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Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Psychometric properties the Iranian version of Older People’s Quality Of Life questionnaire (OPQOL)

Authors: Maryam Nikkhah, Majideh Heravi-Karimooi, Ali Montazeri, Nahid Rejeh, Hamid Sharif Nia

Published in: Health and Quality of Life Outcomes | Issue 1/2018

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Abstract

Background

Assessing quality of life (QOL) in elderly needs specific instruments. The Older People’s Quality of Life Questionnaire (OPQOL-35) is one of the common tools that used for measuring quality of life in elderly populations. The questionnaires contains 35 items tapping into eight domains including life overall, health, social relationships and participation, independence, control over life and freedom, home and neighborhood, psychological and emotional well-being, financial circumstances, culture and religion. This study aimed to translate and validate the OPQOL-35 in Iran.

Methods

Forward-backward procedure was applied to translate the original questionnaire from English into Persian. Then following qualitative face and content validity, a sample of elderly people completed the questionnaire. In order to evaluate the construct validity, exploratory and confirmatory factor analyses was performed. Subsequently, convergent and divergent validity of the factors were evaluated. Reliability was evaluated by performing internal consistency analysis and Intraclass Correlation Coefficients (ICC).

Results

In all 500 older people completed the questionnaire. The mean age of participant was 68.92 (SD = 6.97) years, and mostly were males (66.6%). The result of exploratory factor analysis showed 8 factors with Eigen values of greater than one, which explained 67.4% of the variance observed. Confirmatory factor analysis showed acceptable fit indexes for the data [Comparative Fit Index (CFI) = 0.92, Minimum Discrepancy Function by Degrees of Freedom divided (CMIN/DF) = 2.832, Root Mean Square Error of Approximation (RMSEA) = 0.067]. The convergent and divergent validity did not support three latent factors (Life overall, Independence, control over life, freedom and Psychological and emotional well-being). Convergent and divergent validity shown that construct fulfilled for the health, social relationships and participation, home and neighborhood, financial circumstances, culture and religion latent factors, however the results did not support the convergent and divergent validity for three latent factors (Life overall, Independence, control over life, freedom and Psychological and emotional well-being). Cronbach’s alpha coefficient for the subscales ranged from 0.65–0.95. Test-retest reliability (ICC) of the questionnaire with two weeks interval were ranged from 0.88–0.95 indicating a good range of reliability.

