The Intercultural Measuring of Quality of Life in the Elderly: The WHOQOL-OLD Project Die Interkulturelle Erfassung der Lebensqualität im Alter: Das WHOQOL-OLD-Projekt

The WHOQOL-OLD is an international cooperation of 22 research centres under the sponsorship of the WHO for the development of an intercultural instrument for the assessment of quality of life in old age. This article outlines the fundamentals of the WHOQOL-OLD project and presents the current results of the empirical investigations for the German version of WHOQOL-OLD. Since it is an essential aspect of the WHOQOL project to include both the perspective of medical experts and that of lay persons, focus groups were conducted with lay people and health professionals at the outset of the project. The aim of these focus group discussions was to test the dimensional structure of the quality of life concept for elderly adults and to develop facet definitions. The results of the focus groups showed that elderly people associate social, physical as well as environment-related aspects with the term quality of life. The results of the international focus groups are largely identical with those of the German focus groups

Assessing elderly persons’ health-related quality of life with the WHOQOL-BREF questionnaire

In the last years the evaluation of subjective, health-related quality of life (HRQOL) is increasingly integrated as an outcome criterion in the health system. Especially in gerontology there is however still great need for validated instruments assessing HRQOL and comprehensive generic quality of life (QOL), including for example also environmental aspects. To measure generic QOL under the patronage of the World Health Organisation, the WHOQOL Group developed the WHOQOL-BREF, a generic QOL instrument with 26 items, attributed to four subscales (psychological well-being, physical well-being, social relations and environment). First results using the swiss/french version of the WHOQOL-BREF in older swiss french speaking individuals (N = 178, mean age 74 years) are presented. Its psychometric properties were adequate and are comparably to those found in an older german group (N = 354, mean age 73; Matschinger et al. in preparation). For the two samples, the original four-factor structure was not easily reproducible. Nevertheless this structure was kept as in other publications (Leplège et al., 2000; Skevington, Lotfy & O’Connel, 2004). Unlike as in other studies no link was found between socio-demographic variables and QOL. The correlation between the number of health problems and depression on the one hand and QOL on the other hand was negative, as expected. However age moderated the relation between health problems and QOL: in older age, the negative effect of health problems on QOL was less pronounced. © 2005 - IOS Press and the authors. All rights reserved