Active Ageing and Quality of Life

Measuring quality of life (QoL) in older adults is of vital importance for achieving a better understanding of factors that influence it and implementing strategies for promoting active ageing. As people age, their QoL is largely determined by having good health, an adequate degree of autonomy and independence, the availability of a social network and of social support, the ability of ageing in meaningful activities, having a good financial situation and living in an accessible and friend-ly environment. QoL in older age can be measured using generic rating scales, such as the Personal Wellbeing Index (PWI) and the Schedule for the Evaluation of Individual Quality of Life (SEIQoL) for global QoL, and the EQ-5D or the SF-36 for health-related QoL. These generic instruments have been widely applied in older populations and have proven their validity. However, some characteristics of older people such as the increased prevalence of age-related diseases, physical and mental decline, and adverse vital events, and some issues regarding the assessment process such as the format and the type of administration and the specific domains of QoL included in the scales, make necessary to apply specific tools for older people, or to use them as a complement of the generic ones. Some specific QoL measures for older people have been developed in the recent years: the World Health Organization Quality of Life questionnaire—version for older people (WHOQOL-OLD), with versions in several languages, the Older People’s QoL Questionnaire (OPQOL), and the CASP-19. In this chapter, we will review the main generic and specific instruments for assessing QoL in older people, focusing on their characteristics, and the use of QoL rating scales in active ageing studies.

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References

• Andersson, L. B., Marcusson, J., & Wressle, E. (2014). Health-related quality of life and activities of daily living in 85-year-olds in Sweden. Health & Social Care in the Community, 22(4), 368–374. https://doi.org/10.1111/hsc.12088. ArticleGoogle Scholar
• Bilotta, C., Bowling, A., Casè, A., Nicolini, P., Mauri, S., Castelli, M., & Vergani, C. (2010). 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 and Quality of Life Outcomes, 8, 56. https://doi.org/10.1186/1477-7525-8-56. ArticleGoogle Scholar
• Bilotta, C., Bowling, A., Nicolini, P., Case, A., Pina, G., Rossi, S. V., & Vergani, C. (2011). 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 and Quality of Life Outcomes, 9, 72. Google Scholar
• Boggatz, T. (2016). Quality of life in old age—A concept analysis. International Journal of Older People Nursing, 11(1), 55–69. https://doi.org/10.1111/opn.12089. ArticleGoogle Scholar
• Börsch-Supan, A., & Jürges, H. (2005). The survey of health, and retirement in Europe—Methodology. Mannheim: Mannheim Research Institute for the Economics of Ageing. Google Scholar
• Bottan, G., de Morais, E. P., Schneider, J. F., Trentini, C., & Heldt, E. (2014). Determinants of quality of life in elderly patients of a psychosocial care center in Brazil. Issues in Mental Health Nursing, 35(3), 181–188. https://doi.org/10.3109/01612840.2013.849782. ArticleGoogle Scholar
• Bousquet, J., Malva, J., Nogues, M., Mañas, L. R., Vellas, B., Farrell, J., & MACVIA Research Group. (2015). Operational Definition of Active and Healthy (AHA): The European Innovation Partnership (EIP) on AHA reference site questionnaire: Montpellier October 20–21, 2014, Lisbon July 2, 2015. Journal of the American Medical Directors Association, 16(12), 1020–1026. https://doi.org/10.1016/j.jamda.2015.09.004. ArticleGoogle Scholar
• 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, 298950. https://doi.org/10.1155/2009/298950. ArticleGoogle Scholar