Conclusion

The findings suggest that the Iranian version of OPQOL-35 is a valid measure for assessing quality of life in elderly populations in different settings.
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Literature
1.
go back to reference Aghamolaei T, Tavafian SS, Zare S. Health related quality of life in elderly people living in Bandar Abbas, Iran: a population-based study. Acta Med Iran. 2010;48(3):185.PubMed Aghamolaei T, Tavafian SS, Zare S. Health related quality of life in elderly people living in Bandar Abbas, Iran: a population-based study. Acta Med Iran. 2010;48(3):185.PubMed
2.
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
3.
go back to reference Sun X, Lucas H, Meng Q, Zhang Y. Associations between living arrangements and health-related quality of life of urban elderly people: a study from China. Qual Life Res. 2011;20(3):359–69.CrossRefPubMed Sun X, Lucas H, Meng Q, Zhang Y. Associations between living arrangements and health-related quality of life of urban elderly people: a study from China. Qual Life Res. 2011;20(3):359–69.CrossRefPubMed
4.
go back to reference Naidoo N, Abdullah S, Bawah A, Binka F, Chuc NT, Debpuur C, et al. Ageing and adult health status in eight lower-income countries: the INDEPTH WHO-SAGE collaboration. Glob Health Action. 2010;11:11–22. Naidoo N, Abdullah S, Bawah A, Binka F, Chuc NT, Debpuur C, et al. Ageing and adult health status in eight lower-income countries: the INDEPTH WHO-SAGE collaboration. Glob Health Action. 2010;11:11–22.
5.
go back to reference Bowling A, Hankins M, Windle G, Bilotta C, Grant R. A short measure of quality of life in older age: the performance of the brief older People's quality of life questionnaire (OPQOL-brief). Arch Gerontol Geriatr. 2013;56(1):181–7.CrossRefPubMed Bowling A, Hankins M, Windle G, Bilotta C, Grant R. A short measure of quality of life in older age: the performance of the brief older People's quality of life questionnaire (OPQOL-brief). Arch Gerontol Geriatr. 2013;56(1):181–7.CrossRefPubMed
6.
go back to reference Darvishpoor KA, Abed SJ, Delavar A, Saeed OZM. Instrument development to measure elderly health-related quality of life (EHRQoL). Hakim Res J. 2012;15(1):30–7. Darvishpoor KA, Abed SJ, Delavar A, Saeed OZM. Instrument development to measure elderly health-related quality of life (EHRQoL). Hakim Res J. 2012;15(1):30–7.
7.
go back to reference Nikkhah M, Heravi-Karimooi M, Rejeh N, Sharif Nia H, Montazeri A. Psychometric properties of the Persian version of the older People’s quality of life questionnaire (OPQOL-35). J Iran Inst Health Sci Res. 2017;16(1):53–62. Nikkhah M, Heravi-Karimooi M, Rejeh N, Sharif Nia H, Montazeri A. Psychometric properties of the Persian version of the older People’s quality of life questionnaire (OPQOL-35). J Iran Inst Health Sci Res. 2017;16(1):53–62.
8.
go back to reference Bowling A, Stenner P. Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD. J Epidemiol Community Health. 2011;65(3):273–80.CrossRefPubMed Bowling A, Stenner P. Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD. J Epidemiol Community Health. 2011;65(3):273–80.CrossRefPubMed
9.
go back to reference Bowling A, Iliffe S. Psychological approach to successful ageing predicts future quality of life in older adults. Health Qual Life Outcomes. 2011;9(1):13.CrossRefPubMedPubMedCentral Bowling A, Iliffe S. Psychological approach to successful ageing predicts future quality of life in older adults. Health Qual Life Outcomes. 2011;9(1):13.CrossRefPubMedPubMedCentral
10.
go back to reference Barca ML, Engedal K, Laks J, Selbæk G. Quality of life among elderly patients with dementia in institutions. Dement Geriatr Cogn Disord. 2011;31(6):435–42.CrossRefPubMed Barca ML, Engedal K, Laks J, Selbæk G. Quality of life among elderly patients with dementia in institutions. Dement Geriatr Cogn Disord. 2011;31(6):435–42.CrossRefPubMed
11.
go back to reference Motl RW, McAuley E. Physical activity, disability, and quality of life in older adults. Phys Med Rehabil Clin N Am. 2010;21(2):299–308.CrossRefPubMed Motl RW, McAuley E. Physical activity, disability, and quality of life in older adults. Phys Med Rehabil Clin N Am. 2010;21(2):299–308.CrossRefPubMed
12.
