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Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

Psychometric properties of the OLQ-13 scale to measure Sense of Coherence in a community-dwelling older population

Authors: Jenneken Naaldenberg, Hilde Tobi, Franciska van den Esker, Lenneke Vaandrager

Published in: Health and Quality of Life Outcomes | Issue 1/2011

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Abstract

Background

With the ongoing demographic shift, the quality of life and health promotion among older individuals are becoming increasingly important. Recent research suggests that Sense of Coherence positively affects quality of life. Hence, a valid and reliable measurement of Sense of Coherence is pivotal. The 13-item Orientation to Life Questionnaire (OLQ-13) can be used to measure Sense of Coherence. The purpose of the present study is to assess the psychometric properties, validity, and reliability, of the OLQ-13 in community-dwelling individuals, aged 65 and older.

Methods

The OLQ-13 scale was administered as part of a healthy aging project for non-institutionalized people aged 65 years and older. Internal consistency and reliability were assessed by means of inter-item and test-halves correlations and Cronbach's alpha. Construct validity was explored using cluster analysis and exploratory factor analysis (n = 703) and tested using confirmatory factor analysis on a separate subset of individuals (n = 658). Item face validity was investigated by means of 12 semi-structured interviews.

Results

The reliability and the validity of the OLQ-13 in this population of non-institutionalized individuals aged 65 years and older was ambiguous, at least partly due to the poor performance of two items (b and d), which was confirmed by results from the qualitative part of this study. The psychometric properties of the proposed OLQ-11, obtained by deleting the two items, were better. In particular, the interpretation of exploratory factor solution improved. Whereas the underlying theoretical constructs could not be linked to the exploratory analyses of OLQ-13, this was to some extent possible in OLQ-11. The superior validity of OLQ-11 over OLQ-13 was supported by the better model fit in the confirmatory factor analysis.