• Bowling, A., Hankins, M., Windle, G., Bilotta, C., & Grant, R. (2013). A short measure of quality of life in older age: The performance of the brief older people’s quality of life questionnaire (OPQOL-brief). Archives of Gerontology and Geriatrics, 56(1), 181–187. https://doi.org/10.1016/j.archger.2012.08.012. ArticleGoogle Scholar
• Bowling, A., & Stenner, P. (2011). Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD. Journal of Epidemiology and Community Health, 65(3), 273–280. https://doi.org/10.1136/jech.2009.087668. ArticleGoogle Scholar
• Brazier, J. E., Rowen, D., Lloyd, A., & Karimi, M. (2019). Future directions in valuing benefits for estimating QALYs: Is time up for the EQ-5D? Value in Health, 22(1), 62–68. https://doi.org/10.1016/j.jval.2018.12.001. ArticleGoogle Scholar
• Caliskan, H., Sengul Aycicek, G., Ozsurekci, C., Dogrul, R. T., Balci, C., Sumer, F., et al. (2019). Turkish validation of a new scale from older people’s perspectives: Older people’s quality of life-brief (OPQOL-brief). Archives of Gerontology and Geriatrics, 83, 91–95. https://doi.org/10.1016/j.archger.2019.04.002. ArticleGoogle Scholar
• Campos, A. C. V., Ferreira e Ferreira, E., & Vargas, A. M. D. (2015). Determinants of active according to quality of life and gender. Ciencia & Saude Coletiva, 20(7), 2221–2237. https://doi.org/10.1590/1413-81232015207.14072014. ArticleGoogle Scholar
• Černovas, A., Alekna, V., Tamulaitienė, M., & Stukas, R. (2018). Reliability and validity of the lithuanian version of CASP-19: A quality of life questionnaire for the elderly. Medicina (Kaunas, Lithuania), 54(6), 1. https://doi.org/10.3390/medicina54060103. ArticleGoogle Scholar
• Chen, Y., Hicks, A., & While, A. E. (2014). 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. International Journal of Older People Nursing, 9(4), 306–316. https://doi.org/10.1111/opn.12042. ArticleGoogle Scholar
• Conde-Sala, J. L., Portellano-Ortiz, C., Calvó-Perxas, L., & Garre-Olmo, J. (2017). Quality of life in people aged 65+ in Europe: Associated factors and models of social welfare-analysis of data from the SHARE project (Wave 5). Quality of Life Research, 26(4), 1059–1070. https://doi.org/10.1007/s11136-016-1436-x.
• Cummins, R. A., Eckersley, R., Pallant, J., Van Vugt, J., & Misajon, R. (2003). Developing a national index of subjective wellbeing: The Australian Unity Wellbeing Index. Social Indicators Research, 64(2), 159–190. https://doi.org/10.1023/A:1024704320683. ArticleGoogle Scholar
• Davis, J. C., Bryan, S., Best, J. R., Li, L. C., Hsu, C. L., Gomez, C., et al. (2015). Mobility predicts change in older adults’ health-related quality of life: Evidence from a Vancouver falls prevention prospective cohort study. Health and Quality of Life Outcomes, 13, 101. https://doi.org/10.1186/s12955-015-0299-0. ArticleGoogle Scholar
• Diaz-Redondo, A., Rodriguez-Blazquez, C., Ayala, A., Martinez-Martin, P., Forjaz, M. J., & Spanish Research Group on Quality of Life and Aging. (2013). EQ-5D rated by proxy in institutionalized older adults with dementia: Psychometric pros and cons. Geriatrics & Gerontology International. https://doi.org/10.1111/ggi.12108.
• Elwood, T. W. (1972). Old age and the quality of life. Health Services Reports, 87(10), 919–931. ArticleGoogle Scholar
• Eser, S., Saatli, G., Eser, E., Baydur, H., & Fidaner, C. (2010). The reliability and validity of the Turkish version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turkish Journal of Psychiatry, 21(1), 37–48. Google Scholar
• EuroQol Group. (1990). EuroQol—A new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16(3), 199–208. PM:10109801. ArticleGoogle Scholar
• Fang, J., Power, M., Lin, Y., Zhang, J., Hao, Y., & Chatterji, S. (2012). Development of short versions for the WHOQOL-OLD module. The Gerontologist, 52(1), 66–78. https://doi.org/10.1093/geront/gnr085. ArticleGoogle Scholar
• Fleck, M. P., Chachamovich, E., & Trentini, C. (2006). Development and validation of the Portuguese version of the WHOQOL-OLD module. Revista De Saude Publica, 40(5), 785–791. ArticleGoogle Scholar
