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

DomainNumber of Items
Choice and Control2
Personal freedoms and dignity of risk2
Choice of services and supports0
Personal choices and goals0
Self-direction0
Community Inclusion8
Meaningful activity2
Resources and settings to facilitate inclusion1
Social connectedness and relationships5
Employment0
Transportation0
Holistic Health and Functioning9
Individual health and functioning9
Health promotion and prevention0
Human and Legal Rights1
Optimizing the preservation of legal and human rights1
Freedom from abuse and neglect0
Informed decision-making0
Privacy0
Supporting individuals in exercising their human and legal rights0
Caregiver Support0
Access to resources0
Family caregiver/natural support involvement0
Family caregiver/natural support wellbeing0
Training and skill-building0
Consumer Leadership in System Development0
Evidence of meaningful caregiver involvement0
Evidence of meaningful consumer involvement0
System supports meaningful consumer involvement0
Equity0
Availability0
Equitable access and resource allocation0
Transparency and consistency0
Fluctuation of Need0
Level of Caregiver Well-Being0
Person-Centered Planning and Coordination0
Assessment0
Coordination0
Person-centered planning0
Service Delivery and Effectiveness0
Delivery0
Person's needs met and goals realized0
System Performance and Accountability0
Data management and use0
Evidence-based practice0
Financing and service delivery structures0
Workforce0
Adequately compensated with benefits0
Culturally competent0
Demonstrated competencies when appropriate0
Person-centered approach to services0
Safety of and respect for the worker0
Staff Turnover0
Sufficient workforce numbers dispersion and availability0
Workforce engagement and participation0

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