Health> Vol.5 No.12A, December 2013

Quality of life in the elderly: Psychometric properties of the WHOQOL-OLD module in Mexico

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ABSTRACT

The purpose was to examine and compare the psychometric properties of a Mexican Spanish version of the WHOQOL-OLD module. The instrument was applied to 285 individuals aged over 60 years (mean = 69.26, SD = 6.52). All participants completed a demographic data sheet, the WHOQOL-OLD, the Beck Depression Inventory (BDI), and the Geriatric Depression Scale (GDS); 182 of the 285 participants also completed a quality of life questionnaire for diabetic patients (DQOL). Acceptable levels of reliability were found, with Cronbach’s alpha values between 0.70 and 0.90 for overall quality of life and all domains except for autonomy, where the alpha value was low. The exploratory factor analysis carried out to examine the construct validity of the instrument yielded six domains: sensory abilities, autonomy, past/present/future activities, social participation, death and dying, and intimacy (explained variance of 62.95%). The mean overall quality of life score was 94.86 (SD = 13.68, range 50 to 120). The WHOQOL-OLD module showed criterion validity and concurrent validity with respect to the BDI (r = -0.516, p = 0.034), the GDS (r = -0.336, p = 0.002), and the DQOL (n = 182, r = 0.159, p = 0.032). Discriminant validity was also confirmed with respect to self-perceived health (t = 2.701, d.f. = 225, p = 0.007) and education (F(3, 280) = 9.015, p < 0.001), for both overall quality of life and some of its dimensions, but this was not the case with respect to gender (t = 1.292, d.f. = 283, p > 0.05). We conclude that the Mexican Spanish version of the WHOQOL-OLD module has adequate psychometric properties.

Cite this paper

González-Celis, A. and Gómez-Benito, J. (2013) Quality of life in the elderly: Psychometric properties of the WHOQOL-OLD module in Mexico. Health, 5, 110-116. doi: 10.4236/health.2013.512A015.

