World Health Organization Quality of Life OLD (WHOQOL-OLD)
Overview
- Purpose
- Measure the quality of life of older people
- Administration Method
- Interview
- Administration Mode
- In-person
- Developer
- World Health Organization
- Item Count
- 24
- Population
- Age Related Disability
Instrument Citation(s)
Power, M., Quinn, K., Schmidt, S., & the WHOQOL-OLD Group. (2005). Development of the WHOQOL-
Old module. Quality of Life Research, 14, 2197-2214.
Instrument Domains
Domain | Number of Items |
---|---|
Choice and Control | 2 |
Personal freedoms and dignity of risk | 2 |
Choice of services and supports | 0 |
Personal choices and goals | 0 |
Self-direction | 0 |
Community Inclusion | 8 |
Meaningful activity | 2 |
Resources and settings to facilitate inclusion | 1 |
Social connectedness and relationships | 5 |
Employment | 0 |
Transportation | 0 |
Holistic Health and Functioning | 9 |
Individual health and functioning | 9 |
Health promotion and prevention | 0 |
Human and Legal Rights | 1 |
Optimizing the preservation of legal and human rights | 1 |
Freedom from abuse and neglect | 0 |
Informed decision-making | 0 |
Privacy | 0 |
Supporting individuals in exercising their human and legal rights | 0 |
Caregiver Support | 0 |
Access to resources | 0 |
Family caregiver/natural support involvement | 0 |
Family caregiver/natural support wellbeing | 0 |
Training and skill-building | 0 |
Consumer Leadership in System Development | 0 |
Evidence of meaningful caregiver involvement | 0 |
Evidence of meaningful consumer involvement | 0 |
System supports meaningful consumer involvement | 0 |
Equity | 0 |
Availability | 0 |
Equitable access and resource allocation | 0 |
Transparency and consistency | 0 |
Fluctuation of Need | 0 |
Level of Caregiver Well-Being | 0 |
Person-Centered Planning and Coordination | 0 |
Assessment | 0 |
Coordination | 0 |
Person-centered planning | 0 |
Service Delivery and Effectiveness | 0 |
Delivery | 0 |
Person's needs met and goals realized | 0 |
System Performance and Accountability | 0 |
Data management and use | 0 |
Evidence-based practice | 0 |
Financing and service delivery structures | 0 |
Workforce | 0 |
Adequately compensated with benefits | 0 |
Culturally competent | 0 |
Demonstrated competencies when appropriate | 0 |
Person-centered approach to services | 0 |
Safety of and respect for the worker | 0 |
Staff Turnover | 0 |
Sufficient workforce numbers dispersion and availability | 0 |
Workforce engagement and participation | 0 |
Psychometric Citations
Power, M., Quinn, K., Schmidt, S., & the WHOQOL-OLD Group. (2005). Development of the WHOQOL-Old module. Quality of Life Research, 14, 2197-2214.
- Type of Publication
- Peer review
- Instrument Language
- Multiple Languages
- Sample: Age (Mean and Range)
Mean=72.5 years; Range=57 to 100
- Sample: Age Group
18-64 Years, 65+ Years
- Sample: Countries/State
Multiple Countries
- Sample: Disability Type
Not Reported
- Sample: Gender (%male)
42%
- Sample: Race/Ethnicity (%)
Not reported
- Sample: Sampling Strategy
Quota sampling
- Sample: Size
5566
- Reliability: Internal Consistency
Cronbach's Alpha :Sensory abilities(α = .84);
Autonomy (α = .72);
Past, Present and Future Activities (α =.74);
Social participation (α= .79);
Death and Dying (α= .84);
Intimacy (α= .88)- Validity: Construct (Convergent and Discriminant)
Confirmatory factor analysis: CFI=0.939; RMSEA=0.052;
Discriminate groups by age, sex, and health status
- Validity: Other Evidence
Analysis of Differential Item Functioning for gender, age group, health status, or centre
- Study design
- Cross-sectional
Peel, N.M, Bartlett, H.P., & Marshall, A.L. (2007). Measuring quality of life in older people: Reliability and validity of the WHOQOL-OLD. Australiasian Journal on Ageing, 26(4), 162-167.
