Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

Psychometric properties of the Dutch WHOQOL-OLD

Authors: Robbert J. J. Gobbens, Marcel A. L. M. van Assen

Published in: Health and Quality of Life Outcomes | Issue 1/2016

Login to get access

Abstract

Background

To assess the internal consistency reliability and construct validity of the Dutch version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD).

Methods

The psychometric properties of the Dutch WHOQOL-OLD were examined in a cross-sectional study using a sample of 1,340 people aged 60 years or older. Participants completed a Web-based questionnaire, the ‘Senioren Barometer’. Reliability was evaluated using Cronbach’s alpha and corrected item-total correlations. Construct validity of the Dutch WHOQOL-OLD was evaluated with confirmatory factor analyses, and correlations within and between scales, using scales WHOQOL-BREF, Short Form Health Survey (SF-12), Tilburg Frailty Indicator (TFI), and the Emotional and Social Loneliness Scale (ESLS).

Results

The reliabilities of the six WHOQOL-OLD facets or subscales were sufficient to good (.66-.91). The convergent validity of the WHOQOL-OLD was good, whereas our findings on the divergent validity of the WHOQOL-OLD were somewhat mixed. Findings corroborating the divergent validity were that the 6-factor model fitted better than the second-order factor model, and WHOQOL-OLD facets sensory abilities, past, present and future activities, death and dying, intimacy correlated more strongly with similar than dissimilar scales. Not fully supporting divergent validity were the extremely high correlations between the factors corresponding to autonomy, past, present and future activities, and social participation.

