**5. Conclusions**

To conclude, a variety of factors seem to be associated with how people applying for HAs in Sweden perceive their health-related quality of life. Our study suggests that applicants with higher dependence in ADL and other groups, such as applicants with less than 75 years and/or those living in homes which are not well suited for supporting the activity related to self-care (in other terms, people reporting lower usability scores in the self-care component), could be at risk of poorer self-rated health. Our finding suggests that care professionals, such as the occupational therapist working in the municipalities in charge of providing the HA grants, should pay special attention towards the situation of people with these characteristics, in order to reduce the observed gap in health-related quality of life both through personalization of care and the provision of integrative services. Such approach would be beneficial also in terms of prevention of a further health decline, as the literature strongly support that differences in health-related quality of life are strongly associated with further increase of disability and disease-related care burden.

**Author Contributions:** L.E. and A.M.F. designed the study. L.E. coordinated the data collection. L.B. and C.C. performed the statistical analyzes in dialogue with all authors. L.B. and B.T. took responsibility for writing the paper and all the authors interpreted data and critically revised the article. All the authors approved the final version of the manuscript.

**Funding:** This research was funded by the Swedish Research Council FORMAS and the Faculty of Medicine at Lund University. The study was based on data from a quasi-experimental study of housing adaptations in Sweden. It was accomplished within the context of the Centre for Ageing and Supportive Environment (CASE), Lund University, financed by the Swedish Research Council for Health, Working Life and Welfare, FORTE.

**Acknowledgments:** Sincere thanks are extended to all the participants in the study and the municipality occupational therapists for collecting data.

**Conflicts of Interest:** The authors declare no conflict of interest.