Conclusions

The present mixed-method study suggests the proposed OLQ-11 as a more suitable instrument for measuring Sense of Coherence than the OLQ-13 in a population of ageing individuals. This study confirms that the validity and reliability of OLQ-13 may differ substantially in different populations.
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Literature
1.
go back to reference Antonovsky A: Unraveling the mystery of health. San Francisco: Jossey-Bass; 1987. Antonovsky A: Unraveling the mystery of health. San Francisco: Jossey-Bass; 1987.
2.
go back to reference Antonovsky A: The structure and properties of the sense of coherence scale. Soc Sci Med 1993, 36: 725–733. 10.1016/0277-9536(93)90033-ZPubMedCrossRef Antonovsky A: The structure and properties of the sense of coherence scale. Soc Sci Med 1993, 36: 725–733. 10.1016/0277-9536(93)90033-ZPubMedCrossRef
3.
go back to reference Antonovsky A: The salutogenic model as a theory to guide health promotion. Health Promot Int 1996, 11: 11–18. 10.1093/heapro/11.1.11CrossRef Antonovsky A: The salutogenic model as a theory to guide health promotion. Health Promot Int 1996, 11: 11–18. 10.1093/heapro/11.1.11CrossRef
4.
go back to reference Eriksson M, Lindström B: Validity of Antonovsky's sense of coherence scale: a systematic review. J Epidemiol Community Health 2005, 59: 460–466. 10.1136/jech.2003.018085PubMedCentralPubMedCrossRef Eriksson M, Lindström B: Validity of Antonovsky's sense of coherence scale: a systematic review. J Epidemiol Community Health 2005, 59: 460–466. 10.1136/jech.2003.018085PubMedCentralPubMedCrossRef
6.
go back to reference Eriksson M, Lindstrom B: A salutogenic interpretation of the Ottawa Charter. Health Promot Int 2008, 23: 190–199. 10.1093/heapro/dan014PubMedCrossRef Eriksson M, Lindstrom B: A salutogenic interpretation of the Ottawa Charter. Health Promot Int 2008, 23: 190–199. 10.1093/heapro/dan014PubMedCrossRef
7.
go back to reference Eriksson M: Unravelling the mystery of salutogenesis, the evidence base of the salutogenic research as measured by Antonovski's Sense of Coherence scale. Helsinki: Folkhälsan Research Centre 2007. Eriksson M: Unravelling the mystery of salutogenesis, the evidence base of the salutogenic research as measured by Antonovski's Sense of Coherence scale. Helsinki: Folkhälsan Research Centre 2007.
8.
go back to reference Gana K: Is sense of coherence a mediator between adversity and psychological well-being in adults? Stress and Health 2001, 17: 77–83. 10.1002/smi.882CrossRef Gana K: Is sense of coherence a mediator between adversity and psychological well-being in adults? Stress and Health 2001, 17: 77–83. 10.1002/smi.882CrossRef
9.
go back to reference Frenz AW, Carey MP, Jorgensen RS: Psychometric evaluation of Antonovsky's Sense of Coherence Scale. Psychol Assess 1993, 5: 145–153.CrossRef Frenz AW, Carey MP, Jorgensen RS: Psychometric evaluation of Antonovsky's Sense of Coherence Scale. Psychol Assess 1993, 5: 145–153.CrossRef
10.
go back to reference Feldt T, Leskinen E, Kinnunen U, Mauno S: Longitudinal factor analysis models in the assessment of the stability of sense of coherence. Pers and Individ Dif 2000, 28: 239–257. 10.1016/S0191-8869(99)00094-XCrossRef Feldt T, Leskinen E, Kinnunen U, Mauno S: Longitudinal factor analysis models in the assessment of the stability of sense of coherence. Pers and Individ Dif 2000, 28: 239–257. 10.1016/S0191-8869(99)00094-XCrossRef
11.
go back to reference Larsson G, Kallenberg K: Dimensional analysis of sense of coherence using structural equation modelling. Eur J of Pers 1999, 13: 51–61. 10.1002/(SICI)1099-0984(199901/02)13:1<51::AID-PER321>3.0.CO;2-PCrossRef Larsson G, Kallenberg K: Dimensional analysis of sense of coherence using structural equation modelling. Eur J of Pers 1999, 13: 51–61. 10.1002/(SICI)1099-0984(199901/02)13:1<51::AID-PER321>3.0.CO;2-PCrossRef
12.
go back to reference Germano D, Misajon R, Cummins RA: Quality of Life and Sense of Coherence in People with Arthritis. J Clin Psychol Med Settings 2001, 8: 253–261. 10.1023/A:1011964729100CrossRef Germano D, Misajon R, Cummins RA: Quality of Life and Sense of Coherence in People with Arthritis. J Clin Psychol Med Settings 2001, 8: 253–261. 10.1023/A:1011964729100CrossRef
13.
go back to reference Feldt T, Lintula H, Suominen S, Koskenvuo M, Vahtera J, Kivimäki M: Structural validity and temporal stability of the 13-item sense of coherence scale: Prospective evidence from the population-based HeSSup study. Qual Life Res 2007, 16: 483–493. 10.1007/s11136-006-9130-zPubMedCrossRef Feldt T, Lintula H, Suominen S, Koskenvuo M, Vahtera J, Kivimäki M: Structural validity and temporal stability of the 13-item sense of coherence scale: Prospective evidence from the population-based HeSSup study. Qual Life Res 2007, 16: 483–493. 10.1007/s11136-006-9130-zPubMedCrossRef
