older adults. However, whether social support could buffer the detrimental effect of reversible cognitive frailty (RCF) on health outcomes among older adults has not been empirically examined.</p><h3>Objective</h3><p>To examine the moderating effect of three dimensions of social support on the relationship between RCF and health outcomes, including functional ability (FA) and health-related quality of life (HRQoL).</p><h3>Methods</h3><p>This was a cross-sectional study with 1171 community-dwelling older adults. Social support was assessed using the Social Support Rating Scale. RCF was identified by the Frailty Phenotype and simplified subjective cognitive decline questionnaire. As for FA, the Katz index and the Lawton Scale were used to measure activities of daily living (ADL) and instrumental ADL (IADL), respectively. HRQoL was measured by the Short Form Health Survey. Hierarchical linear regression analysis was implemented to test the moderating effects.</p><h3>Results</h3><p>Support utilization buffered the effect of RCF on IADL ability while subjective support buffered the effect of RCF on physical HRQoL. However, objective support had no significant moderating effect on the relationship between RCF and any health outcomes.</p><h3>Conclusion</h3><p>The moderating effect of social support on the relationship between RCF and health outcomes varies by support types and by specific health outcomes. Effective interventions should target the perception and utilization of available support among older adults with RCF to maintain their functional independence and HRQoL.</p></div>\",\"PeriodicalId\":51483,\"journal\":{\"name\":\"Applied Research in Quality of Life\",\"volume\":\"20 2\",\"pages\":\"789 - 808\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Applied Research in Quality of Life\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s11482-025-10433-1\",\"RegionNum\":3,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SOCIAL SCIENCES, INTERDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Research in Quality of Life","FirstCategoryId":"90","ListUrlMain":"https://link.springer.com/article/10.1007/s11482-025-10433-1","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SOCIAL SCIENCES, INTERDISCIPLINARY","Score":null,"Total":0}
Reversible Cognitive Frailty, Functional Ability and Health-related Quality of Life among Community-Dwelling Older Adults: the Moderating Role of Social Support
Background
Providing the necessary supportive environment is important for promoting healthy ageing and ensuring the well-being of older adults. However, whether social support could buffer the detrimental effect of reversible cognitive frailty (RCF) on health outcomes among older adults has not been empirically examined.
Objective
To examine the moderating effect of three dimensions of social support on the relationship between RCF and health outcomes, including functional ability (FA) and health-related quality of life (HRQoL).
Methods
This was a cross-sectional study with 1171 community-dwelling older adults. Social support was assessed using the Social Support Rating Scale. RCF was identified by the Frailty Phenotype and simplified subjective cognitive decline questionnaire. As for FA, the Katz index and the Lawton Scale were used to measure activities of daily living (ADL) and instrumental ADL (IADL), respectively. HRQoL was measured by the Short Form Health Survey. Hierarchical linear regression analysis was implemented to test the moderating effects.
Results
Support utilization buffered the effect of RCF on IADL ability while subjective support buffered the effect of RCF on physical HRQoL. However, objective support had no significant moderating effect on the relationship between RCF and any health outcomes.
Conclusion
The moderating effect of social support on the relationship between RCF and health outcomes varies by support types and by specific health outcomes. Effective interventions should target the perception and utilization of available support among older adults with RCF to maintain their functional independence and HRQoL.
期刊介绍：
The aim of this journal is to publish conceptual, methodological and empirical papers dealing with quality-of-life studies in the applied areas of the natural and social sciences. As the official journal of the ISQOLS, it is designed to attract papers that have direct implications for, or impact on practical applications of research on the quality-of-life. We welcome papers crafted from interdisciplinary, inter-professional and international perspectives. This research should guide decision making in a variety of professions, industries, nonprofit, and government sectors, including healthcare, travel and tourism, marketing, corporate management, community planning, social work, public administration, and human resource management. The goal is to help decision makers apply performance measures and outcome assessment techniques based on concepts such as well-being, human satisfaction, human development, happiness, wellness and quality-of-life. The Editorial Review Board is divided into specific sections indicating the broad scope of practice covered by the journal. The section editors are distinguished scholars from many countries across the globe.
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