• Forjaz, M. J., Ayala, A., Rodriguez-Blazquez, C., Prieto-Flores, M.-E., Fernandez-Mayoralas, G., Rojo-Perez, F., & Martinez-Martin, P. (2012). Rasch analysis of the International Wellbeing Index in older adults. International psychogeriatrics, 24(2), 324–332. https://doi.org/10.1017/S104161021100158X. ArticleGoogle Scholar
• Fuentes, S., Bilal, U., Galán, I., Villalbí, J. R., Espelt, A., Bosque-Prous, M., et al. (2017). Binge drinking and well-being in European older adults: Do gender and region matter? European Journal of Public Health, 27(4), 692–699. https://doi.org/10.1093/eurpub/ckw246. ArticleGoogle Scholar
• Gao, J., Weaver, S. R., Fu, H., Jia, Y., & Li, J. (2017). Relationships between neighborhood attributes and subjective well-being among the Chinese elderly: Data from Shanghai. Bioscience Trends, 11(5), 516–523. https://doi.org/10.5582/bst.2017.01170. ArticleGoogle Scholar
• Gobbens, R. J., & Remmen, R. (2019). The effects of sociodemographic factors on quality of life among people aged 50 years or older are not unequivocal: Comparing SF-12, WHOQOL-BREF, and WHOQOL-OLD. Clinical Interventions in Aging, 14, 231–239. https://doi.org/10.2147/CIA.S189560. ArticleGoogle Scholar
• Gobbens, R. J. J., & van Assen, M. A. L. M. (2016). Psychometric properties of the Dutch WHOQOL-OLD. Health and Quality of Life Outcomes, 14(1), 103. https://doi.org/10.1186/s12955-016-0508-5. ArticleGoogle Scholar
• Hall, S., Opio, D., Dodd, R. H., & Higginson, I. J. (2011). Assessing quality-of-life in older people in care homes. Age and Ageing, 40(4), 507–512. https://doi.org/10.1093/ageing/afr027. ArticleGoogle Scholar
• Halvorsrud, L., Kalfoss, M., & Diseth, A. (2008). Reliability and validity of the Norwegian WHOQOL-OLD module. Scandinavian Journal of Caring Sciences, 22(2), 292–305. https://doi.org/10.1111/j.1471-6712.2007.00523.x. ArticleGoogle Scholar
• Henchoz, Y., Meylan, L., Goy, R., Guessous, I., Bula, C., Demont, M., et al. (2015). Domains of importance to the quality of life of older people from two Swiss regions. Age and Ageing, 44(6), 979–985. https://doi.org/10.1093/ageing/afv130. ArticleGoogle Scholar
• Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. https://doi.org/10.1007/s11136-011-9903-x. ArticleGoogle Scholar
• Hyde, M., Higgs, P., Wiggins, R. D., & Blane, D. (2015). A decade of research using the CASP scale: Key findings and future directions. Aging & Mental Health, 19(7), 571–575. https://doi.org/10.1080/13607863.2015.1018868. ArticleGoogle Scholar
• Hyde, M., Wiggins, R. D., Higgs, P., & Blane, D. B. (2003). A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19). Aging & Mental Health, 7(3), 186–194. https://doi.org/10.1080/1360786031000101157. ArticleGoogle Scholar
• International Longevity Centre Brazil (ILC-BR). (2015). Active ageing: A policy framework in response to the longevity revolution. Rio de Janeiro, Brazil. Google Scholar
• International Wellbeing Group. (2006). Personal Wellbeing Index (4th ed.). Melbourne: Australian Centre on Quality of Life, Deakin University. Google Scholar
• Joyce, C. R. B., Hickey, A., McGee, H. M., & O’Boyle, C. A. (2003). A theory-based method for the evaluation of individual quality of life: The SEIQoL. Quality of Life Research, 12(3), 275–280. ArticleGoogle Scholar
• Kim, G. R., Netuveli, G., Blane, D., Peasey, A., Malyutina, S., Simonova, G., et al. (2015). Psychometric properties and confirmatory factor analysis of the CASP-19, a measure of quality of life in early old age: The HAPIEE study. Aging & Mental Health, 19(7), 595–609. https://doi.org/10.1080/13607863.2014.938605. ArticleGoogle Scholar
• Kojima, G., Iliffe, S., Morris, R. W., Taniguchi, Y., Kendrick, D., Skelton, D. A., et al. (2016). Frailty predicts trajectories of quality of life over time among British community-dwelling older people. Quality of Life Research, 25(7), 1743–1750. https://doi.org/10.1007/s11136-015-1213-2.
