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Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Validation of the Dutch Aging Perceptions Questionnaire and development of a short version

Authors: Anne Slotman, Jane M Cramm, Anna P Nieboer

Published in: Health and Quality of Life Outcomes | Issue 1/2015

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Abstract

Background

Perceptions of aging have been found to independently contribute to various aspects of health and wellbeing in old age. Since valid and reliable perceptions of aging instruments are unavailable in Dutch, these associations have not yet been tested in the Netherlands. This study examined the reliability and construct validity of the Dutch-language version of the 7-dimension Aging Perceptions Questionnaire (APQ). Furthermore, in order to decrease the response burden, while retaining the APQ’s original factor structure, a short version of the APQ (APQ-S) was developed as an alternative to the 5-dimension Brief APQ (B-APQ).

Methods

A Dutch translated version of the APQ was administered to a large sample of community-dwelling elders in the Netherlands, aged 70 to 99 (n = 1280), alongside measures of wellbeing and physical functioning.

Results

Confirmatory factor analyses confirmed the multidimensionality of the APQ. APQ scales were found to have good reliability and acceptable construct validity, yet several areas of localized strain were detected. These areas were addressed during item reduction, resulting in the 21-item APQ-S with an acceptable reliability and validity and a better overall model fit. While several notable differences were found, APQ-S results were largely comparable to that of the 5-dimension B-APQ.