Conclusion

We offer Dutch healthcare and social workers an instrument with good psychometric properties for measuring quality of life in older people. Further research on interrelations between WHOQOL-OLD facets is recommended.
Literature
1.
go back to reference United Nations. Department of Economic and Social Affairs. Population Division. World Population Prospects. The 2015 Revision. Key Findings and Advance Tables. Working paper No. ESA/P/WP.241. New York: 2015. Available at http://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf. Accessed 8 Aug 2015. United Nations. Department of Economic and Social Affairs. Population Division. World Population Prospects. The 2015 Revision. Key Findings and Advance Tables. Working paper No. ESA/P/WP.241. New York: 2015. Available at http://​esa.​un.​org/​unpd/​wpp/​publications/​files/​key_​findings_​wpp_​2015.​pdf.​ Accessed 8 Aug 2015.
2.
go back to reference Conrad I, Matschinger H, Riedel-Heller S, von Gottberg C, Kilian R. The psychometric properties of the German version of the WHOQOL-OLD in the German population aged 60 and older. Health Qual Life Outcomes. 2014;12(1):105.CrossRefPubMedPubMedCentral Conrad I, Matschinger H, Riedel-Heller S, von Gottberg C, Kilian R. The psychometric properties of the German version of the WHOQOL-OLD in the German population aged 60 and older. Health Qual Life Outcomes. 2014;12(1):105.CrossRefPubMedPubMedCentral
3.
go back to reference The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403–9.CrossRef The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403–9.CrossRef
4.
go back to reference The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef
5.
go back to reference Power M, Kuyken W, Orley J. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46:1569–85.CrossRef Power M, Kuyken W, Orley J. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46:1569–85.CrossRef
6.
go back to reference Power M, Quinn K, Schmidt S. Development of the WHOQOL-old module. Qual Life Res. 2005;14(10):2197–214.CrossRefPubMed Power M, Quinn K, Schmidt S. Development of the WHOQOL-old module. Qual Life Res. 2005;14(10):2197–214.CrossRefPubMed
7.
go back to reference Chachamovich E, Fleck MP, Trentini C, Power M. Brazilian WHOQOL-OLD Module version: a Rasch analysis of a new instrument. Rev Saude Publica. 2008;42(2):308–16.CrossRefPubMed Chachamovich E, Fleck MP, Trentini C, Power M. Brazilian WHOQOL-OLD Module version: a Rasch analysis of a new instrument. Rev Saude Publica. 2008;42(2):308–16.CrossRefPubMed
8.
go back to reference Fleck MP, Chachamovich E, Trentini C. Development and validation of the Portuguese version of the WHOQOL-OLD module. Rev Saude Publica. 2006;40(5):785–91.CrossRefPubMed Fleck MP, Chachamovich E, Trentini C. Development and validation of the Portuguese version of the WHOQOL-OLD module. Rev Saude Publica. 2006;40(5):785–91.CrossRefPubMed
9.
go back to reference Halvorsrud L, Kalfoss M, Diseth A. Reliability and validity of the Norwegian WHOQOL-OLD module. Scand J Caring Sci. 2008;22(2):292–305.CrossRefPubMed Halvorsrud L, Kalfoss M, Diseth A. Reliability and validity of the Norwegian WHOQOL-OLD module. Scand J Caring Sci. 2008;22(2):292–305.CrossRefPubMed
10.
go back to reference Liu R, Wu S, Hao Y, Gu J, Fang J, Cai N, et al. The Chinese version of the world health organization quality of life instrument-older adults module (WHOQOL-OLD): psychometric evaluation. Health Qual Life Outcomes. 2013;11:156.CrossRefPubMedPubMedCentral Liu R, Wu S, Hao Y, Gu J, Fang J, Cai N, et al. The Chinese version of the world health organization quality of life instrument-older adults module (WHOQOL-OLD): psychometric evaluation. Health Qual Life Outcomes. 2013;11:156.CrossRefPubMedPubMedCentral
11.
go back to reference Lucas-Carrasco R, Laidlaw K, Power MJ. Suitability of the WHOQOL-BREF and WHOQOL-OLD for Spanish older adults. Aging Ment Health. 2011;15(5):595–604.CrossRefPubMed Lucas-Carrasco R, Laidlaw K, Power MJ. Suitability of the WHOQOL-BREF and WHOQOL-OLD for Spanish older adults. Aging Ment Health. 2011;15(5):595–604.CrossRefPubMed
12.
go back to reference Leplege A, Perret-Guillaume C, Ecosse E, Hervy MP, Ankri J, von Steinbuchel N. A new instrument to measure quality of life in older people: The French version of the WHOQOL-OLD. Rev Med Interne. 2013;34(2):78–84.CrossRefPubMed Leplege A, Perret-Guillaume C, Ecosse E, Hervy MP, Ankri J, von Steinbuchel N. A new instrument to measure quality of life in older people: The French version of the WHOQOL-OLD. Rev Med Interne. 2013;34(2):78–84.CrossRefPubMed