• Kwon, K. M., Lee, J. S., Jeon, N. E., & Kim, Y. H. (2017). Factors associated with health-related quality of life in Koreans aged over 50 Years: The fourth and fifth Korea National Health and Nutrition Examination Survey. Health and Quality of Life Outcomes, 15(1), 243. https://doi.org/10.1186/s12955-017-0816-4. ArticleGoogle Scholar
• Lau, A. L. D., Cummins, R. A., & McPherson, W. (2005). An investigation into the cross-cultural equivalence of the Personal Wellbeing Index. Social Indicators Research, 72(3), 403–430. https://doi.org/10.1007/s11205-004-0561-z. ArticleGoogle Scholar
• Leplège, A., Perret-Guillaume, C., Ecosse, E., Hervy, M.-P., Ankri, J., & von Steinbüchel, N. (2013). A new instrument to measure quality of life in older people: The French version of the WHOQOL-OLD. La Revue De Medecine Interne, 34(2), 78–84. https://doi.org/10.1016/j.revmed.2012.07.011. ArticleGoogle Scholar
• Litwin, H., & Stoeckel, K. J. (2014). Confidant network types and well-being among older Europeans. The Gerontologist, 54(5), 762–772. https://doi.org/10.1093/geront/gnt056. ArticleGoogle Scholar
• Lucas-Carrasco, R., Laidlaw, K., & Power, M. J. (2011). Suitability of the WHOQOL-BREF and WHOQOL-OLD for Spanish older adults. Aging & Mental Health, 15(5), 595–604. https://doi.org/10.1080/13607863.2010.548054. ArticleGoogle Scholar
• Lutomski, J. E., Krabbe, P. F. M., Bleijenberg, N., Blom, J., Kempen, G. I. J. M., MacNeil-Vroomen, J., et al. (2017). Measurement properties of the EQ-5D across four major geriatric conditions: Findings from TOPICS-MDS. Health and Quality of Life Outcomes, 15(1), 45. https://doi.org/10.1186/s12955-017-0616-x. ArticleGoogle Scholar
• Mares, J., Cigler, H., & Vachkova, E. (2016). Czech version of OPQOL-35 questionnaire: The evaluation of the psychometric properties. Health and Quality of Life Outcomes, 14, 93. https://doi.org/10.1186/s12955-016-0494-7. ArticleGoogle Scholar
• Margis, R., Donis, K., Schönwald, S. V., Fagondes, S. C., Monte, T., Martín-Martínez, P., et al. (2009). Psychometric properties of the Parkinson’s Disease Sleep Scale—Brazilian version. Parkinsonism & Related Disorders, 15(7), 495–499. https://doi.org/10.1016/j.parkreldis.2008.12.008. ArticleGoogle Scholar
• Margis, R., Donis, K. C., Schönwald, S. V., & Rieder, C. R. M. (2010). WHOQOL-OLD assessment of quality of life in elderly patients with Parkinson’s disease: Influence of sleep and depressive symptoms. Revista Brasileira De Psiquiatria, 32(2), 125–131. Google Scholar
• Martinez-Martin, P., Prieto-Flores, M. E., Forjaz, M. J., Fernandez-Mayoralas, G., Rojo-Perez, F., Rojo, J. M., & Ayala, A. (2012). Components and determinants of quality of life in community-dwelling older adults. European Journal of Ageing, 9(3), 255–263. https://doi.org/10.1007/s10433-012-0232-x. ArticleGoogle Scholar
• McKee, K. J., Houston, D. M., & Barnes, S. (2002). Methods for assessing quality of life and well-being in frail older people. Psychology & Health, 17(6), 737–751. https://doi.org/10.1080/0887044021000054755. ArticleGoogle Scholar
• Milte, C. M., Walker, R., Luszcz, M. A., Lancsar, E., Kaambwa, B., & Ratcliffe, J. (2014). How important is health status in defining quality of life for older people? An exploratory study of the views of older South Australians. Applied Health Economics and Health Policy, 12(1), 73–84. https://doi.org/10.1007/s40258-013-0068-3. ArticleGoogle Scholar
• Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., et al. (2010). The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. Journal of Clinical Epidemiology, 63(7), 737–745. https://doi.org/10.1016/j.jclinepi.2010.02.006. ArticleGoogle Scholar
• Mountain, L. A., Campbell, S. E., Seymour, D. G., Primrose, W. R., & Whyte, M. I. (2004). Assessment of individual quality of life using the SEIQoL-DW in older medical patients. QJM, 97(8), 519–524. https://doi.org/10.1093/qjmed/hch081. ArticleGoogle Scholar
• Neri, A. L., Borim, F. S. A., Batistoni, S. S. T., Cachioni, M., Rabelo, D. F., Fontes, A. P., & Yassuda, M. S. (2018). New semantic-cultural validation and psychometric study of the CASP-19 scale in adult and elderly Brazilians. Cadernos De Saude Publica, 34(10), e00181417. https://doi.org/10.1590/0102-311X00181417. ArticleGoogle Scholar
• Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113–126. https://doi.org/10.1093/bmb/ldn003. ArticleGoogle Scholar
• Nikkhah, M., Heravi-Karimooi, M., Montazeri, A., Rejeh, N., & Sharif Nia, H. (2018). Psychometric properties the Iranian version of Older People’s Quality Of Life questionnaire (OPQOL). Health and Quality of Life Outcomes, 16(1), 174. https://doi.org/10.1186/s12955-018-1002-z. ArticleGoogle Scholar
• O’Boyle, C., McGee, H., Hickey, A., Joyce, C. R. B., Browne, J., O’Malley, K., & Hiltbrunner, B. (1993). The schedule for the evaluation of individual quality of life (SEIQoL). Administration manual. Dublin: Royal College of Surgeons in Ireland. https://epubs.rcsi.ie/psycholrep/39. Google Scholar
• Oluboyede, Y., & Smith, A. B. (2013). Evidence for a unidimensional 15-item version of the CASP-19 using a Rasch model approach. Quality of Life Research, 22(9), 2429–2433. https://doi.org/10.1007/s11136-013-0367-z.
