Challenges and Advancements in the Health-Related Quality of Life of Older People

Table 1

Challenges in older people’s health-related quality of life.

Author, year, country	Sample/age	Study design	Objectives/research question	Finding
[17] China	Aged 60 years or above	Randomized controlled trial	To examine the efects of the therapeutic VR experience in older people with physical disabilities in LTCF in (a) increasing mental well-being, (b) reducing depressive symptoms, (c) reducing loneliness, (d) increasing health-related quality of life, and (e) increasing perceived social support	Role of social support and community
[18] China	Older people	Longitudinal cohort study	To investigate the prevalence of two conditions, angina and stroke, and relevant risk factors among older adults in six low—and middle—income countries (LMICs)	Age-related conditions including cardiovascular diseases
[19] Finland	Minimum age limit was set at 55 years	Qualitative study	What the most meaningful elements were in residents’ descriptions of the senior housing complex as a place to live, and more specifically, what the elements were that they described most meaningful in making the decision to move there	Improvement in living conditions
[20] France	Aged ≥ 75 years	Cross-sectional study	To describe the overall medication profile of patients aged ≥ 75 years with advanced CKD from a multicenter French study and specifically the renally (RIMs) and potentially inappropriate-for-the-elderly medications (PIMs) that they take	Age-related conditions including diabetes, kidney disease, and vision loss
[21] United States	Aged ≥ 65 years	Cross-sectional study	To examine the prevalence of major drug–drug interactions (DDIs) and to determine concordance among two clinical support software systems in a cohort of ambulatory older adults with cancer at our institution	Age-related conditions including cancer
[22] Poland	Early old age	Cross-sectional study	To assess the impact of physical ailments in the course of knee osteoarthritis (KOA) on the quality of life (QoL) of patients in early old age	Age-related conditions including degenerative diseases
[23] United kingdom	Older people	Mixed-methods study	To explore what matters to older people when discussing social connectedness	Social isolation and loneliness
[24] Europe	Older people with dementia or Parkinson’s disease	Mixed-method study	To investigate the needs and requirements of the potential end users (older people with neurodegenerative diseases, caregivers, and health care professionals) and other key stakeholders in the development of the PROCare4Life platform	Dementia and neurodegenerative conditions
[25] United states	Older adults aged ≥ 65 year	Health records survey	To estimate the risk of hospitalization and emergency department (ED) visits associated with PIM prescriptions over different exposure periods and PIM drug categories	Age-related diseases and conditions
[26] China	Aged ≥ 60	Cross-sectional study	To confrm the relationship between the intrinsic capacity (IC) level and age friendly living environment with functional ability (FA), especially in older adults with low intrinsic capacity (IC)	Impairment of health-related quality of life
[27] Canada	Aged 65 or over	Longitudinal study	To advance mobility research by utilizing a constructivist grounded theory (CGT) approach to understand the mobility experiences of active older adults with low income and their attitudes, meaning, and motivations of mobility in order to provide insight into how they overcome physical and social health disparities and remain active over a period of 4 years	Less accessibility to treatment
[28] United States	Older patients	Qualitative study	To use the technology acceptance model (TAM) as a framework for qualitatively describing the user interface and user experience (UI and UX), intent to use, and use behaviors among older patients with multiple chronic conditions (MCC)	Scarcity of specialized professionals
[29] Sweden	Aged 70 and older	Cross-sectional online survey	To explore the specific situation of people aged 70 and older in relation to COVID-19, more specifically, how people age 70 and older (a) perceive information and act on recommendations about the COVID-19 pandemic and (b) perceive how their mental health is affected by the current situation	Mental health problems
[30] China	Aged ≥ 60	Cross-sectional study	To investigate the prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China	Mental health problems
[31] United States	55 years and above	Cross-sectional study	To investigate the impact of objective and subjective social isolation from extended family members and friends on depressive symptoms and psychological distress among a national sample of older adults	Mental health issues
[32] United States	Older people	Cross-sectional study	To evaluate the effect of depression, loneliness, substance use problems, and HIV stigma on primary markers of immune function in a sample of 120 older adults living with HIV (OALWH) with substance-related issues	Mental health problems
[33] United States	Older people	Case study	To characterize personal and neighborhood contextual influences on social isolation and loneliness among older adults	Social isolation and loneliness
