Assessment of the psychometric performance of the WHOQOL-BREF instrument in a sample of Brazilian older adults

2006 ◽  
Vol 19 (4) ◽  
pp. 635-646 ◽  
Author(s):  
Eduardo Chachamovich ◽  
Clarissa Trentini ◽  
Marcelo P. Fleck
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
World Health ◽  
Short Version ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Psychometric Performance

Background: There has been increasing interest in the measurement of quality of life in cross-sectional investigations and in the assessment of intervention outcomes in elderly adults. Several instruments used in this measurement have not yet been adequately tested.Objective: To describe the psychometric properties of the World Health Organization's Quality of Life Instrument–Short Version (WHOQOL-BREF) in a sample of Brazilian elderly.Method: A total of 424 elderly adults selected through convenience sampling completed the instruments WHOQOL-BREF, the Beck Depression Inventory (BDI), the Beck Hopelessness Scale (BHS) and a sociodemographic data form. Discriminant validity, concurrent validity, criterion validity and internal consistency were analyzed.Results: The sample comprised predominantly women (64.2%), community-dwelling subjects (84.4%) and subjects who consider themselves healthy (67.5%). All domains in the instrument showed the ability to discriminate levels of depressive symptoms and hopelessness, as well as different perceptions of health status. The correlation coefficients among the domains and the BDI and BHS scores were statistically significant. The reliability coefficients present scores ranging from 0.614 to 0.925.Conclusion: The WHOQOL-BREF instrument shows suitable psychometric performance in a sample of Brazilian older adults, becoming a useful alternative in the measurement of quality of life in this population.

scholarly journals Polish Validation of the SarQoL®, a Quality of Life Questionnaire Specific to Sarcopenia

2018 ◽  
Vol 7 (10) ◽  
pp. 323 ◽  
Author(s):  
Jerzy Konstantynowicz ◽  
Pawel Abramowicz ◽  
Wojciech Glinkowski ◽  
Ewa Taranta ◽  
Ludmila Marcinowicz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Discriminant Validity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Practical Reasons ◽  
Life Questionnaire ◽  
Translation Process ◽  
Cross Sectional ◽  
Coefficient Corrélation

Recently, SarQoL® (Sarcopenia and Quality of Life), a quality of life (QoL) questionnaire specific to sarcopenia, was successfully developed. For practical reasons, there is a great interest in validating this questionnaire in other populations. The aim of this cross-sectional study was to translate and adjust the SarQoL® into Polish and to standardize the validity of this method for the assessment of sarcopenic individuals in Poland with regard to psychometric properties. The English version was used for the translation process. A total of 106 community-dwelling Caucasian subjects aged 73.3 ± 5.94 years (65.1% females) were studied, with 60 participants being diagnosed sarcopenic. The translation and cross-cultural adaptation was carried out in five phases according to specific standard guidelines. There were no major linguistic issues in the translation process. The data confirmed a good discriminant validity, i.e., significantly lower scores for all domains (reduced global QoL in sarcopenic subjects compared to non-sarcopenic ones; 54.9 ± 16.5 vs. 63.3 ± 17.1, p = 0.013), and high internal consistency (Cronbach’s alpha coefficient was 0.92). The significant correlation of the SarQoL® scores with those of other questionnaires (SF-36v2® Health Survey and EuroQoL-5-Dimension) that are supposed to have similar dimensions indicated the consistent construct validity of the SarQoL®-PL questionnaire. No floor/ceiling effects were found. An excellent agreement was found between the test and the re-test (intraclass coefficient correlation (ICC): 0.99). The first Polish version of the SarQoL® questionnaire is valid and consistent and therefore may be used with reliability for clinical and research purposes regarding QoL assessment of sarcopenic individuals. However, further research, in particular prospective studies, is needed to determine potential limitations and the suitability of the new tool for the Polish scenario and specificity.

Levels of depressive symptoms may modify the relationship between the WHOQOL-BREF and its determining factors in community-dwelling older adults

2015 ◽  
Vol 28 (4) ◽  
pp. 591-601 ◽  
Author(s):  
Yu-Chen Chang ◽  
Wen-Chen Ouyang ◽  
Mei-Chun Lu ◽  
Jung-Der Wang ◽  
Susan C. Hu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Early Recognition ◽  
Depression Scale ◽  
Community Dwelling ◽  
World Health ◽  
Community Dwelling Older Adults ◽  
Different Levels