Conclusion

With its multidimensional nature and acceptable psychometric properties, the Dutch language version of the APQ may prove to be an invaluable instrument to assess the seven perceptions of aging dimensions among older populations for geriatric research. However, use of a shortened version is advised, as these are less labor intensive and areas of localized strain are addressed. The choice between the APQ-S and the B-APQ should be based on theoretical and practical considerations concerning the dimensional structure most suitable for the study.
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Literature
1.
go back to reference Demakakos P, Hacker E, Gjonca E. Perceptions of ageing. In: Banks J, Breeze E, Lessof C, Nazroo J, editors. In Retirement, health and relationships of the older population in England: The 2004 English Longitudinal Study of Ageing (Wave 2). London: The Institute for Fiscal Studies; 2006. p. 339–66. Demakakos P, Hacker E, Gjonca E. Perceptions of ageing. In: Banks J, Breeze E, Lessof C, Nazroo J, editors. In Retirement, health and relationships of the older population in England: The 2004 English Longitudinal Study of Ageing (Wave 2). London: The Institute for Fiscal Studies; 2006. p. 339–66.
2.
go back to reference Levy B, Slade M, Kasl S. Longitudinal benefit of positive self-perceptions of aging on functional health. J Gerontol B Psychol Sci Soc Sci. 2002;57B(5):409–17.CrossRef Levy B, Slade M, Kasl S. Longitudinal benefit of positive self-perceptions of aging on functional health. J Gerontol B Psychol Sci Soc Sci. 2002;57B(5):409–17.CrossRef
3.
go back to reference Levy BR, Meyers LM. Preventive health behaviors influenced by self-perceptions of aging. Prev Med. 2004;39:625–9.CrossRefPubMed Levy BR, Meyers LM. Preventive health behaviors influenced by self-perceptions of aging. Prev Med. 2004;39:625–9.CrossRefPubMed
4.
go back to reference Beyene Y, Becker G, Mayen N. Perceptions of aging and sense of well-being among Latino elderly. J Cross Cult Gerontol. 2002;17(2):155–72.CrossRefPubMed Beyene Y, Becker G, Mayen N. Perceptions of aging and sense of well-being among Latino elderly. J Cross Cult Gerontol. 2002;17(2):155–72.CrossRefPubMed
5.
go back to reference Gattuso S. Healthy and wise: Promoting mental health in Australian rural elders. J Ment Health Aging. 2001;7(4):425–33. Gattuso S. Healthy and wise: Promoting mental health in Australian rural elders. J Ment Health Aging. 2001;7(4):425–33.
6.
go back to reference Levy BR, Slade MD, Kunkel S, Kasl SV. Longevity increased by positive self-perceptions of aging. J Pers Soc Psychol. 2002;83(2):261–70.CrossRefPubMed Levy BR, Slade MD, Kunkel S, Kasl SV. Longevity increased by positive self-perceptions of aging. J Pers Soc Psychol. 2002;83(2):261–70.CrossRefPubMed
7.
go back to reference Kotter-Grühn D, Kleinspeh-Ammerlahn A, Gerstorf D, Smith J. Self-perceptions of aging predict mortality and change with approaching death: 16 year longitudinal results from the Berlin Aging Study. Psychol Aging. 2009;24(3):654–67.CrossRefPubMed Kotter-Grühn D, Kleinspeh-Ammerlahn A, Gerstorf D, Smith J. Self-perceptions of aging predict mortality and change with approaching death: 16 year longitudinal results from the Berlin Aging Study. Psychol Aging. 2009;24(3):654–67.CrossRefPubMed
8.
go back to reference Barker M, O’Hanlon A, McGee HM, Hickey A, Conroy RM. Cross-sectional validation of the Aging Perceptions Questionnaire: a multidimensional instrument for assessing self-perceptions of aging. BMC Geriatr. 2007;7:9.CrossRefPubMedCentralPubMed Barker M, O’Hanlon A, McGee HM, Hickey A, Conroy RM. Cross-sectional validation of the Aging Perceptions Questionnaire: a multidimensional instrument for assessing self-perceptions of aging. BMC Geriatr. 2007;7:9.CrossRefPubMedCentralPubMed
9.
go back to reference Leventhal H, Nerenz DR, Steele DJ. Illness representations and coping with health threats. In: Baum A, Taylor SE, Singer J, editors. Handbook of Psychology and Health, vol. 4. New Jersey: Lawrence Erlbaum Associates; 1984. p. 219–52. Leventhal H, Nerenz DR, Steele DJ. Illness representations and coping with health threats. In: Baum A, Taylor SE, Singer J, editors. Handbook of Psychology and Health, vol. 4. New Jersey: Lawrence Erlbaum Associates; 1984. p. 219–52.
10.
go back to reference Barrett A, Savva G, Timonen V, Kenny RA. Fifty plus in Ireland 2011: first results from the Irish Longitudinal Study on Ageing (TILDA). Dublin: The Irish Longitudinal Study on Aging, Trinity College Dublin; 2011. Barrett A, Savva G, Timonen V, Kenny RA. Fifty plus in Ireland 2011: first results from the Irish Longitudinal Study on Ageing (TILDA). Dublin: The Irish Longitudinal Study on Aging, Trinity College Dublin; 2011.
11.
