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Improving quality of life (QOL) for people with dementia is a priority. In care homes, we often rely on proxy ratings from staff and family but we do not know if, or how, they differ in care homes.
We compared 1056 pairs of staff and family DEMQOL-Proxy ratings from 86 care homes across England. We explored factors associated with ratings quantitatively using multilevel modelling and, qualitatively, through thematic analysis of 12 staff and 12 relative interviews.
Staff and family ratings were weakly correlated (ρs = 0.35). Median staff scores were higher than family's (104 v. 101; p < 0.001). Family were more likely than staff to rate resident QOL as ‘Poor’ (χ2 = 55.91, p < 0.001). Staff and family rated QOL higher when residents had fewer neuropsychiatric symptoms and severe dementia. Staff rated QOL higher in homes with lower staff:resident ratios and when staff were native English speakers. Family rated QOL higher when the resident had spent longer living in the care home and was a native English. Spouses rated residents’ QOL higher than other relatives. Qualitative results suggest differences arise because staff felt good care provided high QOL but families compared the present to the past. Family judgements centre on loss and are complicated by decisions about care home placement and their understandings of dementia.
Proxy reports differ systematically between staff and family. Reports are influenced by the rater:staff and family may conceptualise QOL differently.
The main goal of the Working Group was to gather astrometric observations made during the triennum as well as old observations not yet published in the data base. The WG encouraged the making of new observations. A Spring School was organized in China in order to teach the observational techniques of natural satellites to students and young astronomers. New theoretical models of the motion of the satellites and fit of the current models to new observations were used in order to make ephemerides of all the planetary satellites with tools useful for observations such as configurations. These ephemerides named MULTISAT are available at <www.imcce.fr/sat> or at <lnfm1.sai.msu.ru/neb/nss/nssephme.htm>.
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