- Type of Publication
- Peer review
- Instrument Language
- English
- Sample: Age (Mean and Range)
65–69 years 34 (45.9%)
70–74 years 18 (24.3%)
75–79 years 17 (23.0%)
80 years and older 5 (6.8%)- Sample: Age Group
65+ Years
- Sample: Countries/State
Australia
- Sample: Disability Type
Not Reported
- Sample: Gender (%male)
38%
- Sample: Race/Ethnicity (%)
Not reported
- Sample: Sampling Strategy
Random sampling
- Sample: Size
74
- Reliability: Internal Consistency
Cronbach's Alpha for overall (α=.84); sensory abilities (α = .90);
Autonomy (α = .74); Past, Present and Future Activities (α = .75);
Social participation (α= .61);
Death and Dying (α= .74);
Intimacy (α= .93)- Reliability: Test-retest
Overall correlations coefficient(r = .91); Overall correlations coefficient for specific domains ranged from .72 to .95
- Validity: Construct (Convergent and Discriminant)
Pearson r correlations with other measures (r= -.49 to .43)
- Study design
- Cross-sectional
Fang, J., Power, M., Lin, Y., Zhang, J., Hao, Y., Chatterji, S. (2011). Development of short versions for the WHOQOL-OLD module. Gerontologist, 52, 66–78
- Type of Publication
- Peer review
- Instrument Language
- Not Reported
- Sample: Age (Mean and Range)
<80 (78%) for the developmental sample;
<80 (80%) for the validation sample- Sample: Age Group
65+ Years
- Sample: Countries/State
Multiple Countries
- Sample: Disability Type
Age Related Disability, Other
- Sample: Gender (%male)
developmental sample=42%; validation sample = 41%
- Sample: Race/Ethnicity (%)
Not reported
- Sample: Sampling Strategy
Simple Random Sample
- Sample: Size
5566
- Reliability: Internal Consistency
Cronbach's Alpha for three versions overall (α=.681, .678, .649)
- Validity: Construct (Convergent and Discriminant)
Confirmatory factor analysis: CFI = 0.936; NNFI = 0.925, RMSEA = 0.051, SRMR = 0.043;
Discriminate gender, age groups, and health and non-health old- Validity: Criterion Validity (Concurrent and Predictive)
Correlation coefficients with WHOQOL-OLD and BREF (r=45 to .80). all r-squared values greater than .58
- Study design
- Cross-sectional
Liu, R., Shaomin,W., Hao, Y., Gu, J., Fang,J., & Cai, N. (2013). The Chinese version of the world health organization quality of life instrument-older adults module (WHOQOL-OLD): Psychometric evaluation
Health and Quality of Life Outcomes, 11, 156-163- Type of Publication
- Peer review
- Instrument Language
- Chinese
- Sample: Age (Mean and Range)
Mean =69.38 years
- Sample: Age Group
65+ Years
- Sample: Countries/State
China
- Sample: Disability Type
Age Related Disability, Other
- Sample: Gender (%male)
50%
- Sample: Race/Ethnicity (%)
Not Reported
- Sample: Sampling Strategy
quota sampling
- Sample: Size
1050
- Reliability: Internal Consistency
Cronbach's Alpha overall (α=.892); Sensory ability =0.84;
Autonomy (α =0.712);
Past, present and future activities (α =0.756);
Social participation(α =0.711);
Death and dying (α= 0.839);
Intimacy(α = 0.817);- Reliability: Test-retest
ICC (r = .875)
- Validity: Construct (Convergent and Discriminant)
Confirmatory factor analysis: RMSEA = 0.084, NFI = 0.94, NNFI = 0.94, CFI = 0.95, GFI= 0.86;
correlation coefficients between domain scores of WHOQOLOLD and those of WHOQOL-BREF ranged from 0.153 to 0.541;
Discriminating healthy and unhealthy groups
- Validity: Content Validity (e.g., Expert Judgement)
correlation coefficients between items and their hypothesized domains were higher than those with other domains.
- Study design
- Cross-sectional
González-Celis, A. L., & Gómez-Benito, J. (2013). Quality of Life in the Elderly: Psychometric Properties of the WHOQ- OL-OLD Module in Mexico. Health, 5(12A), 110-116.
- Type of Publication
- Peer review
- Instrument Language
- Spanish
- Sample: Age (Mean and Range)
Mean=69.26 years
- Sample: Age Group
65+ Years
- Sample: Countries/State
Mexico
- Sample: Disability Type
Age Related Disability, Other
- Sample: Gender (%male)
32%
- Sample: Race/Ethnicity (%)
Not Reported
- Sample: Sampling Strategy
Not Reported/Unknown
- Sample: Size
285
- Reliability: Internal Consistency
Cronbach's Alpha overall (α=.88); Sensory Abilities (α=0.78);
Autonomy(α =0.56);
Past/Present/Future Activities(α =0.75);
Social Participation(α =0.79);
Death and Dying(α =0.83)
Intimacy (α =0.85);- Validity: Construct (Convergent and Discriminant)
Exploratory factor analysis resulted in six factors with factor loadings >.30;
correlated positively with the DQOL (r = 0.159, p < 0.032), and negatively with both the BDI (r = −0.516, p < 0.034) and the GDS (r = −0.336, p < 0.002).
Discriminated groups by self-perceived health status, educational level, and gender.
- Study design
- Cross-Sectional