Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD.
Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD.
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DOI：
10.1136/jech.2009.087668
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发表时间：
2011-03
影响因子：
6.3
通讯作者：
Stenner P
中科院分区：
文献类型：
--
作者：
Bowling A;Stenner P
生活质量（QoL）的大多数措施是基于“专家”的意见。本研究描述了一种新的措施，生活质量在老年人，老年人的生活质量问卷（OPQOL），这是独特的，来自外行人的意见，交叉检查对理论模型的全面性评估。它的性能进行了评估横截面和纵向。在横断面研究中，将其与两种现有的生活质量指标进行比较，以确定用于老年人群的最佳指标。数据取自2007-2008年对英国居家老年人的三次调查：一次是对65岁以上老年人的人口调查，一次是对65岁以上种族多样的老年人的重点枚举调查，一次是对1999/2000年基线65岁以上老年人的人口调查的后续调查。测量指标为生活质量（使用OPQOL、控制、自主、满意度、快乐- 19项（CASP-19）、世界卫生组织生活质量问卷-老年人版（WHOQOL-OLD））、健康、社会和社会经济情况。CASP-19和WHOQOL-OLD不用于纵向样本，以减轻应答者负担。心理测试应用于每个QoL措施。OPQOL、CASP-19和WHOQOL-OLD在横断面样本中表现良好;然而，只有OPQOL符合Ethnibus样本的内部一致性标准。OPQOL在健康和社会干预措施的结果评估中具有潜在价值，这可能对人们的生活产生多方面的影响。需要进一步的研究来检查种族差异是否反映了生活质量的真实的差异、方法学问题、期望的变化或报告中的文化差异。
Most measures of quality of life (QoL) are based on ‘expert’ opinions. This study describes a new measure of QoL in older age, the Older People's QoL Questionnaire (OPQOL), which is unique in being derived from the views of lay people, cross-checked against theoretical models for assessment of comprehensiveness. Its performance was assessed cross-sectionally and longitudinally. It was compared with two existing QoL measures in the cross-sectional studies in order to identify the optimal measure for use with older populations. Data were taken from three surveys of older people living at home in Britain in 2007–2008: one population survey of people aged 65+, one focused enumeration survey of ethnically diverse older people aged 65+, one follow-up of a population survey of people aged 65+ at baseline in 1999/2000. Measures were QoL (using OPQOL, Control, Autonomy, Satisfaction, Pleasure - 19 items (CASP-19), World Health Organization Quality of Life questionnaire - version for older people (WHOQOL-OLD)), health, social and socioeconomic circumstances. The CASP-19 and WHOQOL-OLD were not administered to the longitudinal sample in order to reduce respondent burden. Psychometric tests were applied to each QoL measure. The OPQOL, CASP-19 and WHOQOL-OLD performed well with the cross-sectional samples; however, only the OPQOL met criteria for internal consistency in the Ethnibus samples. The OPQOL is of potential value in the outcome assessment of health and social interventions, which can have a multidimensional impact on people's lives. Further research is needed to examine whether differences by ethnicity reflect real differences in QoL, methodological issues, variations in expectations or cultural differences in reporting.
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影响因子：
4.2
作者：
Power, M;Bullinger, M;Harper, A
通讯作者：
Harper, A
影响因子：
3.1
作者：
Bowling, A;Gabriel, Z
通讯作者：
Gabriel, Z
影响因子：
1.8
作者：
LAWTON, MP
通讯作者：
LAWTON, MP
影响因子：
2.5
作者：
Gabriel, Z;Bowling, A
通讯作者：
Bowling, A
影响因子：
5.7
作者：
LAWTON, MP
通讯作者：
LAWTON, MP