ABSTRACTBackground:Depression is closely associated with quality of life (QOL) in older adults. Being elderly and exhibiting mild depressive symptoms may not lead to a depression diagnosis, but these attributes are clinically important. However, the extent to which these factors influence QOL and its determinants in older adults remains unclear.Methods:Questionnaires were administered to people aged 65 years or older at community senior centers in Taiwan to collect socio-demographic information and to assess results from the brief version of the World Health Organization's Quality of Life instrument (WHOQOL-BREF), Modified Barthel Index (MBI), 15-item Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Levels of depressive symptoms were classified as no depressive symptoms (NDS), lower level of depressive symptoms (LLDS), and higher level of depressive symptoms (HLDS), corresponding to GDS = 0, 1≦GDS≦5, and GDS>5, respectively. Multiple linear regression analyses were conducted to assess associations between the WHOQOL-BREF and its covariates for different levels of depressive symptoms.Results:A total of 454 older adults participated. The GDS and MBI scores significantly affected the WHOQOL-BREF physical and psychological domain scores in the LLDS group. Gender influenced the WHOQOL-BREF scores in the NDS group, and increased age demonstrated protective effects on the three domains in the HLDS group. Moreover, the association between the WHOQOL-BREF and its covariates varied for different levels of depressive symptoms.Conclusions:Treatment for depressive symptoms is of high priority, and early recognition of and appropriate intervention for mild depressive symptoms may improve community-dwelling older adults’ QOLs.

scholarly journals Grandparents - Grandchildren Relationship in Iran, 2017

2018 ◽  
Vol 14 (1) ◽  
pp. 296-303
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Mahboube Mahdi Vidouje ◽  
Mahshid Foroughan ◽  
Robab Sahaf ◽  
Reza Laripour
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Communication Technology ◽  
Linear Regression Analysis ◽  
Information Communication Technology ◽  
Community Dwelling ◽  
Average Score ◽  
Information Communication ◽  
Cross Sectional

Introduction: With the continuing growth of aged populations, it is imperative to find ways to maintain and improve the quality of life in old age. It has been documented that grandparents-grandchildren relationship is significantly contributed to quality of life of older adults. This study was conducted to identify the status and associated factors of grandparents-grandchildren relationship in a sample of Iran. Methods: This cross-sectional study was conducted on 377 community dwelling older adults 60 years and over living in Kashan, Iran. A multistage proportional random sampling technique was applied to obtain the sample. The grandparent -grandchildren relationship was measured by a researcher-developed 16-item scale. The data were analyzed using SPSS version 23 and AMOS 23. Results: The mean age of the respondents was 70.42(SD = 8.20) years. About 62% of the respondents were female and 60.7% were married. The average score of grandparents-grandchild relationship was 67.60(SD = 12.47). The multiple linear regression analysis revealed a significant model (F (11, 365) = 19.05, P < 0.001), where information communication technology of grandparents, geographical distance between grandparents and grandchildren, and the quality of relationship between grandparents and parents of grandchildren were the most important predictors of the grandparents-grandchildren relationship. Conclusion: The findings from the current study showed that status of grandparents-grandchildren relationship is moderate to high and influenced by some factors. It is, therefore, suggested that policymakers pay more attention to strengthening grandparent-grandchild relationship by providing educational programs for families and encouraging the elderly to learn and use information communication technology.

scholarly journals Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults

2018 ◽  
Vol 39 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Sara Benham ◽  
Minhee Kang ◽  
Namrata Grampurohit
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Virtual Reality ◽  
Community Dwelling ◽  
World Health ◽  
Immersive Virtual Reality ◽  
Quality Of Life Scale ◽  
Patient Reported ◽  
Community Dwelling Older Adults

Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest–posttest, mixed-methods design included senior center members ( n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS®) depression scale, World Health Organization Quality of Life Scale Brief Version (WHO QOL-BREF), and open-ended questions. The VR intervention (15- to 45-min sessions, 12 sessions over 6 weeks) was well accepted with no dropouts. There was a significant decrease in pain ( p = .002, d = −1.54) with no effect on depression and QOL. There were no adverse effects, and positive perceptions of VR were reported. The 6-week immersive VR intervention was applicable and effective in reducing pain intensity for community-dwelling older adults.

scholarly journals Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Muszalik ◽  
Agnieszka Kotarba ◽  
Ewa Borowiak ◽  
Grażyna Puto ◽  
Mateusz Cybulski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Nursing Homes ◽  
Community Dwelling ◽  
World Health ◽  
Study Group ◽  
Psychological Profile ◽  
Frailty Syndrome ◽  
World Health Organization Quality

Introduction: Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations.Objectives: The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes.Methods: The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref).Results: Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living (p &lt; 0.001), age (p &lt; 0.001), widowhood (p &lt; 0.001), a poor economic situation (p &lt; 0.001), basic education level (p &lt; 0.001), living alone (p &lt; 0.001), longer duration of illness (p &lt; 0.001), comorbidities (p &lt; 0.001), more medications taken (p &lt; 0.001), deterioration of hearing (p = 0.003), impairment of cognitive functions (p &lt; 0.001), depression (p &lt; 0.001), and decreased quality of life (p &lt; 0.001).Discussion: A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.

