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Journal of Transcultural Nursing, Vol. 15, No. 4, 298-307 (2004)
DOI: 10.1177/1043659604268968

Assessing Health-Related Quality of Life among Older People in Rural Bangladesh

Jan Nilsson, MSc, RN

Karolinska Institutet

Marti G. Parker, PhD

Karolinska Institutet and Stockholm University

Zarina Nahar Kabir, MA, PhD

Karolinska Institutet

The purpose of this study was to review instruments of health-related quality of life (HRQoL) to identify an instrument appropriate for elderly people in rural Bangladesh. In addition, it hypothesizes that it is important to include physical, psychological, social, spiritual, economic, and environmental dimensions when assessing HRQoL in this group. Sixteen generic instruments found through PubMed were reviewed with regard to content and construct. None of the reviewed instruments fully met the criteria required in the intended context. In-depth interviews were conducted with 11 elderly people in rural Bangladesh to explore the dimensions of HRQoL they considered important. Content analysis of the interview transcripts supported the hypothesis that all six dimensions were important. Suggestions for a new HRQoL instrument appropriate for elderly people in rural Bangladesh are presented.

Key Words: aged • Bangladesh • developing countries • quality of life


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