go back to reference Solé C, Mercadal-Brotons M, Gallego S, Riera M. Contributions of music to aging adults' quality of life. J Music Ther. 2010;47(3):264–81.CrossRefPubMed Solé C, Mercadal-Brotons M, Gallego S, Riera M. Contributions of music to aging adults' quality of life. J Music Ther. 2010;47(3):264–81.CrossRefPubMed
14.
go back to reference Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011;10(4):430–9.CrossRefPubMed Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011;10(4):430–9.CrossRefPubMed
15.
go back to reference Xavier FM, Ferraz M, Marc N, Escosteguy NU, Moriguchi EH. Elderly people s definition of quality of life. Rev Bras Psiquiatr. 2003;25(1):31–9.CrossRefPubMed Xavier FM, Ferraz M, Marc N, Escosteguy NU, Moriguchi EH. Elderly people s definition of quality of life. Rev Bras Psiquiatr. 2003;25(1):31–9.CrossRefPubMed
17.
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(1):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(1):177.CrossRefPubMedPubMedCentral
18.
go back to reference Heravi-Karimooi M, Rejeh N, Garshasbi A, Montazeri A, Bandari r. Psychometric properties of the persian versian of the quality of life in elderly old age (CASP-19). Iran J Psychiatry Behav Sci. 2017; Heravi-Karimooi M, Rejeh N, Garshasbi A, Montazeri A, Bandari r. Psychometric properties of the persian versian of the quality of life in elderly old age (CASP-19). Iran J Psychiatry Behav Sci. 2017;
19.
go back to reference Milte C, Walker R, Crotty M, Luszcz M, Lancsar E, Kaambwa B, et al. What's important in defining quality of life for older people? An exploratory study of the views of older south Australians. Flinder center for clinicalchange and health care research. 2013. Milte C, Walker R, Crotty M, Luszcz M, Lancsar E, Kaambwa B, et al. What's important in defining quality of life for older people? An exploratory study of the views of older south Australians. Flinder center for clinicalchange and health care research. 2013.
20.
go back to reference Bilotta C, Bowling A, Casè A, Nicolini P, Mauri S, Castelli M, et al. Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes. 2010;8(1):56.CrossRefPubMedPubMedCentral Bilotta C, Bowling A, Casè A, Nicolini P, Mauri S, Castelli M, et al. Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes. 2010;8(1):56.CrossRefPubMedPubMedCentral
21.
go back to reference Bilotta C, Bowling A, Nicolini P, Casè A, Pina G, Rossi SV, et al. Older People's quality of life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy. Health Qual Life Outcomes. 2011;9(1):72.CrossRefPubMedPubMedCentral Bilotta C, Bowling A, Nicolini P, Casè A, Pina G, Rossi SV, et al. Older People's quality of life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy. Health Qual Life Outcomes. 2011;9(1):72.CrossRefPubMedPubMedCentral
22.
go back to reference Chen Y, Hicks A, While AE. Validity and reliability of the modified Chinese version of the older People's quality of life questionnaire (OPQOL) in older people living alone in China. Int J Older People Nursing. 2014;9(4):306–16.CrossRef Chen Y, Hicks A, While AE. Validity and reliability of the modified Chinese version of the older People's quality of life questionnaire (OPQOL) in older people living alone in China. Int J Older People Nursing. 2014;9(4):306–16.CrossRef
23.
go back to reference Dhamo E, Koҫollari N. Older people quality of life evaluation. Mediterr J Soc Sci. 2014;5(13):385. Dhamo E, Koҫollari N. Older people quality of life evaluation. Mediterr J Soc Sci. 2014;5(13):385.
24.
go back to reference Rajput M, Bhatt S. Comparing the effect of two different dual task training conditions on balance and gait in elderly. J Med Sci Clin Res. 2014;2:2510–9. Rajput M, Bhatt S. Comparing the effect of two different dual task training conditions on balance and gait in elderly. J Med Sci Clin Res. 2014;2:2510–9.
25.
go back to reference Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166–e7-. e16.CrossRefPubMed Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166–e7-. e16.CrossRefPubMed
26.
go back to reference Colton D, Covert RW. Designing and Constructing Instruments for Social Research and Evaluation. 1th ed. Wiley; 2007. p. 412. Colton D, Covert RW. Designing and Constructing Instruments for Social Research and Evaluation. 1th ed. Wiley; 2007. p. 412.
27.
go back to reference Bahrami N, Sharif Nia H, Soliemani MA, Haghdoost AA. Validity and reliability of the persian version of Larson sexual satisfaction questionnaire in couples. J Kerman Univ Med Sci. 2016;23(3):344–56. Bahrami N, Sharif Nia H, Soliemani MA, Haghdoost AA. Validity and reliability of the persian version of Larson sexual satisfaction questionnaire in couples. J Kerman Univ Med Sci. 2016;23(3):344–56.