scholarly journals Factors that influence the global quality of life of long-lived older adults (>80 years)

2021 ◽  
Vol 15 ◽  
Author(s):  
Roumayne Costa ◽  
Márcia Carrera ◽  
Ana Paula Marques
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
World Health ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Factors Associated ◽  
Global Quality ◽  
Global Quality Of Life

OBJECTIVE: The objective of this study was to assess global quality of life and the factors associated with it in long-lived older adults registered with family health centers. Global quality of life was measured using the two general questions on the World Health Organization Quality of Life instrument. METHODOLOGY: This was a cross-sectional, quantitative study based on secondary data from a sample of 100 older adults. RESULTS: The results of analyses revealed a mean age of 84.20 years, 77% of the sample were female, 46% had spent between 1 and 4 years in education, 63% were widowed, 76% had an income equivalent to one to two times the minimum wage, 77% had systemic arterial hypertension, 34% had diabetes mellitus, 27% had cardiovascular disease, 74% had social support, and 63% exhibited depressive symptomology. The frequency of satisfactory global quality of life in the sample studied was 35%. CONCLUSIONS: In relation to global quality of life, assessed in terms of interviewees’ satisfaction with their lives and health in conjunction, the majority of the study population reported not being satisfied. After completion of all statistical analyses, factors associated with dissatisfaction were social support, depression, and osteoarthritis.

scholarly journals Differences in Multi-Faceted Lifestyles in Response to the COVID-19 Pandemic and Their Association with Depression and Quality of Life of Older Adults in South Korea: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4124
Author(s):  
Kang-Hyun Park ◽  
Ah-Ram Kim ◽  
Min-Ah Yang ◽  
Ji-Hyuk Park
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
South Korea ◽  
Negative Impact ◽  
World Health ◽  
Cross Sectional ◽  
Significant Difference ◽  
The World ◽  
The Impact

Background: The World Health Organization declared COVID-19 a global pandemic on 11 March 2020, due to the number of newly reported confirmed cases and the rapid increase in deaths. Therefore, countries around the world limited their population to policies such as “social distancing” or “staying at home” to prevent the spread of the virus. The purpose of this study was to evaluate differences in lifestyle pre and post the outbreak COVID-19 among older adults in South Korea and to identify the impact of lifestyle differences on depression and quality of life. Methods: An online single questionnaire covering sociodemographic data, lifestyle details, depression status, and quality of life level was distributed using mailing lists and social media. To assess lifestyles differences in older people pre and post the outbreak of COVID-19 pandemic, the online single questionnaire was used post COVID-19 pandemic. Based on the participants’ memories, they responded lifestyles at two time points (pre and post COVID-19 pandemic). Results: The results showed that there was a significant decrease in physical activity and activity participation during the pandemic. In terms of nutrition, there was no statistically significant change pre and post the outbreak COVID-19, except for the intake of protein, fat, and vitamins. Additionally, the results showed that the resulting lifestyle differences seem to have had a negative impact on depression and quality of life among older adults in South Korea. Conclusion: There was a significant difference the lifestyle patterns among the participants in South Korea between the current period and pre COVID-19 pandemic. Additionally, it is observed that these differenced lifestyles were associated with depression and quality of life among the participants. Our findings may help to develop public health programs that support healthy lifestyles in pandemic conditions.

scholarly journals How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

2019 ◽  
Vol 11 (20) ◽  
pp. 5739 ◽  
Author(s):  
Fan Zhang ◽  
Dezhi Li
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Living Environment ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Urban Neighborhood ◽  
Cross Sectional ◽  
Mediation Effects ◽  
Community Dwelling Older Adults

Due to functional impairment and low mobility, the sphere of activities of older adults often shrinks and they rely on their living environment more. Especially for urban community-dwelling older adults who are aging in place, the urban neighborhood environment affects their quality of life (QoL) heavily. This study aims to explore how the urban neighborhood environment affects QoL of community-dwelling older adults and develop a mediation model called “Neighborhood Environment-Quality of Life (NE-QoL)” for community-dwelling older adults. The reliability test is applied to test and modify the questionnaire based on cross-sectional data collected from the survey, the multiple regression analysis is used to identify significant influence relations between variables of neighborhood environment and dimensions of the QoL, mediation effects are assumed and tested by the mediation analysis in SPSS, and then the “NE-QoL” is developed to reveal the detailed influence path between the urban neighborhood environment and QoL of community-dwelling older adults. The “NE-QoL” model reveals seven variables of the urban neighborhood environment, which influences the QoL of community-dwelling older adults significantly, and three mediation effects exist in the influence path, making clear the understanding about the relationship between neighborhood environment and the QoL of community-dwelling older adults. It provides valuable retrofit guidelines of the neighborhood environment for improving QoL of community-dwelling older adults.

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