14.
go back to reference Feldt T, Rasku A: The structure of Antonovsky's Orientation to Life Questionnaire. Pers Individ Dif 1998, 25: 505–516. 10.1016/S0191-8869(98)00077-4CrossRef Feldt T, Rasku A: The structure of Antonovsky's Orientation to Life Questionnaire. Pers Individ Dif 1998, 25: 505–516. 10.1016/S0191-8869(98)00077-4CrossRef
15.
go back to reference Sandell R, Blomberg J, Lazar A: The factor structure of Antonovsky's sense of coherence scale in Swedish clinical and nonclinical samples. Pers Indvid Dif 1998, 24: 701–711. 10.1016/S0191-8869(97)00225-0CrossRef Sandell R, Blomberg J, Lazar A: The factor structure of Antonovsky's sense of coherence scale in Swedish clinical and nonclinical samples. Pers Indvid Dif 1998, 24: 701–711. 10.1016/S0191-8869(97)00225-0CrossRef
16.
go back to reference Naaldenberg J, Vaandrager L, Koelen M, Leeuwis C: Ageing populations'everyday life perspectives on healthy ageing, new insights for policy and strategies at the local level. Appl gerontology 2011. Naaldenberg J, Vaandrager L, Koelen M, Leeuwis C: Ageing populations'everyday life perspectives on healthy ageing, new insights for policy and strategies at the local level. Appl gerontology 2011.
17.
go back to reference Lezwijn J, Vaandrager L, Naaldenberg J, Wagemakers A, Koelen M, Van Woerkum C: Healthy ageing in a salutogenic way: building the HP 2.0 framework. Health Soc Care Com 2010. Lezwijn J, Vaandrager L, Naaldenberg J, Wagemakers A, Koelen M, Van Woerkum C: Healthy ageing in a salutogenic way: building the HP 2.0 framework. Health Soc Care Com 2010.
18.
go back to reference Wiesmann U, Hannich HJ: A salutogenic view on subjective well-being in active elderly persons. Aging Ment Health 2008, 12: 56–65. 10.1080/13607860701365998PubMedCrossRef Wiesmann U, Hannich HJ: A salutogenic view on subjective well-being in active elderly persons. Aging Ment Health 2008, 12: 56–65. 10.1080/13607860701365998PubMedCrossRef
19.
go back to reference Billings J, Hashem F: literature review Salutogenesis and the promotion of positive mental health in older people. In Mental health and well-being in older people-making it happen; Madrid. European Communities; 2009. Billings J, Hashem F: literature review Salutogenesis and the promotion of positive mental health in older people. In Mental health and well-being in older people-making it happen; Madrid. European Communities; 2009.
20.
go back to reference Forbes DA: Enhancing mastery and sense of coherence: Important determinants of health in older adults. Geriatr Nurs 2001, 22: 29–32. 10.1067/mgn.2001.113532PubMedCrossRef Forbes DA: Enhancing mastery and sense of coherence: Important determinants of health in older adults. Geriatr Nurs 2001, 22: 29–32. 10.1067/mgn.2001.113532PubMedCrossRef
21.
go back to reference Drageset J, Nygaard H, Eide G, Bondevik M, Nortvedt M, Natvig G: Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents - a questionnaire study. Health Qual Life Outcomes 2008, 6: 85. 10.1186/1477-7525-6-85PubMedCentralPubMedCrossRef Drageset J, Nygaard H, Eide G, Bondevik M, Nortvedt M, Natvig G: Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents - a questionnaire study. Health Qual Life Outcomes 2008, 6: 85. 10.1186/1477-7525-6-85PubMedCentralPubMedCrossRef
22.
go back to reference de Vlaming R, Haveman-Nies A, van't Veer P, de Groot L: Evaluation design for a complex intervention program targeting loneliness in non-institutionalized elderly Dutch people. BMC Public Health 2010, 10: 552. 10.1186/1471-2458-10-552PubMedCentralPubMedCrossRef de Vlaming R, Haveman-Nies A, van't Veer P, de Groot L: Evaluation design for a complex intervention program targeting loneliness in non-institutionalized elderly Dutch people. BMC Public Health 2010, 10: 552. 10.1186/1471-2458-10-552PubMedCentralPubMedCrossRef
23.
go back to reference Jellesma F, Meerum Terwogt M, Rieffe C: Nederlandstalige Sense of Coherence vragenlijst voor kinderen. [the Dutch sense of coherence questionaire for children]. Gedrag & Gezondheid [Behavior & Health] 2006, 34: 18–26. Jellesma F, Meerum Terwogt M, Rieffe C: Nederlandstalige Sense of Coherence vragenlijst voor kinderen. [the Dutch sense of coherence questionaire for children]. Gedrag & Gezondheid [Behavior & Health] 2006, 34: 18–26.
24.
go back to reference Allen SJ, Hubbard R: Regression equations for the latent roots of random data correlation matrices with unities on the diagonal. Multivariate Behav Res 1986, 21: 393–398. 10.1207/s15327906mbr2103_7CrossRef Allen SJ, Hubbard R: Regression equations for the latent roots of random data correlation matrices with unities on the diagonal. Multivariate Behav Res 1986, 21: 393–398. 10.1207/s15327906mbr2103_7CrossRef
26.
