Review Article

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

Table 2

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

Author, year, countrySample/ageStudy designObjectives/research questionFinding

[55] United StatesOlder peopleMixed-methods studyTo (a) describe the development of a website housing asynchronous and accessible telehealth education modules (TEMs) targeting the needs of older adults, and (b) evaluate the extent to which TEMs improve self-perceived telehealth competency for older adultsRole of telemedicine

[56] United StatesOlder veterans with traumatic brain injuryMixed-methods pilot studyTo adapt goal-oriented attentional self-regulation (GOALS) for delivery to older Veterans via in-home video telehealth (IVT) and evaluate feasibility and participant-rated acceptability of the telehealth GOALS intervention (TeleGOALS)Role of telemedicine

[57] IndiaOlder peopleQualitative studyTo address India’s digital divide, emphasizing marginalized groups, and shift focus to internet use outcomes, contributing to a disadvantage-charting operational frameworkRole of telemedicine

[58] SingaporeOlder peopleQualitative studyTo investigate HSB and the associated technology use among the older population, ultimately proposing implications for practice to address their unmet health needsRole of telemedicine

[59] United StatesOlder peopleQualitative studyTo better understand wearable activity monitor (WAM) use and its relationship with physical activity (PA) among older adultsWearable health technology

[60] Republic of KoreaOlder peopleCross-sectional surveyTo investigate the acceptability of digital health wearable technology in health care by the Korean older adults and their attitude toward the use of smart health watches by using an extended technology acceptance model while considering the context of the COVID-19 pandemicWearable health technology

[61] United StatesAged 65 years and olderLongitudinal cohort
study
To examine the trends in and factors associated with digital health technology use among older
adults with cancer
Wearable health technology

[62] SingaporeOlder peopleQualitative studyTo explore the adoption of mobile and wearable technology in the physical activity of older adultsWearable health technology

[63] United StatesOlder peopleLongitudinal studyTo investigate the safety of IV-tPA in elderly patients with occult traumaPrecision medicine and and personalized care

[64] ItalyOlder patients (aged ≥ 65 years)Retrospective studyTo evaluate and compare the safety and efficacy of guselkumab, risankizumab, and tildrakizumab in real-world practice in elderly patientsNew treatment methods

[65] AustraliaAged 70 years and olderRandomized controlled trialTo evaluate whether comprehensive geriatric assessment (CGA) can improve health-related quality of life (HRQOL) in older people with cancer who are starting systemic anticancer treatmentNew treatment methods

[66] AustraliaAged ≥ 60 yearsRandomized, crossover TrialTo assess the efficacy and safety of closed-loop insulin delivery compared with sensor-augmented pump therapy among older adults with Type 1 diabetesNew treatment methods

[67] PortugalOlder peopleQualitative descriptive studyTo explore older adults’ perceived barriers to participation in a fall prevention strategyPreventative care strategies

[68] CanadaOlder peopleRandomized clinical trialTo assess the effect of a home-based exercise program as a fall prevention strategy in older adults who were referred to a fall prevention clinic after an index fallPreventative care strategies

[69] United Kingdom65–99-year-old adultsCross-sectional studyTo draw attention to the nature and pattern of recent global and regional prevalence estimates and projections of diabetes in older adults (65–99 years) and to describe the societal health implications of these changes on a global scalePreventative care strategies

[70] NetherlandsOlder peopleQualitative studyTo assess current collaboration and communication in nutritional care of malnourished older adults across health-care settings and provides recommendations for improvementPreventative care strategies

[5] Spain65 and 87 years of ageDescriptive and correlational study designTo determine the differences in autonomy in both basic activities of daily life in instrumental activities of daily life, as well as functional capacity, fragility, and risk of falls between an active group and a sedentary groupImprovement in living conditions

[71] United StatesOlder peopleQualitative studyTo discuss how the expanded Andersen model may be adapted to present constructs that reflect the actual use of services by long-term services and supports (LTSS) type when considering a racially and ethnically diverse group of older adultsImprovement in living conditions

[1] Mexico60 years and olderCross-sectional studyTo explore characteristics associated with low perception of autonomy among community-dwelling older adultsImprovement in living conditions

[72] United StatesOlder peopleQualitative studyTo explore the barriers and facilitators of transportation among diverse older adultsImprovement in living conditions

[73] United StatesOlder peopleExplanatory sequential mixed-methods studyTo determine how social networks influence therapeutic self-care behaviors and health among community dwelling older people living with multiple long-term conditionsImprovement in living conditions

[74] TaiwanOlder peopleCross-sectional studyTo investigate the comfort levels and factors that contributed to comfort among older people living in long-term care facilities (LTCFs)Improvement in living conditions

[75] TurkeyAged 65 years and olderCross-sectional studyTo examine the relationship between quality of life, satisfaction with life and multidimensional perceived social support in people aged 65 years and olderRole of social support and community

[76] United StatesAged 57–85 yearsLongitudinal mediation analysisTo distinguish the pathways through which social disconnectedness (e.g., small social network, infrequent social interaction) and perceptions of social isolation (e.g., loneliness, perceived lack of support) contribute to anxiety and depression symptom severity in community-residing older adults aged 57–85 years at baselineRole of social support and community

[77] Turkey and United StatesOlder peopleCorrelational studyTo identify the social–psychological barriers to public support for legal initiatives aimed to secure a healthy and productive future for older peopleGovernment policies favoring health care for older people

[78] NepaliOlder peopleCross-sectional studyTo evaluate factors associated with health care utilization (HCU) and to assess vertical and horizontal equity in utilization among Nepali older adultsGovernment policies favoring health care for older people

[79] ChinaOlder peopleCross-sectional studyTo investigate the travel characteristics and influential factors of travel mode choice for health care activity by the elderly in core area and suburbGovernment policies favoring health care for older people

[80] ChinaOlder peopleQuasinatural experimentTo explore the association between digital health care service reform (DHSR) and health inequity (HI) for older individuals to augment comprehension of DHSR implementationGovernment policies favoring health care for older people

[81] SwitzerlandOlder peopleDiscrete choice experiment designTo identify attributes reflecting features of health care delivery in Switzerland relevant to chronic patients and the general population aged 50+ that are actionable and realistic for policy implementationGovernment policies favoring health care for older people

[82] ChinaAged 60 and aboveCross-sectional studyTo assess the present inequality and horizontal inequity for health service use among the elderly in China and to identify the main determinants associated with the disparityGovernment policies favoring health care for older people

[83] FranceAged 80 years or more living at homeCross-sectional studyTo assess health-related quality of life (HRQoL) in French community-dwelling people aged 80 years and over and to investigate the sociodemographic and health characteristics and life events associated with HRQoLGlobal initiatives and programs

[84] United StatesOlder peopleCross-sectional studyTo identify the most salient themes concerning the use of medical and recreational cannabis by older adults living in ColoradoGlobal initiatives and programs

[85] United StatesOlder peopleTwo cross-sectional studiesTo examine sex differences in the cross-sectional association between Aβ and regional tau deposition as measured with positron emission tomography (PET)Global initiatives and programs

[44] United KingdomAged ≥ 55 yearsCross-sectional studyTo analyze inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in EnglandGlobal initiatives and programs