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      Family Orchards and Health-Related Quality of Life in the Elderly. A Protocol for a Study in Las Hurdes (Spain) Based on an Ethnographic Approach

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          Abstract

          Demographic evolution is resulting on an aged population increment in Spain. This growth has been more relevant in rural areas, where the population has traditionally lived under hard socio-economic conditions and leveraging the natural resources such as food from family orchards to survive. Studies that have investigated the possibilities and uses of these traditional family orchards today in relation to health-related quality of life in the elderly are scarce. Based on a previous ethnography, this mixed research aims to describe a protocol that will evaluate the effects of the use of traditional family orchards as a daily resource on fitness and quality of life of the elderly population in Las Hurdes (Spain). Body composition, fitness, mental health, health-related quality of life, and activity-related behaviors of participants will be assessed. The outcomes of this study might enable us to design further tailored physical exercise-based interventions using family orchards as an adequate resource to improve the health-related quality of life and fitness of the elderly in rural areas. In addition, the study detailed here might also be applied to other similar rural areas in Spain and worldwide.

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          The Satisfaction With Life Scale.

          This article reports the development and validation of a scale to measure global life satisfaction, the Satisfaction With Life Scale (SWLS). Among the various components of subjective well-being, the SWLS is narrowly focused to assess global life satisfaction and does not tap related constructs such as positive affect or loneliness. The SWLS is shown to have favorable psychometric properties, including high internal consistency and high temporal reliability. Scores on the SWLS correlate moderately to highly with other measures of subjective well-being, and correlate predictably with specific personality characteristics. It is noted that the SWLS is Suited for use with different age groups, and other potential uses of the scale are discussed.
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            Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)

            Purpose This article introduces the new 5-level EQ-5D (EQ-5D-5L) health status measure. Methods EQ-5D currently measures health using three levels of severity in five dimensions. A EuroQol Group task force was established to find ways of improving the instrument’s sensitivity and reducing ceiling effects by increasing the number of severity levels. The study was performed in the United Kingdom and Spain. Severity labels for 5 levels in each dimension were identified using response scaling. Focus groups were used to investigate the face and content validity of the new versions, including hypothetical health states generated from those versions. Results Selecting labels at approximately the 25th, 50th, and 75th centiles produced two alternative 5-level versions. Focus group work showed a slight preference for the wording ‘slight-moderate-severe’ problems, with anchors of ‘no problems’ and ‘unable to do’ in the EQ-5D functional dimensions. Similar wording was used in the Pain/Discomfort and Anxiety/Depression dimensions. Hypothetical health states were well understood though participants stressed the need for the internal coherence of health states. Conclusions A 5-level version of the EQ-5D has been developed by the EuroQol Group. Further testing is required to determine whether the new version improves sensitivity and reduces ceiling effects.
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              Development and validation of a geriatric depression screening scale: A preliminary report

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                25 January 2021
                February 2021
                : 18
                : 3
                : 1059
                Affiliations
                [1 ]Department of Didactics of Musical, Plastic and Body Expression, Faculty of Sport Sciences, University of Extremadura, 10071 Cáceres, Spain
                [2 ]Promoting a Healthy Society (PHeSo) Research Group, Faculty of Sport Sciences, University of Extremadura, 10071 Cáceres, Spain; jorge.carlosvivas@ 123456gmail.com (J.C.-V.); mamendozam@ 123456unex.es (M.M.-M.); jadssal@ 123456unex.es (J.C.A.)
                [3 ]Department of Nursing, School of Nursing and Occupational Therapy, Interdisciplinary Study Group on Society, Culture and Health (GISCSA), University of Extremadura, 10003 Cáceres, Spain; lorenmariano@ 123456unex.es (L.M.-J.); dcondecab@ 123456unex.es (D.C.-C.)
                Author notes
                [* ]Correspondence: miguelmadruga@ 123456unex.es ; Tel.: +34-927257000-57628
                Author information
                https://orcid.org/0000-0001-6410-0519
                https://orcid.org/0000-0002-6377-9950
                https://orcid.org/0000-0001-9502-5486
                https://orcid.org/0000-0001-7203-3168
                https://orcid.org/0000-0001-8483-7200
                https://orcid.org/0000-0002-5967-4371
                Article
                ijerph-18-01059
                10.3390/ijerph18031059
                7908362
                33504078
                573dcbe1-f9e0-4708-b6ad-2b70248dca11
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 01 December 2020
                : 20 January 2021
                Categories
                Study Protocol

                Public health
                ethnography,aging,health,family orchards,quality of life,study protocol,rural areas
                Public health
                ethnography, aging, health, family orchards, quality of life, study protocol, rural areas

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