Date of Award

Fall 12-1-2025

Document Type

Dissertation

Degree Name

Doctor of Health Science

Department

Applied Health Science

First Advisor

Matt Hutchins

Second Advisor

Renee Bauer

Third Advisor

Olabode Ayodele

Abstract

Enhancing quality of life and well-being is a universal phenomenon across the lifespan. As the population ages, older adults are in great need of supportive services to enhance quality of life and their ability to manage their mental health. The purpose of this study is to examine the quality of life (QoL) of older adults. This study aimed to provide valuable research in the area of QoL through the exploration of perceived factors that impact the older adult population. This exploratory qualitative research study consisted of 10 older adult participants between the ages of 65 and 95. Research recruitment prioritized older adults residing in the central Florida region. This study utilized a phenomenological methodology to describe the common meaning and universal essence of quality of life and mental illness among the specified population. Semi-structured interviews were completed to examine and explore the lived experiences and the multi-dimensional influences (physical, psychological, social, and spiritual) that impact QoL of older adults. This study elicited the perceptions and conceptualizations of QoL and mental illness among older adults and provided views on how supportive services can potentially be improved. Through thematic analysis, seven interrelated themes emerged: financial stability, healthcare access, independence and autonomy, psychological well-being, physical health, social support, and spiritual health as a coping mechanism. Findings revealed that quality of life in older adulthood is multidimensional and shaped by both internal and external factors. Participants emphasized the significance of maintaining autonomy, managing chronic health conditions, and accessing consistent emotional and social support. Furthermore, spirituality and social connections were identified as key protective factors that promote emotional well-being and resilience. The results demonstrated the interconnectedness of the identified themes and the complexities associated with providing supportive services for the aging population. This study contributes to a nuanced understanding of aging by centering the voices of older adults and highlights the diversity of their care needs. Implications for future practice include the development of holistic, person-centered services and interventions that address the psychosocial needs of aging individuals. Recommendations for future research suggest adopting more diverse sampling methods, utilizing longitudinal approaches, and further exploring interventions such as telehealth services, digital inclusion in healthcare, and spirituality to manage age-related challenges in late adulthood.

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