Development and validation of successful aging instrument

Objectives: Successful aging is an interdisciplinary concept. Despite the great body of literature on successful aging, few studies have focused on its subjective and multidimensional measurements. Thus, the present study aimed to develop an instrument to measure selfperceived successful aging. Methods: We used a mixed method approach. The successful aging dimensions were explored through an integrative review and qualitative study among 64 older adults. Based on the obtained qualitative data, initial item pool was designed and its content validity was evaluated. A quantitative survey among 600 older adults and exploratory factor analysis was applied to test the structural validity of the instrument. Results: The EFA results indicated that the instrument loaded into seven factors; “psychological well-being”, “social support”, “financial and environmental security”, “spirituality”, “physical and mental health”, “functional health”, and “health-related behavior”. In addition, the instrument had a high degree of reliability coefficients. Discussion: The obtained results indicated methods of measuring successful aging, as well as the importance of generating social policy in the area of aging well; researchers should consider all dimensions of successful aging at individual and social levels

A framework for national rehabilitation policy and strategies in iran: A scoping review of experiences in other countries

Background: The main objective of this study was to review the goals and programs of rehabilitative care in different countries to achieve a framework for a national operational plan for expanding rehabilitation services in Iran. Methods: In this qualitative study (scoping review), national rehabilitation documents were reviewed in a selected list of countries. We searched several databases including Web of Science, PubMed, Scopus, and Google Scholar and main website such as WHO. Then, the review results were presented to a panel of experts to receive their feedback and opinion for a framework of national rehabilitation policy and strategies in Iran. Results: In the preliminary phase, 1775 documents were found and 17 documents were selected from Asia, Europe, three islands near Australia, America, and Australia continents. National policies and programs regarding rehabilitation could be categorized in three fields: 1) Removing the barriers to access rehabilitative health services, 2) strengthening and improving rehabilitation, relevant appropriate technologies, Supportive Services, and Community Based Rehabilitation, and 3) Collecting international data on social support and improving the quality of research and services related to rehabilitation. Conclusion: To achieve a successful national rehabilitation framework in any country, it is required to strengthen information and research database, implement annual monitoring of policymaking, assess the next year rehabilitation needs of society, finding causes of disabilities for effective planning. © 2020, Iranian Journal of Public Health. All rights reserved