go back to reference Hickey A, O’Hanlon A, McGee H. Quality of life in community-dwelling older people in Ireland: Association with ageing perceptions, physical health and psychological well-being. Irish J Psychol. 2010;31:37–41.CrossRef Hickey A, O’Hanlon A, McGee H. Quality of life in community-dwelling older people in Ireland: Association with ageing perceptions, physical health and psychological well-being. Irish J Psychol. 2010;31:37–41.CrossRef
12.
go back to reference Yarmo-Roberts D, Freak-Poli RL, Cooper B, Noonan T, Stolewinder J, Reid CM: The heart of the matter: health status of aged care clients receiving home- and community-based care. J Aging Res 2010. DOI:10.4061/2010/275303 Yarmo-Roberts D, Freak-Poli RL, Cooper B, Noonan T, Stolewinder J, Reid CM: The heart of the matter: health status of aged care clients receiving home- and community-based care. J Aging Res 2010. DOI:10.4061/2010/275303
13.
go back to reference Ramos LMBC, da Rocha M, Gomes I, Schwanke CHA. Translation and cross-cultural adaption of the APQ-Aging Perceptions Questionnaire to Brazilian Portuguese. Rev Bras Geriatr Gerontol. 2012;15(2):233–42.CrossRef Ramos LMBC, da Rocha M, Gomes I, Schwanke CHA. Translation and cross-cultural adaption of the APQ-Aging Perceptions Questionnaire to Brazilian Portuguese. Rev Bras Geriatr Gerontol. 2012;15(2):233–42.CrossRef
14.
go back to reference Ingrand I, Houeto JL, Gil R, McGee H, Ingrand P, Paccalin M. The validation of the French-language version of the Aging Perceptions Questionnaire (APQ) and its extension to a population aged 55 and over. BMC Geriatr. 2012;12:17.CrossRefPubMedCentralPubMed Ingrand I, Houeto JL, Gil R, McGee H, Ingrand P, Paccalin M. The validation of the French-language version of the Aging Perceptions Questionnaire (APQ) and its extension to a population aged 55 and over. BMC Geriatr. 2012;12:17.CrossRefPubMedCentralPubMed
15.
go back to reference Edwards PJ, Roberts IG, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I, Cooper R, Felix L, Pratap S: Methods to increase response rates to postal questionnaires. Cochrane Database of Systematic Reviews 2007. DOI: 10.1002/14651858.MR000008.pub3 Edwards PJ, Roberts IG, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I, Cooper R, Felix L, Pratap S: Methods to increase response rates to postal questionnaires. Cochrane Database of Systematic Reviews 2007. DOI: 10.1002/14651858.MR000008.pub3
16.
go back to reference Sexton E, King-Kallimanis BL, Morgan K, McGee H. Development of the Brief Ageing Perceptions Questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatr. 2014;14:44.CrossRefPubMedCentralPubMed Sexton E, King-Kallimanis BL, Morgan K, McGee H. Development of the Brief Ageing Perceptions Questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatr. 2014;14:44.CrossRefPubMedCentralPubMed
17.
go back to reference Cramm JM, van Dijk HM, Lötters F, van Exel J, Nieboer AP. Evaluating an Integrated Neighbourhood Approach to improve well-being of frail elderly in a Dutch community: a study protocol. BMC Res Notes. 2011;4:532.CrossRefPubMedCentralPubMed Cramm JM, van Dijk HM, Lötters F, van Exel J, Nieboer AP. Evaluating an Integrated Neighbourhood Approach to improve well-being of frail elderly in a Dutch community: a study protocol. BMC Res Notes. 2011;4:532.CrossRefPubMedCentralPubMed
18.
go back to reference Nieboer A, Lindenberg S, Boomsma A, van Bruggen AC. Dimensions of well-being and their measurement: the SPF-IL scale. Soc Indic Res. 2005;73:313–53.CrossRef Nieboer A, Lindenberg S, Boomsma A, van Bruggen AC. Dimensions of well-being and their measurement: the SPF-IL scale. Soc Indic Res. 2005;73:313–53.CrossRef
19.
go back to reference Cramm JM, Strating MMH, de Vreede PL, Steverink N, Nieboer AP. Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalization. Health Qual Life Out. 2012;10:9.CrossRef Cramm JM, Strating MMH, de Vreede PL, Steverink N, Nieboer AP. Validation of the self-management ability scale (SMAS) and development and validation of a shorter scale (SMAS-S) among older patients shortly after hospitalization. Health Qual Life Out. 2012;10:9.CrossRef
20.
go back to reference Frieswijk N, Steverink N, Buunk BP, Slaets JPJ. The effectiveness of a bibliotherapy on self-management for slightly to moderately frail older people. Patient Educ Couns. 2006;61:219–27.CrossRefPubMed Frieswijk N, Steverink N, Buunk BP, Slaets JPJ. The effectiveness of a bibliotherapy on self-management for slightly to moderately frail older people. Patient Educ Couns. 2006;61:219–27.CrossRefPubMed
21.
go back to reference Gobbens RJJ, van Assen MALM, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. The Tilburg Frailty Indicator: Psychometric Properties. J Am Med Dir Assoc. 2010;11:344–54.CrossRefPubMed Gobbens RJJ, van Assen MALM, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. The Tilburg Frailty Indicator: Psychometric Properties. J Am Med Dir Assoc. 2010;11:344–54.CrossRefPubMed
22.
go back to reference Gobbens RJJ, van Assen MALM: The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res 2014. DOI: 10.1007/s11136-014-0672-1 Gobbens RJJ, van Assen MALM: The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res 2014. DOI: 10.1007/s11136-014-0672-1