References

[1] World Health Organization (2002) Active ageing: A policy framework. WHO, Geneva.
http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf
[2] Browne, J.P., O’Boyle, C.A., McGee, H.M., Joyce, C.R., McDonald, N.J., O’Malley, K., et al. (1994) Individual quality of life in the health elderly. Quality of Life Research, 3, 235-244.
http://dx.doi.org/10.1007/BF00434897
[3] Bowling, A., Gabriel, Z., Dykes, J. Dowding, L.M., Evans, O. Fleissig, A., Banister, D. and Sutton, S. (2003) Let’s ask them: A national survey of definitions of quality of life and its enhancement among people aged 65 and over. International Journal Aging and Human Development, 56, 269-306.
http://dx.doi.org/10.2190/bf8g-5j8l-ytrf-6404
[4] Power, M., Quinn, K., Schmidt, S. and WHOQOL-OLD Group (2005) Development of the WHOQOL-OLD module. Quality of Life Research, 14, 2197-2214.
http://dx.doi.org/10.1007/s11136-005-7380-9
[5] The World Health Organization (1998) Quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine, 12, 1569-1585. http://dx.doi.org/10.1016/S0277-9536(98)00009-4
[6] World Health Organization (1996) WHOQOL-BREF. introduction, administration, scoring and generic version of the assessment. field trial version. Program on mental health. WHO, Geneva.
http://www.who.int/mental_health/media/en/76.pdf
[7] Skevington, S.M., Lotfy, M. and O’Connell, K.A. (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHO-QOL group. Quality of Life Research, 13, 299-310.
http://dx.doi.org/10.1023/B:QURE.0000018486.91360.00
[8] Lucas-Carrasco, R., Laidlaw, K. and Power, M. (2011) Suitability of the WHOQOL-BREF and WHOQOL-OLD for Spanish older adults. Aging & Mental Health, 15, 595-604.
http://dx.doi.org/10.1080/13607863.2010.548054
[9] Beck, A.T., Ward, C.H., Mendelson, M., Mock, J. and Erbaugh, J. (1961) An inventory for measuring depresssion. Archives of General Psychiatry, 4, 561-571.
http://dx.doi.org/10.1001/archpsyc.1961.01710120031004
[10] González-Celis, A.L. (2009) Composición factorial del inventario de depresión de Beck en ancianos mexicanos. Journal of Behavior, Health & Social Issues, 1, 15-28.
http://www.redalyc.org/articulo.oa?id=282221718002#
[11] Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M. and Leiver, V.O. (1983) Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 18, 37-49. http://dx.doi:10.1016/0022-3956(82)90033-4
[12] González-Celis, A.L. and Sánchez-Sosa, J.J. (2003) Efectos de un programa cognitivo-conductual para mejorar la calidad de vida en adultos mayores. Revista Mexicana de Psicología, 20, 43-58.
[13] Jacobson, A.M., de Groot, M. and Samson, J. (1994) Quality of life in patients with Type I and Type II diabetes mellitus. Diabetes Care, 17, 167-274.
http://dx.doi.org/10.2337/diacare.17.4.267
[14] Robles-García, R., Cortázar, J., Sánchez-Sosa, J.J., Páez-Agraz, F. and Nicolini-Sánchez, H. (2003) Evaluación de la calidad de vida en diabetes mellitus tipo II: Propiedades psicométricas de la versión en espanol del DQOL. Psicothema, 15, 247-252.
http://redalyc2.uaemex.mx/articulo.oa?id=72715215
[15] Hattori-Hara, M. (2013) Entrenamiento en competencias de afrontamiento al paciente geriátrico con diabetes mellitus y su cuidador informal. Ph.D. Thesis, National University of Mexico, Mexico City.
[16] Kaiser, H.F. (1970) A second generation little jiffy. Psychometrika, 35, 401-415.
http://dx.doi.org/10.1007/BF02291817
[17] Kaiser, H.F. (1974) An index of factorial simplicity. Psychometrika, 39, 31-36.
http://dx.doi.org/10.1007/BF02291575
[18] Bartlett, M.S. (1954) A note on the multiplying factors for various chi square approximations. Journal of the Royal Statistical Society, Series B, 16, 296-298.
[19] Cohen, J. (1992) A power primer. Psychological Bulletin, 112, 155-159. http://dx.doi:10.1037/0033-2909.112.1.155
[20] Catell, R.B. (1966) The screen test for number of factors, Multivariate Behavioral Research, 1, 245-276.
http://dx.doi.org/10.1207/s15327906mbr0102_10
[21] Bowling, A. (2005) Measuring health. A review of quality of life measurement scales. 3rd Edition, Open University Press, Berkshire.
[22] World Health Organization (2006) WHOQOL-OLD manual. European Office, Copenhagen, WHO, Geneva.
http://library.cph.chula.ac.th/Ebooks/WHOQOL-OLD%20Final%20Manual.pdf
[23] González-Celis, A.L. and Gómez-Benito, J. (2013) Spirituality and quality of life and its effect on depression in older adults in mexico. Psychology, 4, 178-182.
http://dx.doi:10.4236/psych.2013.43027
[24] Fleck, M.P., Chachamovich, E. and Trentini, C. (2006) Development and validation of the Portuguese version of the WHOQOL-OLD module, Revista de Saúde Pública, 40, 785-791. http://www.scielo.br/pdf/rsp/v40n5/07.pdf
[25] Bowling, A. (2009) The psychometric properties of the older people’s quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Current Gerontology and Geriatrics Research, 2009, Article ID: 298950. http://dx.doi:10.1155/2009/298950
[26] Utzolino, S., Ober, P.A., Kaffarnik, M. Fischer, A., Hopt, U.T. and Baier, P.K. (2010) Short-and long-term health implications of surgical intensive care in the elderly. Health, 2, 1405-1412.
http://dx.doi:10.4236/health.2010.212209
[27] Esbensen, B.A. and Thomsen, T. (2011) Quality of life and hope in elderly people with cancer. Open Journal of Nursing, 1, 26-32. http://dx.doi:10.4236/ojn.2011.12004
[28] Gabriel, Z. and Bowling, A. (2004) Quality of life from the perspectives of older people. Ageing and Society, 24, 675-691. http://dx.doi:10.1017/S0144686X03001582.

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