go back to reference Coffey A, Atkinson P: Making sense of qualitative data: complementary research strategies. Thousand Oaks, CA: Sage Publications; 1996. Coffey A, Atkinson P: Making sense of qualitative data: complementary research strategies. Thousand Oaks, CA: Sage Publications; 1996.
27.
go back to reference Silverman D: Interpreting Qualitative Data Methods for Analyzing Talk Text and Interaction. Third edition. London: Sage Publications; 2006. Silverman D: Interpreting Qualitative Data Methods for Analyzing Talk Text and Interaction. Third edition. London: Sage Publications; 2006.
28.
go back to reference Schumaker R, Lomax R: A beginner's guide to structural equation modeling. New York: Taylor & Francis Group LLC; 2004. Schumaker R, Lomax R: A beginner's guide to structural equation modeling. New York: Taylor & Francis Group LLC; 2004.
29.
go back to reference Hittner JB: Factorial invariance of the 13-item sense of coherence scale across gender. J Health Psychol 2007, 12: 273–280. 10.1177/1359105307074256PubMedCrossRef Hittner JB: Factorial invariance of the 13-item sense of coherence scale across gender. J Health Psychol 2007, 12: 273–280. 10.1177/1359105307074256PubMedCrossRef
30.
go back to reference Bernabé E, Tsakos G, Watt R, Suominen-Taipale A, Uutela A, Vahtera J, Kivimäki M: Structure of the sense of coherence scale in a nationally representative sample: the Finnish Health 2000 survey. Qual Life Res 2009, 18: 629–636. 10.1007/s11136-009-9469-zPubMedCrossRef Bernabé E, Tsakos G, Watt R, Suominen-Taipale A, Uutela A, Vahtera J, Kivimäki M: Structure of the sense of coherence scale in a nationally representative sample: the Finnish Health 2000 survey. Qual Life Res 2009, 18: 629–636. 10.1007/s11136-009-9469-zPubMedCrossRef
31.
go back to reference Eriksson M, Lindstrom B, Lilja J: A sense of coherence and health, Salutogenesis in a societal context: Aland, a special case? J Epidemiol Community Health 2007, 61: 684–688. 10.1136/jech.2006.047498PubMedCentralPubMedCrossRef Eriksson M, Lindstrom B, Lilja J: A sense of coherence and health, Salutogenesis in a societal context: Aland, a special case? J Epidemiol Community Health 2007, 61: 684–688. 10.1136/jech.2006.047498PubMedCentralPubMedCrossRef
32.
go back to reference Flannery RB, Perry CJ, Penk WE, Flannery GJ: Validating Antonovsky's sense of Coherence scale. J Clin Psychol 1994, 50: 575–577. 10.1002/1097-4679(199407)50:4<575::AID-JCLP2270500412>3.0.CO;2-8PubMedCrossRef Flannery RB, Perry CJ, Penk WE, Flannery GJ: Validating Antonovsky's sense of Coherence scale. J Clin Psychol 1994, 50: 575–577. 10.1002/1097-4679(199407)50:4<575::AID-JCLP2270500412>3.0.CO;2-8PubMedCrossRef
33.
go back to reference Muller Y, Rothman S: Sense of coherence and employees' perceptions of helping and restraining factors in an organisation. SA J Industrial Psychol 2009, 35: 89–98. Muller Y, Rothman S: Sense of coherence and employees' perceptions of helping and restraining factors in an organisation. SA J Industrial Psychol 2009, 35: 89–98.
34.
go back to reference Blom EH, Serlachius E, Larsson JO, Theorell T, Ingvar M: Low Sense of Coherence (SOC) is a mirror of general anxiety and persistent depressive symptoms in adolescent girls - a cross-sectional study of a clinical and a non-clinical cohort. Health Qual Life Outcomes 2010, 8: 58. 10.1186/1477-7525-8-58CrossRef Blom EH, Serlachius E, Larsson JO, Theorell T, Ingvar M: Low Sense of Coherence (SOC) is a mirror of general anxiety and persistent depressive symptoms in adolescent girls - a cross-sectional study of a clinical and a non-clinical cohort. Health Qual Life Outcomes 2010, 8: 58. 10.1186/1477-7525-8-58CrossRef
35.
go back to reference Harkness JA, Braun M, Edwards B, Johnson T, Lijberg L, Mohler P, Pennell B, Smith T: Survey methods in multinational, multiregional and multicultural contexts. New Jersey: John Wiley & Sons Inc; 2010.CrossRef Harkness JA, Braun M, Edwards B, Johnson T, Lijberg L, Mohler P, Pennell B, Smith T: Survey methods in multinational, multiregional and multicultural contexts. New Jersey: John Wiley & Sons Inc; 2010.CrossRef
37.
go back to reference Olsson M, Gassne J, Hansson K: Do different scales measure the same construct? Three ense of Coherence scales. J Epidemiol Community Health 2009, 63: 166–167.PubMedCrossRef Olsson M, Gassne J, Hansson K: Do different scales measure the same construct? Three ense of Coherence scales. J Epidemiol Community Health 2009, 63: 166–167.PubMedCrossRef
Metadata
Title
Psychometric properties of the OLQ-13 scale to measure Sense of Coherence in a community-dwelling older population
Authors
Jenneken Naaldenberg
Hilde Tobi
Franciska van den Esker
Lenneke Vaandrager
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-37

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