23.
go back to reference Metzelthin SF, Daniëls R, van Rossum E, de Witte L, van den Heuvel WJA, Kempen GIJM. The psychometric properties of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2010;10:176.CrossRefPubMedCentralPubMed Metzelthin SF, Daniëls R, van Rossum E, de Witte L, van den Heuvel WJA, Kempen GIJM. The psychometric properties of three self-report screening instruments for identifying frail older people in the community. BMC Public Health. 2010;10:176.CrossRefPubMedCentralPubMed
24.
go back to reference Muthén LK, Muthén BO. Mplus User’s Guide. 7th ed. Los Angeles: Muthén & Muthén; 2012. Muthén LK, Muthén BO. Mplus User’s Guide. 7th ed. Los Angeles: Muthén & Muthén; 2012.
25.
go back to reference Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1–55.CrossRef Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1–55.CrossRef
26.
go back to reference Allison PD. Missing data techniques for structural equation modeling. J of Abn Psych. 2003;112:545–57.CrossRef Allison PD. Missing data techniques for structural equation modeling. J of Abn Psych. 2003;112:545–57.CrossRef
27.
go back to reference Duncan TE, Duncan SC, Li F. A comparison of model- and multiple imputation-based approaches to longitudinal analyses with partial missingness. Struct Equ Modeling. 1998;5:1–21.CrossRef Duncan TE, Duncan SC, Li F. A comparison of model- and multiple imputation-based approaches to longitudinal analyses with partial missingness. Struct Equ Modeling. 1998;5:1–21.CrossRef
28.
go back to reference Brown TA. Confirmatory Factor Analysis for applied research. New York: The Guilford Press; 2006. Brown TA. Confirmatory Factor Analysis for applied research. New York: The Guilford Press; 2006.
29.
go back to reference Garson GD. Factor Analysis. Asheboro, NC: Statistical Associates Publishers; 2013. Garson GD. Factor Analysis. Asheboro, NC: Statistical Associates Publishers; 2013.
30.
go back to reference Yuan KH, Bentler PM. Three likelihood-based methods for mean and covariance structure analysis with non-normal missing data. Sociol Methodol. 2000;30:165–200.CrossRef Yuan KH, Bentler PM. Three likelihood-based methods for mean and covariance structure analysis with non-normal missing data. Sociol Methodol. 2000;30:165–200.CrossRef
31.
go back to reference George D, Mallery P. SPSS for Windows step by step: A simple guide and reference. 11.0 update. 4th edition. Boston: Allyn & Bacon; 2003. George D, Mallery P. SPSS for Windows step by step: A simple guide and reference. 11.0 update. 4th edition. Boston: Allyn & Bacon; 2003.
32.
go back to reference Ministry of Health, Welfare, and Sport: Hervormingen van de langdurige ondersteuning en zorg [Reforms of the long-term support and care]. The Hague: Government of the Netherlands; 2013. Ministry of Health, Welfare, and Sport: Hervormingen van de langdurige ondersteuning en zorg [Reforms of the long-term support and care]. The Hague: Government of the Netherlands; 2013.
33.
go back to reference Grootegoed E, van Dijk D. The return of the family? Welfare state retrenchment and client autonomy in long-term care. J Soc Policy. 2012;41:677–94.CrossRef Grootegoed E, van Dijk D. The return of the family? Welfare state retrenchment and client autonomy in long-term care. J Soc Policy. 2012;41:677–94.CrossRef
34.
go back to reference Podsakoff PM, MacKenzie SB, Lee Y, Podsakoff NP. Common method biases in behavioral research: A critical review of the literature and recommended remedies. J Appl Psychol. 2003;88:879–903.CrossRefPubMed Podsakoff PM, MacKenzie SB, Lee Y, Podsakoff NP. Common method biases in behavioral research: A critical review of the literature and recommended remedies. J Appl Psychol. 2003;88:879–903.CrossRefPubMed
35.
go back to reference Feskens R, Hox J, Lensvelt-Mulders G, Schmeets H. Collecting data among ethnic minorities in an international perspective. Field Method. 2006;18:284–304.CrossRef Feskens R, Hox J, Lensvelt-Mulders G, Schmeets H. Collecting data among ethnic minorities in an international perspective. Field Method. 2006;18:284–304.CrossRef
36.
go back to reference Baltes MM, Lang FR. Everyday functioning and successful aging: The impact of resources. Psychol Aging. 1997;12:433–43.CrossRefPubMed Baltes MM, Lang FR. Everyday functioning and successful aging: The impact of resources. Psychol Aging. 1997;12:433–43.CrossRefPubMed
37.
go back to reference Steverink N, Lindenberg S, Ormel J. Towards understanding successful ageing: Patterned change in resources and goals. Ageing Soc. 1998;18:441–67. Steverink N, Lindenberg S, Ormel J. Towards understanding successful ageing: Patterned change in resources and goals. Ageing Soc. 1998;18:441–67.
Metadata
Title
Validation of the Dutch Aging Perceptions Questionnaire and development of a short version
Authors
Anne Slotman
Jane M Cramm
Anna P Nieboer
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0248-y

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