13.
go back to reference Eser S, Saatli G, Eser E, Baydur H, Fidaner C. The reliability and validity of the Turkish Version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turk Psikiyatri Derg. 2010;21(1):37–48.PubMed Eser S, Saatli G, Eser E, Baydur H, Fidaner C. The reliability and validity of the Turkish Version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turk Psikiyatri Derg. 2010;21(1):37–48.PubMed
14.
go back to reference Paschoal SM, Filho WJ, Litvoc J. Development of elderly quality of life index - EQOLI: theoretical-conceptual framework, chosen methodology, and relevant items generation. Clinics (Sao Paulo). 2007;62(3):279–88.CrossRef Paschoal SM, Filho WJ, Litvoc J. Development of elderly quality of life index - EQOLI: theoretical-conceptual framework, chosen methodology, and relevant items generation. Clinics (Sao Paulo). 2007;62(3):279–88.CrossRef
15.
go back to reference Caballero FF, Miret M, Power M, Chatterji S, Tobiasz-Adamczyk B, Koskinen S, et al. Validation of an instrument to evaluate quality of life in the aging population: WHOQOL-AGE. Health Qual Life Outcomes. 2013;11:177.CrossRefPubMedPubMedCentral Caballero FF, Miret M, Power M, Chatterji S, Tobiasz-Adamczyk B, Koskinen S, et al. Validation of an instrument to evaluate quality of life in the aging population: WHOQOL-AGE. Health Qual Life Outcomes. 2013;11:177.CrossRefPubMedPubMedCentral
16.
go back to reference Hyde M, Wiggins RD, Higgs P, Blane DB. A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Aging Ment Health. 2003;7(3):186–94.CrossRefPubMed Hyde M, Wiggins RD, Higgs P, Blane DB. A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP-19). Aging Ment Health. 2003;7(3):186–94.CrossRefPubMed
17.
go back to reference Bowling A. The Psychometric Properties of the Older People's Quality of Life Questionnaire, Comparedwith the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res. 2009;2009:12. Article ID 298950. doi:10.1155/2009/298950. Bowling A. The Psychometric Properties of the Older People's Quality of Life Questionnaire, Comparedwith the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res. 2009;2009:12. Article ID 298950. doi:10.​1155/​2009/​298950.
18.
go back to reference Gobbens RJ, Luijkx KG, van Assen MA. Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res. 2013;22(8):2051–61.CrossRefPubMed Gobbens RJ, Luijkx KG, van Assen MA. Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res. 2013;22(8):2051–61.CrossRefPubMed
19.
go back to reference Gobbens RJ, van Assen MA, Schalk MJ. The prediction of disability by self-reported physical frailty components of the Tilburg Frailty Indicator (TFI). Arch Gerontol Geriatr. 2014;59(2):280–7.CrossRefPubMed Gobbens RJ, van Assen MA, Schalk MJ. The prediction of disability by self-reported physical frailty components of the Tilburg Frailty Indicator (TFI). Arch Gerontol Geriatr. 2014;59(2):280–7.CrossRefPubMed
20.
go back to reference Ware Jr J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.CrossRefPubMed Ware Jr J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.CrossRefPubMed
21.
go back to reference Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM. The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.CrossRefPubMed Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM. The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–55.CrossRefPubMed
22.
go back to reference Shaver PR, Brennan KA. Measures of Depression and Loneliness. In: Robinson JP, Shaver PR, Wrightsman LS, editors. Measures of personality and social psychological attitudes Volume 1 in Measures of Social Psychological Attitudes Series. London: Academic; 1991. p. 195–289.CrossRef Shaver PR, Brennan KA. Measures of Depression and Loneliness. In: Robinson JP, Shaver PR, Wrightsman LS, editors. Measures of personality and social psychological attitudes Volume 1 in Measures of Social Psychological Attitudes Series. London: Academic; 1991. p. 195–289.CrossRef
24.
go back to reference Skevington SM, Lotfy M, O’Connell KA. The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299–310.CrossRefPubMed Skevington SM, Lotfy M, O’Connell KA. The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299–310.CrossRefPubMed
25.
go back to reference Gobbens RJ, van Assen MA, Luijkx KG, Schols JM. The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist. 2012;52(5):619–31.CrossRefPubMed Gobbens RJ, van Assen MA, Luijkx KG, Schols JM. The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist. 2012;52(5):619–31.CrossRefPubMed
26.
