Document Type : Original Article


1 Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Occupational Therapy, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, Kuwait

3 Ph.D Student in Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


INTRODUCTION: Improving participation in life meaningful roles is one of the most important
predictors of quality of life (QOL) and life satisfaction (LS) in later life. The purpose of this study was
to investigate the effect of Elder Care by Elderly People (ECP) on LS and QOL among institutionalized
senior citizens.
MATERIAL AND METHOD: This was an interventional study involving a targeted sample of 36
older adults in Ghods nursing home in Tehran in 2018. WHOQOL‑OLD 24‑item and LS 40‑item
questionnaires were used to measure LS and Olathe repeated‑measures ANOVA and descriptive
was employed to obtain the objectives.
RESULTS: The participants were 36 older adults in Ghods nursing home. The mean age of older
adults was 67.27 (standard deviation [SD] = 7.6), of whom about 77.8% were male. The mean score
of QOL increased from 74.38 (SD = 13.09) pre intervention to 83.72 (SD = 11.43) 2 months post
intervention, with most significant change of 9.3 QOL points between pre intervention and 2 months
post intervention alone (P < 0.01). Similarly, LS increased from 114.19 (SD = 26.93) pre intervention
to 133.94 (SD = 20.49) 2 months post intervention, with most significant change of 19.7 LS points
between pre intervention and 2 months post intervention alone (P < 0.001).
CONCLUSIONS: The results of this study showing the evidence of the positive impact of the ECP
Programmed for the elderly, therefore, it is suggested that the programmer is evaluated in future


1. Poursadeqiyan M , Arefi MF, Pouya AB , Jafari M. Quality of life in
health Iranian elderly population approach in health promotion:
A systematic review. J Edu Health Promot 2021.
2. Afshar PF, Asgari P, Shiri M, Bahramnezhad F. A review of the
Iran’s elderly status according to the census records. Galen Med
J 2016;5-8.
3. Peyrovi H, Mortazavi H, Joolaee S. Challenges of Iranian family
members in decision making to put elderly people with chronic
diseases in nursing homes: A qualitative study. Arch Des Sci 2012;
4. Farajzadeh M, Ghanei Gheshlagh R, Sayehmiri K. Health related
quality of life in Iranian elderly citizens: A systematic review and
meta-analysis. Int J Community Based Nurs Midwifery 2017;
5. Celik SS, Celik Y, Hikmet N, Khan MM. Factors affecting life
satisfaction of older adults in turkey. Int J Aging Hum Dev 2017;
6. Lim HJ, Min DK, Thorpe L, Lee CH. Multidimensional construct
of life satisfaction in older adults in Korea: A six-year follow-up
study. BMC Geriatr 2016; 16:197.
7. Abbasi M, Zakerian A, Mehri A, Poursadeghiyan M, Dinarvand
N, Akbarzadeh A, et al. Investigation into effects of work-related
quality of life and some related factors on cognitive failures among
nurses. Int J Occup Saf Ergon 2017;23:386-92.
8. Nig ST, Tey NP, Yew SY, Sia BK, Long BS. Effects of quality of
service and activities on life satisfaction of residents in nursing
homes. Wulfenia J 2012; 19:153-60.
9. Efklides A, Kalaitzidou M, Chankin G. Subjective quality of life
in old age in Greece the effect of demographic factors, emotional
state, and adaptation to aging. Eur Psychol 2003; 8:178-91.
10. Lee SG, Jeon SY. The relations of socioeconomic status to health
status, health behaviors in the elderly. J Prev Med Public Health
2005; 38:154-62.
11. Berg AI, Hassing LB, McClearn GE, Johansson B. What matters
for life satisfaction in the oldest-old? Aging Ment Health 2006;
12. Lacruz ME, Emeny RT, Baumert J, Ladwig KH. Prospective
association between self-reported life satisfaction and mortality:
Results from the MONICA/KORA Augsburg S3 survey cohort
study. BMC Public Health 2011; 11:579.
13. Elliott MS, Barris R. Occupational role performance and life
satisfaction in elderly persons. Occup Ther J Res 1987; 7:215-24.
14. Vatani J, Arami M, Khanikosarkhizi Z, Shahabi Rabori MA,
Khandan M, Dehghan N, et al. Safety climate and related factors
in rehabilitation nurses of hospitals in Iran. Work 2021;68:189-96.
15. Chang HH, Yen ST. Full-time, part-time employment and life
satisfaction of the elderly. J Socio Econ 2011; 40:815-23.
16. Hodgkinson HM. Evaluation of a mential tests core for assessment
of mental impairment in the elderly. Age Ageing 1972; 1:233-8.
17. Bakhtiyari F, Foroughan M, Fakhrzadeh H, Nazari N, Najafi B,
Alizadeh M, et al. Validation of the Persian version of abbreviated
mental health () in elderly residents of Kahrizak Charity
Foundation. Iran J Diabetes Lipid Disord 2014; 13:487-94.
18. Raske M. Nursing home quality of life: Study of an enabling
garden. J Gerontol Soc Work 2010; 53:336-51.
19. Carlier BE, Schuring M, Lötters FJ, Bakker B, Borgers N, Burdorf A.
The influence of re-employment on quality of life and self-rated
health, a longitudinal study among unemployed persons in the
Netherlands. BMC Public Health 2013; 13:503.
20. Kashaniyan F, Khodabakhshi Koolaee A. Effectiveness of positive
psychology group interventions on meaning of life and life
satisfaction among older adults. Elder Health J 2015; 1:68-74.
21. Lemon BW, Bengtson VL, Peterson JA. An exploration of the
activity theory of aging: Activity types and life satisfaction among
in-movers to a retirement community. J Gerontol 1972; 27:511-23.
22. Gillespie CW, Louw J. Life satisfaction in old age and activity
theory: Should the debate be re-opened? South Afr J Gerontol
1993; 2:25-30.
23. Winstead V, Yost EA, Cotten SR, Berkowsky RW, Anderson WA.
The impact of activity interventions on the well-being of older
adults in continuing care communities. J Appl Gerontol 2014;
24. Winstead V, Anderson WA, Yost EA, Cotten SR, Warr A,
BerkowskyRW. You can teach an old dog new tricks: A qualitative
analysis of how residents of senior living communities may use
the web to overcome spatial and social barriers. J Appl Gerontol
2013; 32:540‑60.