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The factors associated with care-related quality of life of adults with intellectual disabilities in England: implications for policy and practice

Rand, Stacey E. and Malley, Juliette ORCID: 0000-0001-5759-1647 (2017) The factors associated with care-related quality of life of adults with intellectual disabilities in England: implications for policy and practice. Health and Social Care in the Community, 25 (5). pp. 1607-1619. ISSN 0966-0410

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Identification Number: 10.1111/hsc.12354


Over the last three decades, quality of life (QoL) has been advocated as an indicator of social care outcomes for adults with intellectual disabilities. In England, the Adult Social Care Survey (ASCS) is conducted annually by local authorities to contribute to the evidence base of the care-related QoL of people receiving publicly-funded adult social care. This study explores relationships between QoL and non-care related factors to identify relationships that could inform social care policy and practice. Cross-sectional data collected from 13,642 adults who participated in the 2011 and 2012 ASCS were analysed using regression to explore the factors associated with QoL measured using the Adult Social Care Outcomes Toolkit (ASCOT). Self-rated health, rating of the suitability of home design and anxiety/depression were all found to be significantly associated with ASCOT. Other individual and survey completion factors were also found to have weak significant relationships with ASCOT. The models also indicate that there was an increase in overall ASCOT-QoL and in five of the eight ASCOT domains (Personal comfort and cleanliness, Safety, Social participation, Occupation and Dignity) between 2011 and 2012. These findings demonstrate the potential value of QoL data for informing policy for people with intellectual disabilities by identifying key factors associated with QoL, the characteristics of those at risk of lower QoL, and QoL domains that could be targeted for improvement over time. Future research should establish causal relationships and explore the risk-adjustment of scores to account for variation outside of the control of social care support.

Item Type: Article
Official URL:
Additional Information: © 2016 The Authors © CC BY-NC-ND 4.0
Divisions: Personal Social Services Research Unit
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine
Date Deposited: 20 Apr 2016 10:12
Last Modified: 20 Oct 2021 00:24
Projects: Policy Research Programme
Funders: Department of Health

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