go back to reference Huisman M, Deeg D. The course of frailty. In: van Campen C, editor. Frail older persons in the Netherlands. The Hague: The Netherlands Institute for Social Research; 2011. p. 83–90. Huisman M, Deeg D. The course of frailty. In: van Campen C, editor. Frail older persons in the Netherlands. The Hague: The Netherlands Institute for Social Research; 2011. p. 83–90.
27.
go back to reference Gobbens RJ, van Assen MA. The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res. 2014;23(8):2289–300.CrossRefPubMed Gobbens RJ, van Assen MA. The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res. 2014;23(8):2289–300.CrossRefPubMed
28.
go back to reference Verhagen I, Ros WJ, Steunenberg B, de Wit NJ. Ethnicity does not account for differences in the health-related quality of life of Turkish, Moroccan, and Moluccan elderly in the Netherlands. Health Qual Life Outcomes. 2014;12:138.CrossRefPubMedPubMedCentral Verhagen I, Ros WJ, Steunenberg B, de Wit NJ. Ethnicity does not account for differences in the health-related quality of life of Turkish, Moroccan, and Moluccan elderly in the Netherlands. Health Qual Life Outcomes. 2014;12:138.CrossRefPubMedPubMedCentral
29.
go back to reference Ekwall AK, Sivberg B, Hallberg IR. Loneliness as a predictor of quality of life among older caregivers. J Adv Nurs. 2005;49(1):23–32.CrossRefPubMed Ekwall AK, Sivberg B, Hallberg IR. Loneliness as a predictor of quality of life among older caregivers. J Adv Nurs. 2005;49(1):23–32.CrossRefPubMed
30.
go back to reference Arslantas H, Adana F, Abacigil Ergin F, Kayar D, Acar G. Loneliness in Elderly People, Associated Factors and Its Correlation with Quality of Life: A Field Study from Western Turkey. Iran J Public Health. 2015;44(1):43–50.PubMedPubMedCentral Arslantas H, Adana F, Abacigil Ergin F, Kayar D, Acar G. Loneliness in Elderly People, Associated Factors and Its Correlation with Quality of Life: A Field Study from Western Turkey. Iran J Public Health. 2015;44(1):43–50.PubMedPubMedCentral
31.
go back to reference Agborsangaya CB, Lau D, Lahtinen M, Cooke T, Johnson JA. Health-related quality of life and healthcare utilization in multimorbidity: results of a cross-sectional survey. Quality Life Res. 2013;22(4):791–9.CrossRef Agborsangaya CB, Lau D, Lahtinen M, Cooke T, Johnson JA. Health-related quality of life and healthcare utilization in multimorbidity: results of a cross-sectional survey. Quality Life Res. 2013;22(4):791–9.CrossRef
32.
go back to reference Barile JP, Thompson WW, Zack MM, Krahn GL, Horner-Johnson W, Bowen SE. Multiple chronic medical conditions and health-related quality of life in older adults, 2004–2006. Prev Chronic Dis. 2013;10:162.CrossRef Barile JP, Thompson WW, Zack MM, Krahn GL, Horner-Johnson W, Bowen SE. Multiple chronic medical conditions and health-related quality of life in older adults, 2004–2006. Prev Chronic Dis. 2013;10:162.CrossRef
33.
go back to reference Brettschneider C, Leicht H, Bickel H, Dahlhaus A, Fuchs A, Gensichen J, et al. Relative impact of multimorbid chronic conditions on health-related quality of life--results from the MultiCare Cohort Study. PLoS One. 2013;8(6):66742.CrossRef Brettschneider C, Leicht H, Bickel H, Dahlhaus A, Fuchs A, Gensichen J, et al. Relative impact of multimorbid chronic conditions on health-related quality of life--results from the MultiCare Cohort Study. PLoS One. 2013;8(6):66742.CrossRef
34.
go back to reference Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu AL, Maltais D. Multimorbidity and quality of life in primary care: a systematic review. Health Qual Life Outcomes. 2004;2:51.CrossRefPubMedPubMedCentral Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu AL, Maltais D. Multimorbidity and quality of life in primary care: a systematic review. Health Qual Life Outcomes. 2004;2:51.CrossRefPubMedPubMedCentral
35.
go back to reference Evers A, van Vliet-Mulder JC, Resing WCM, Starren JCMG, van Alphen de Veer RJ, van Boxtel H. Cotan testboek voor het onderwijs. Amsterdam: NDC/Boom; 2002. Evers A, van Vliet-Mulder JC, Resing WCM, Starren JCMG, van Alphen de Veer RJ, van Boxtel H. Cotan testboek voor het onderwijs. Amsterdam: NDC/Boom; 2002.
36.
go back to reference Ellis JL. A standard for test reliability in group research. Behav Res Methods. 2013;45(1):16–24.CrossRefPubMed Ellis JL. A standard for test reliability in group research. Behav Res Methods. 2013;45(1):16–24.CrossRefPubMed
37.
