Observational studyBMC primary care2026
Quality of life for middle and older aged people with chronic conditions in primary care: a cross-sectional study.
Observational study in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobally 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).
methodsA 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.
resultsTwo 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).
conclusionsThe 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 registrationAustralian New Zealand Clinical Trials Registration Number: ACTRN12623000939695 Registration Date: 31/08/2023.
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