• Paschoal, S. M. P., Filho, W. J., & Litvoc, J. (2007). Development of elderly quality of life index—EQOLI: Theoretical-conceptual framework, chosen methodology, and relevant items generation. Clinics (Sao Paulo, Brazil), 62(3), 279–288. ArticleGoogle Scholar
• Pérez-Rojo, G., Martín, N., Noriega, C., & López, J. (2018). Psychometric properties of the CASP-12 in a Spanish older community dwelling sample. Aging & Mental Health, 22(5), 700–708. https://doi.org/10.1080/13607863.2017.1292208. ArticleGoogle Scholar
• Pino, L., González-Vélez, A. E., Prieto-Flores, M.-E., Ayala, A., Fernandez-Mayoralas, G., Rojo-Perez, F., et al. (2014). Self-perceived health and quality of life by activity status in community-dwelling older adults. Geriatrics & Gerontology International, 14(2), 464–473. https://doi.org/10.1111/ggi.12119. ArticleGoogle Scholar
• Pino-Domínguez, L., Navarro-Gil, P., González-Vélez, A. E., Prieto-Flores, M.-E., Ayala, A., Rojo-Pérez, F., et al. (2016). Self-perceived health status, gender, and work status. Journal of Women & Aging, 28(5), 386–394. https://doi.org/10.1080/08952841.2015.1018030. ArticleGoogle Scholar
• Power, M., Quinn, K., Schmidt, S., & WHOQOL-OLD Group. (2005). Development of the WHOQOL-old module. Quality of Life Research, 14(10), 2197–2214. https://doi.org/10.1007/s11136-005-7380-9. ArticleGoogle Scholar
• Punta, P., Somrongthong, R., & Kumar, R. (2019). Factors influencing quality of life (QOL) amongst elderly caregivers of people living with HIV/AIDS in Phayao province, Thailand: A cross-sectional study. F1000Research, 8, 39. https://doi.org/10.12688/f1000research.16892.1. ArticleGoogle Scholar
• Ratcliffe, J., Lancsar, E., Flint, T., Kaambwa, B., Walker, R., Lewin, G., et al. (2017). Does one size fit all? Assessing the preferences of older and younger people for attributes of quality of life. Quality of Life Research, 26(2), 299–309. https://doi.org/10.1007/s11136-016-1391-6. ArticleGoogle Scholar
• Richardson, S., Carr, E., Netuveli, G., & Sacker, A. (2018). Country-level welfare-state measures and change in wellbeing following work exit in early old age: Evidence from 16 European countries. International Journal of Epidemiology, 48, 389–401. https://doi.org/10.1093/ije/dyy205. ArticleGoogle Scholar
• Robleda, S., & Pachana, N. A. (2019). Quality of life in Australian adults aged 50 years and over: Data using the schedule for the evaluation of individual quality of life (SEIQOL-DW). Clinical Gerontologist, 42(1), 101–113. https://doi.org/10.1080/07317115.2017.1397829. ArticleGoogle Scholar
• Rodriguez-Blazquez, C., Forjaz, M. J., Prieto-Flores, M. E., Rojo-Perez, F., Fernandez-Mayoralas, G., & Martinez-Martin, P. (2012). Health status and well-being of older adults living in the community and in residential care settings: Are differences influenced by age? Aging and Mental Health, 16(7), 884–891. ArticleGoogle Scholar
• Rodriguez-Blazquez, C., Frades-Payo, B., Forjaz, M. J., Ayala, A., Martinez-Martin, P., Fernandez-Mayoralas, G., & Rojo-Perez, F. (2011). Psychometric properties of the International Wellbeing Index in community-dwelling older adults. International psychogeriatrics, 23(1), 161–169. https://doi.org/10.1017/S104161021000092X. ArticleGoogle Scholar
• Rojo-Perez, F., Delgado-Sanz, M., Fernandez-Mayoralas, G., Forjaz, M. J., Ahmed-Mohamed, K., Martinez-Martin, P., et al. (2009). Informal support according to level of competence related to health and functioning in quality of later life. In W. Ostasiewicz (Ed.), Quality of life improvement through social cohesion (pp. 64–85). Wroclaw: The Publishing House of Wrocław University of Economics. Google Scholar