[34] Australia	Older people (60+ years)	Mixed-methods study	To explore factors related to older people’s (60+ years) participation in community-based activities and links between their participation and levels of social isolation, loneliness, and social connectedness	Social isolation and loneliness
[35] United States	Low-income older adults	Longitudinal study	To assess the effect of a peer intervention in addressing loneliness, isolation, and behavioral health needs in this population	Consequences of social isolation and loneliness
[36] Australia	Older people	Mixed-methods case study	To explore the impact of membership of a multiactivity, multicentre community group on social well-being of older adults	Risks of social isolation and loneliness
[37] India	Aged above 60 years	Questionnaire-based survey	To analyze the knowledge about oral lesions, the symptoms of such lesions, and their attitude toward the treatment of these problems faced by institutionalized geriatric individuals	Less affordability of care
[38] Japan	Aged 65 years and above	Cross-sectional study	To assess the association between each type of long-term care (LTC) services that home-dwelling older individuals utilized at their end of life and place of death	Affordability of care
[39] United States	Older people	Cross-sectional study	To estimate hypothetical out-of-pocket costs associated with guideline-recommended outpatient medications for the initial treatment of eight common chronic diseases among older adults with Medicare prescription drug plans (PDPs)	Less affordability of care
[40] Taiwan	Middle-aged and older adults	Qualitative Study	To explore the self-management experiences of middle-aged and older adults with diabetes through a focus group	Less affordability of care due to financial strain
[41] Republic of Korea	Older adults (≥65 years)	Cross-sectional descriptive correlational design	To identify gender differences in the health status, community service needs, and quality of life of older adults living alone in an urban city in South Korea	Health disparities among older persons due to socioeconomic situation
[42] India	60 years and above	Cross-sectional study	To explore the factors associated with cognitive impairment especially, alcohol consumption, smoking, and chewing tobacco later in life	Health disparities among older persons
[43] Ghana	Poor older people, caregivers, and formal health care providers	Cross-sectional study	To explore barriers to formal health care use among older people; little is known from the perspective of vulnerable older people in Ghana	Health disparities among older persons
[44] United Kingdom	Aged ≥ 55 years	Cross-sectional study	To analyze inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in England	Health disparities among older persons
[45] China	Older people	Longitudinal healthy; longevity survey	To explore the effect of social participation on disparity in mental health among urban and rural older adults in China	Health disparities among older persons
[46] India	Older people	Cross-sectional study	To investigate the association of tooth loss with self-rated health and psychological and subjective well-being among older adults in India.	Lack of supportive policies
[47] Thailand	Older people	Cross-sectional study	To determine the impact of dental status, types, and quality of dental prostheses on body composition, masticatory performance, and oral health-related quality of life (OHRQoL)	Lack of supportive policies
[48] China	Older people	Cross-sectional study	To determine the prevalence of anxiety and depression and their associated factors among community-dwelling older adults in China	Lack of supportive policies
[49] China	Older people	Cross-sectional study	To assess the level of intrinsic capacity among community-dwelling older adults and examine its relationship with self-care capacity and social engagement	Lack of supportive policies
[50] Bangladesh	Aged 60 years and above	Cross-sectional study	To explore the prevalence and determinants of self-reported functional status among the older adults residing in the Rohingya refugee camp in Bangladesh	Implementation hurdles
[51] Ireland	Older adults (65yrs+)	Cross-sectional study	To identify the prevalence of mobile device usage among older adults (65yrs+) who present to acute hospitals and explore their willingness to use mHealth	Implementation hurdles
[52] Singapore	Older individuals aged 66–86 years	Mixed-methods study	To explore older people’s accessibility and receptiveness toward counseling, to assess the improvement of older people’s dignity in emotional management and decision-making processes following psychological counseling, and to propose an intervention model for enhancing older people’s well-being through psychological counseling	Implementation hurdles
[53] Ghana	Aged 65 and above	Mixed-methods study	To investigate the dietary habits of the elderly in the Kwahu South District of the Eastern Region of Ghana and further ascertain the factors that constitute nutritional challenges among this group	Implementation hurdles
[54] United Kingdom	Older adults (≥75 years)	Mixed-methods study	To develop the content, implementation strategies, service and professional guidance to support older adults with frailty to manage their pain	Implementation hurdles