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P26: Self-reported health-related quality of life for people with dementia in long-term care facilities in Taiwan: a nationwide survey

Published online by Cambridge University Press:  02 February 2024

Chia-Fen Tsai
Department of Psychiatry, Division of Geriatric Psychiatry, Taipei Veterans General Hospital Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
Mao-Hsuan Huang
Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan Department of Psychiatry, YuanShan and Suao Branches of Taipei Veterans General Hospital, Ilan, Taiwan
Chih-Cheng Hsu
Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan
Cheng-Sheng Chen
Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan; Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Jong-Ling Fuh
Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan Division of General Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
Taiwan Dementia Society
Taiwan Dementia Society, Kaohsiung, Taiwan
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Quality of life is an essential outcome parameter in geriatric research; however, research to date offers mixed evidence about the factors associated with health-related quality of life (HRQOL) among people with dementia (PWDs). We aimed to identify factors relating to HRQOL among PWDs living in long-term care (LTC) facilities.


A total of 299 from 1,607 registered long-term care facilities were randomly selected in every administrative region of Taiwan. A cross-sectional two-phase survey, which included the demographic data, comorbidities, EuroQol-5 dimensions-5 levels (EQ-5D-5L), mini-mental state examination (MMSE) score, clinical dementia rating scores (CDR), behavioral and psychological symptoms of dementia, and activities of daily living (ADL) of PWDs, was then conducted from 2019 to 2020.


A total of 1,313 PWDs who self-completed EQ-5D-5L were enrolled in this analysis with a mean age of 76.43 ± 12.7 years. The mean utility and visual analogue scale (VAS) scores of EQ-5D-5L were 0.10 (standard deviation, SD = 0.48) and 66.57 (SD = 20.67), respectively. Multivariate linear regression analysis showed that higher scores in ADL, instrumental ADL, and lower CDR sum scores were associated with higher EQ-5D-5L utility scores. Higher ADL scores and higher MMSE scores were associated with higher scores in an EQ-5D-5L-VAS. More depressive symptoms were related to both lower utility score and lower EQ-5D-5L-VAS score.


Findings highlight the importance to recognize and to treat depression to maintain HRQOL of PWDs in LTC facilities. Longitudinal studies are needed to better understand the long-term changes in HRQOL of PWDs.

© International Psychogeriatric Association 2024