• Sexton, E., Bennett, K., Fahey, T., & Cahir, C. (2017). Does the EQ-5D capture the effects of physical and mental health status on life satisfaction among older people? A path analysis approach. Quality of Life Research, 26(5), 1177–1186. https://doi.org/10.1007/s11136-016-1459-3. ArticleGoogle Scholar
• Seymour, D. G., Starr, J. M., Fox, H. C., Lemmon, H. A., Deary, I. J., Prescott, G. J., & Whalley, L. J. (2008). Quality of life and its correlates in octogenarians. Use of the SEIQoL-DW in Wave 5 of the Aberdeen Birth Cohort 1921 Study (ABC1921). Quality of Life Research, 17(1), 11–20. https://doi.org/10.1007/s11136-007-9291-4. ArticleGoogle Scholar
• Szende, A., & Williams, A. (2004). Measuring self-reported population health: An international perspective based on EQ-5D. Budapest, Hungary: SpringMed Publishing. Google Scholar
• The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. (1995). Social Science & Medicine, 41(10), 1403–1409. ArticleGoogle Scholar
• Tiliouine, H., Cummins, R., & Davern, M. (2006). Measuring wellbeing in developing countries: The case of Algeria. Social Indicators Research, 75(1), 1–30. https://doi.org/10.1007/s11205-004-2012-2. ArticleGoogle Scholar
• Urzúa, A., Bravo, M., Ogalde, M., & Vargas, C. (2011). Quality of life of older people living in Antofagasta, Chile. Revista Medica De Chile, 139(8), 1006–1014. https://doi.org/10.4067/S0034-98872011000800005. ArticleGoogle Scholar
• Urzúa, M. A., & Navarrete, M. (2013). Factor analysis of abbreviated versions of the WHOQoL-Old in Chilean older people. Revista Medica De Chile, 141(1), 28–33. https://doi.org/10.4067/S0034-98872013000100004. ArticleGoogle Scholar
• Valderas, J. M., Ferrer, M., Mendívil, J., Garin, O., Rajmil, L., Herdman, M., et al. (2008). Development of EMPRO: A tool for the standardized assessment of patient-reported outcome measures. Value in Health, 11(4), 700–708. https://doi.org/10.1111/j.1524-4733.2007.00309.x.
• Van Biljon, L., Nel, P., & Roos, V. (2015). A partial validation of the WHOQOL-OLD in a sample of older people in South Africa. Global Health Action, 8, 28209. https://doi.org/10.3402/gha.v8.28209. ArticleGoogle Scholar
• Vilar, M., Sousa, L. B., & Simões, M. R. (2016). The European Portuguese WHOQOL-OLD module and the new facet Family/Family life: Reliability and validity studies. Quality of Life Research, 25(9), 2367–2372. https://doi.org/10.1007/s11136-016-1275-9.
• Wahrendorf, M., & Siegrist, J. (2010). Are changes in productive activities of older people associated with changes in their well-being? Results of a longitudinal European study. European Journal of Ageing, 7(2), 59–68. https://doi.org/10.1007/s10433-010-0154-4.
• Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483. Accedido 19 de julio de 2012. ArticleGoogle Scholar
• Wettergren, L., Kettis-Lindblad, A., Sprangers, M., & Ring, L. (2009). The use, feasibility and psychometric properties of an individualised quality-of-life instrument: A systematic review of the SEIQoL-DW. Quality of Life Research, 18(6), 737–746. https://doi.org/10.1007/s11136-009-9490-2. ArticleGoogle Scholar
• World Health Organization. (2015). World report on ageing and health. Geneva: WHO Press. Retrieved from http://www.who.int/ageing/publications/world-report-2015/en/. Google Scholar

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Authors and Affiliations

1. National Centre of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain Carmen Rodríguez-Blázquez
2. National Centre of Epidemiology and REDISSEC, Carlos III Institute of Health, Madrid, Spain Maria João Forjaz

1. Carmen Rodríguez-Blázquez