Scholarlink

Background <p>Globally there is an increased prevalence of chronic conditions, which has a negative impact on quality of life (QOL)and places increased demand on the healthcare system. There is a need to understand the most suitable QOL instruments for adults with chronic health conditions in primary care settings to inform and evaluate tailored interventions. Aims of this study were to: (1) Examine and compare the QOL of middle and older aged adults with chronic conditions in primary care settings in South Australia; (2) Explore the feasibility and suitability of using the QOL-ACC in primary care settings, as compared with a more established instrument (the EQ-5D-5L).</p> Methods <p>A prospective cross-sectional study using an online survey was conducted in general practice primary care settings in Adelaide, Australia, with a measurement at one time-point between July 2023-February 2024. Inclusion criteria: People aged 40–85 years who had ≥ one chronic condition, who attended one of ten participating practices. Descriptive statistics were calculated for all utility scores on QOL measures, and a Mann-Whitney U Test for differences in these scores between the participants separated into two groups based on their age. Statistical significance was set at <i>p</i> &lt; 0.05.</p> Results <p>Two hundred twenty-four participants completed surveys (mean (SD) age = 58.1 (9.5) years). A large proportion of participants indicated they had poor QOL in domains of Pain Management (43.8% had their pain well managed most of the time), Leisure Activities and Hobbies (31.3% most of the time, 21.9% some of the time) on the QOL-ACC; and moderate pain or discomfort (85.3%), anxiety and depression (62.5%), and performing their usual activities (49.1%) on the EQ-5D-5L, respectively. There were no significant differences in utility between the younger and older age groups for the EQ-5D-5L nor the QOL-ACC (except for the emotional wellbeing dimension).</p> Conclusions <p>The QOL-ACC is a feasible and suitable QOL measure to use in primary care settings. Further validation of the QOL-ACC with middle-older adults with chronic conditions in primary care is warranted.</p> Trial registration <p>Australian New Zealand Clinical Trials Registration Number: ACTRN12623000939695 Registration Date: 31/08/2023.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Quality of life for middle and older aged people with chronic conditions in primary care: a cross-sectional study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月7日

查看全文
  • Stacey George,
  • Heather Block,
  • Matthew Freeman,
  • Alexandra Stevens,
  • Sally Nguyen,
  • Alison Dymmott,
  • Elsa Dent,
  • Rachel Milte

摘要

Background

Globally there is an increased prevalence of chronic conditions, which has a negative impact on quality of life (QOL)and places increased demand on the healthcare system. There is a need to understand the most suitable QOL instruments for adults with chronic health conditions in primary care settings to inform and evaluate tailored interventions. Aims of this study were to: (1) Examine and compare the QOL of middle and older aged adults with chronic conditions in primary care settings in South Australia; (2) Explore the feasibility and suitability of using the QOL-ACC in primary care settings, as compared with a more established instrument (the EQ-5D-5L).

Methods

A prospective cross-sectional study using an online survey was conducted in general practice primary care settings in Adelaide, Australia, with a measurement at one time-point between July 2023-February 2024. Inclusion criteria: People aged 40–85 years who had ≥ one chronic condition, who attended one of ten participating practices. Descriptive statistics were calculated for all utility scores on QOL measures, and a Mann-Whitney U Test for differences in these scores between the participants separated into two groups based on their age. Statistical significance was set at p < 0.05.

Results

Two hundred twenty-four participants completed surveys (mean (SD) age = 58.1 (9.5) years). A large proportion of participants indicated they had poor QOL in domains of Pain Management (43.8% had their pain well managed most of the time), Leisure Activities and Hobbies (31.3% most of the time, 21.9% some of the time) on the QOL-ACC; and moderate pain or discomfort (85.3%), anxiety and depression (62.5%), and performing their usual activities (49.1%) on the EQ-5D-5L, respectively. There were no significant differences in utility between the younger and older age groups for the EQ-5D-5L nor the QOL-ACC (except for the emotional wellbeing dimension).

Conclusions

The QOL-ACC is a feasible and suitable QOL measure to use in primary care settings. Further validation of the QOL-ACC with middle-older adults with chronic conditions in primary care is warranted.

Trial registration

Australian New Zealand Clinical Trials Registration Number: ACTRN12623000939695 Registration Date: 31/08/2023.