go back to reference Lance CE, Butts MM, Michels LC. The Sources of Four Commonly Reported Cutoff Criteria. What Did They Really Say? Organizational Research Methods. 2006;9(2):202–20.CrossRef Lance CE, Butts MM, Michels LC. The Sources of Four Commonly Reported Cutoff Criteria. What Did They Really Say? Organizational Research Methods. 2006;9(2):202–20.CrossRef
38.
go back to reference Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill; 1994. Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: McGraw-Hill; 1994.
39.
go back to reference Bleijenberg N, ten Dam VH, Drubbel I, Numans ME, de Wit NJ, Schuurmans MJ. Associations between frailty, complex care needs and quality of life in multi-morbid older people. The J Frailty Aging. 2014;3(3):166–72.PubMed Bleijenberg N, ten Dam VH, Drubbel I, Numans ME, de Wit NJ, Schuurmans MJ. Associations between frailty, complex care needs and quality of life in multi-morbid older people. The J Frailty Aging. 2014;3(3):166–72.PubMed
40.
go back to reference Byrne BM. Structural equation modeling with AMOS: basic concepts, applications, and programming. 2nd ed. New York: Routledge; 2013. Byrne BM. Structural equation modeling with AMOS: basic concepts, applications, and programming. 2nd ed. New York: Routledge; 2013.
41.
go back to reference Henson RK. Understanding internal consistency reliability estimates: A conceptual primer on coefficient alpha. Meas Eval Couns Dev. 2001;34(3):177–89. Henson RK. Understanding internal consistency reliability estimates: A conceptual primer on coefficient alpha. Meas Eval Couns Dev. 2001;34(3):177–89.
42.
go back to reference Berthe A, Berthe-Sanou L, Somda S, Konate B, Hien H, Tou F, et al. The key actors maintaining elders in functional autonomy in Bobo-Dioulasso (Burkina Faso). BMC Public Health. 2014;14:689.CrossRefPubMedPubMedCentral Berthe A, Berthe-Sanou L, Somda S, Konate B, Hien H, Tou F, et al. The key actors maintaining elders in functional autonomy in Bobo-Dioulasso (Burkina Faso). BMC Public Health. 2014;14:689.CrossRefPubMedPubMedCentral
43.
go back to reference Sibley A, Kersten P, Ward CD, White B, Mehta R, George S. Measuring autonomy in disabled people: Validation of a new scale in a UK population. Clin Rehabil. 2006;20(9):793–803.CrossRefPubMed Sibley A, Kersten P, Ward CD, White B, Mehta R, George S. Measuring autonomy in disabled people: Validation of a new scale in a UK population. Clin Rehabil. 2006;20(9):793–803.CrossRefPubMed
44.
go back to reference Allen MJ, Yen WM. Introduction to measurement theory. Long Grove: Waveland Press; 2001. Allen MJ, Yen WM. Introduction to measurement theory. Long Grove: Waveland Press; 2001.
45.
go back to reference Weiss RS. Loneliness: The experience of emotional and social isolation. Cambridge: MIT Press; 1773. Weiss RS. Loneliness: The experience of emotional and social isolation. Cambridge: MIT Press; 1773.
46.
go back to reference Green LR, Richardson DS, Lago T, Schatten-Jones EC. Network Correlates of Social and Emotional Loneliness in Young and Older Adults. Pers Soc Psychol Bull. 2001;27(3):281–8.CrossRef Green LR, Richardson DS, Lago T, Schatten-Jones EC. Network Correlates of Social and Emotional Loneliness in Young and Older Adults. Pers Soc Psychol Bull. 2001;27(3):281–8.CrossRef
47.
go back to reference Savikko N, Routasalo P, Tilvis RS, Strandberg TE, Pitkala KH. Predictors and subjective causes of loneliness in an aged population. Arch Gerontol Geriatr. 2005;41(3):223–33.CrossRefPubMed Savikko N, Routasalo P, Tilvis RS, Strandberg TE, Pitkala KH. Predictors and subjective causes of loneliness in an aged population. Arch Gerontol Geriatr. 2005;41(3):223–33.CrossRefPubMed
48.
go back to reference Dahlberg L, McKee KJ. Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging Ment Health. 2014;18(4):504–14.CrossRefPubMed Dahlberg L, McKee KJ. Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging Ment Health. 2014;18(4):504–14.CrossRefPubMed
49.
go back to reference Gobbens RJ, Krans A, van Assen MA. Validation of an integral conceptual model of frailty in older residents of assisted living facilities. Arch Gerontol Geriatr. 2015;61(3):400–10.CrossRefPubMed Gobbens RJ, Krans A, van Assen MA. Validation of an integral conceptual model of frailty in older residents of assisted living facilities. Arch Gerontol Geriatr. 2015;61(3):400–10.CrossRefPubMed
Metadata
Title
Psychometric properties of the Dutch WHOQOL-OLD
Authors
Robbert J. J. Gobbens
Marcel A. L. M. van Assen
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0508-5

Other articles of this Issue 1/2016

Health and Quality of Life Outcomes 1/2016 Go to the issue