28.
go back to reference Bahrami N, Yaghoobzadeh A, Sharif Nia H, Soliemani M, Haghdoost A. Psychometric properties of the Persian version of Larsons sexual satisfaction questionnaire in a sample of Iranian infertile couples. Iran J Epidemiol. 2016;12(2):18–31. Bahrami N, Yaghoobzadeh A, Sharif Nia H, Soliemani M, Haghdoost A. Psychometric properties of the Persian version of Larsons sexual satisfaction questionnaire in a sample of Iranian infertile couples. Iran J Epidemiol. 2016;12(2):18–31.
29.
go back to reference Sharif Nia H, Haghdoost AA, Ebadi A, Soleimani MA, Yaghoobzadeh A, Abbaszadeh A, et al. Psychometric properties of the king spiritual intelligence questionnaire (KSIQ) in physical veterans of Iran-Iraq warfare. J Mil Med. 2015;17(3):145–53. Sharif Nia H, Haghdoost AA, Ebadi A, Soleimani MA, Yaghoobzadeh A, Abbaszadeh A, et al. Psychometric properties of the king spiritual intelligence questionnaire (KSIQ) in physical veterans of Iran-Iraq warfare. J Mil Med. 2015;17(3):145–53.
30.
go back to reference Dianat I, Ghanbari Z, AsghariJafarabadi M. Psychometric properties of the persian language version of the system usability scale. Health Promot Perspect. 2014;4(1):82.PubMedPubMedCentral Dianat I, Ghanbari Z, AsghariJafarabadi M. Psychometric properties of the persian language version of the system usability scale. Health Promot Perspect. 2014;4(1):82.PubMedPubMedCentral
31.
go back to reference Baumgartner H, Homburg C. Applications of structural equation modeling in marketing and consumer research: a review. Int J Res Mark. 1996;13(2):139–61.CrossRef Baumgartner H, Homburg C. Applications of structural equation modeling in marketing and consumer research: a review. Int J Res Mark. 1996;13(2):139–61.CrossRef
32.
go back to reference Nia HS, Ebadi A, Lehto RH, Mousavi B, Peyrovi H, Chan YH. Reliability and validity of the persian version of templer death anxiety scale-extended in veterans of Iran–Iraq warfare. Iran J Psychiatry Behav Sci. 2014;8(4):29. Nia HS, Ebadi A, Lehto RH, Mousavi B, Peyrovi H, Chan YH. Reliability and validity of the persian version of templer death anxiety scale-extended in veterans of Iran–Iraq warfare. Iran J Psychiatry Behav Sci. 2014;8(4):29.
33.
go back to reference Ledesma RD, Valero-Mora P, Macbeth G. The scree test and the number of factors: a dynamic graphics approach. Span J Psychol. 2015;18 Ledesma RD, Valero-Mora P, Macbeth G. The scree test and the number of factors: a dynamic graphics approach. Span J Psychol. 2015;18
34.
go back to reference Cattell RB, Jaspers J. A general plasmode (No. 30-10-5-2) for factor analytic exercises and research. Multivar Behav Res Monogr. 1967;67(3):211. Cattell RB, Jaspers J. A general plasmode (No. 30-10-5-2) for factor analytic exercises and research. Multivar Behav Res Monogr. 1967;67(3):211.
35.
go back to reference Stevens JP. Applied multivariate statistics for the social sciences: Routledge; 2012. Stevens JP. Applied multivariate statistics for the social sciences: Routledge; 2012.
36.
go back to reference Bowling A. The psychometric properties of the older people's quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res. 2009;2009:12.CrossRef Bowling A. The psychometric properties of the older people's quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res. 2009;2009:12.CrossRef
37.
go back to reference Hair J, Black W, Babin B, Anderson R, Tatham R. Multivariate Data Analysis: Pearson New International Edition. 7th ed. Pearson; 2013. p. 816. Hair J, Black W, Babin B, Anderson R, Tatham R. Multivariate Data Analysis: Pearson New International Edition. 7th ed. Pearson; 2013. p. 816.
38.
go back to reference Pahlevan Sharif S, Mahdavian V. Struct Equ Model by the Use of AMOS. Tehran: Fazel; 2015. Pahlevan Sharif S, Mahdavian V. Struct Equ Model by the Use of AMOS. Tehran: Fazel; 2015.
39.
go back to reference Jorritsma W, de Vries GE, Dijkstra PU, Geertzen JH, Reneman MF. Neck pain and disability scale and neck disability index: validity of Dutch language versions. Eur. Spine J. 2012;21(1):93–100. Jorritsma W, de Vries GE, Dijkstra PU, Geertzen JH, Reneman MF. Neck pain and disability scale and neck disability index: validity of Dutch language versions. Eur. Spine J. 2012;21(1):93–100.
40.
go back to reference Bandari R, Heravi-Karimooi M, Rejeh N, Montazeri A, Zayeri F, Mirmohammadkhani M, et al. Psychometric properties of the Persian version of the critical care family needs inventory. J Nurs Res. 2014;22(4):259–67.CrossRefPubMed Bandari R, Heravi-Karimooi M, Rejeh N, Montazeri A, Zayeri F, Mirmohammadkhani M, et al. Psychometric properties of the Persian version of the critical care family needs inventory. J Nurs Res. 2014;22(4):259–67.CrossRefPubMed
41.
go back to reference Taheri-Kharameh Z, Heravi-Karimooi M, Rejeh N, Hajizadeh E, Vaismoradi M, Snelgrove S, et al. Translation and psychometric testing of the Farsi version of the Seattle angina questionnaire. Health Qual Life Outcomes. 2017;15(1):234.CrossRefPubMedPubMedCentral Taheri-Kharameh Z, Heravi-Karimooi M, Rejeh N, Hajizadeh E, Vaismoradi M, Snelgrove S, et al. Translation and psychometric testing of the Farsi version of the Seattle angina questionnaire. Health Qual Life Outcomes. 2017;15(1):234.CrossRefPubMedPubMedCentral
42.
go back to reference De Boer MR, Moll AC, De Vet HC, Terwee CB, Völker-Dieben HJ, Van Rens GH. Psychometric properties of vision-related quality of life questionnaires: a systematic review. Ophthalmic Physiol Opt 2004;24(4):257–273. De Boer MR, Moll AC, De Vet HC, Terwee CB, Völker-Dieben HJ, Van Rens GH. Psychometric properties of vision-related quality of life questionnaires: a systematic review. Ophthalmic Physiol Opt 2004;24(4):257–273.
43.
go back to reference Dempsey PA, Dempsey AD. Using nursing research: Process, critical evaluation, and utilization. 5th ed. Lippincott Williams & Wilkins; 2000. p. 380. Dempsey PA, Dempsey AD. Using nursing research: Process, critical evaluation, and utilization. 5th ed. Lippincott Williams & Wilkins; 2000. p. 380.
44.
go back to reference Soleimani MA, Bahrami N, Yaghoobzadeh A, Banihashemi H, Nia HS, Haghdoost AA. Validity and reliability of the persian version of templer death anxiety scale in family caregivers of cancer patients. Iran J Nurs Midwifery Res. 2016;21(3):284.CrossRefPubMedPubMedCentral Soleimani MA, Bahrami N, Yaghoobzadeh A, Banihashemi H, Nia HS, Haghdoost AA. Validity and reliability of the persian version of templer death anxiety scale in family caregivers of cancer patients. Iran J Nurs Midwifery Res. 2016;21(3):284.CrossRefPubMedPubMedCentral
45.
go back to reference Soleimani MA, Pahlevan Sharif S, Allen K-A, Sharif NH. An examination of psychometric characteristics and factor structure of death anxiety scale within a sample of Iranian patients with heart disease. Int J Epidemiol Res. 2017;4(4):260–6.CrossRef Soleimani MA, Pahlevan Sharif S, Allen K-A, Sharif NH. An examination of psychometric characteristics and factor structure of death anxiety scale within a sample of Iranian patients with heart disease. Int J Epidemiol Res. 2017;4(4):260–6.CrossRef
46.
go back to reference Rathnayake S, Siop S. Quality of life and its determinants among older people living in the rural community in Sri Lanka. Ind J Gerontol. 2015;29(2):131–53. Rathnayake S, Siop S. Quality of life and its determinants among older people living in the rural community in Sri Lanka. Ind J Gerontol. 2015;29(2):131–53.
47.
go back to reference Bazaadut D. Assessment of the Relationship Between Caregiver Psychosocial Factors and the Quality of Life of the Elderly at Home in the Tamale Township. University of Ghana: School of Nursing; 2014. Bazaadut D. Assessment of the Relationship Between Caregiver Psychosocial Factors and the Quality of Life of the Elderly at Home in the Tamale Township. University of Ghana: School of Nursing; 2014.
48.
go back to reference Lotfi M-S, Tagharrobi Z, Sharifi K, Abolhasani J. Psychometric evaluation of the cognitive state test (COST) in a sample of Iranian elderly people. Iran Red Crescent Med J. 2016;18(5) Lotfi M-S, Tagharrobi Z, Sharifi K, Abolhasani J. Psychometric evaluation of the cognitive state test (COST) in a sample of Iranian elderly people. Iran Red Crescent Med J. 2016;18(5)
Metadata
Title
Psychometric properties the Iranian version of Older People’s Quality Of Life questionnaire (OPQOL)
Authors
Maryam Nikkhah
Majideh Heravi-Karimooi
Ali Montazeri
Nahid Rejeh
Hamid Sharif Nia
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-1002-z

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