Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T00:18:53.788Z Has data issue: false hasContentIssue false

Design, measures and sample characteristics of the CadeViMa-Spain survey on quality of life in community-dwelling older adults

Published online by Cambridge University Press:  08 November 2011

Gloria Fernandez-Mayoralas
Affiliation:
Institute of Economics, Geography and Demography, Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain
Carolina Giraldez-Garcia*
Affiliation:
Department of Preventive Medicine, La Paz University Hospital, Madrid, Spain
Maria João Forjaz
Affiliation:
National School of Public Health, Carlos III Institute of Health, Madrid, Spain Consortium for Biomedical Research in Neurodegenerative Diseases (CIBER en Enfermedades Neurodegenerativas - CIBERNED), Carlos III Institute of Health, Madrid, Spain
Fermina Rojo-Perez
Affiliation:
Institute of Economics, Geography and Demography, Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain
Pablo Martinez-Martin
Affiliation:
Consortium for Biomedical Research in Neurodegenerative Diseases (CIBER en Enfermedades Neurodegenerativas - CIBERNED), Carlos III Institute of Health, Madrid, Spain Research Unit, Alzheimer Centre Reina Sofia Foundation, Carlos III Institute of Health, Madrid, Madrid, Spain
Maria-Eugenia Prieto-Flores
Affiliation:
National School of Public Health, Carlos III Institute of Health, Madrid, Spain
*
Correspondence should be addressed to: Carolina Giraldez-Garcia, Servicio de Medicina Preventiva, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain. Phone: +34-918222398. Email: [email protected].

Abstract

Background: The survey “Quality of life in older adults-Spain” (CadeViMa-Spain) was designed to obtain information about objective and subjective determinants of Quality of Life (QoL) in old age, from a multidimensional perspective. This paper presents the overall description, methodology, sample characteristics and reliability of the measures used.

Methods: A cross-sectional survey was carried out in a representative sample of 1106 community-dwelling adults aged 60 years and over in Spain. The sample was obtained by a geodemographically-based proportional multistage stratified sampling. A home-based questionnaire included validated scales and questions about sociodemographic characteristics, global QoL, health, family and social networks, financial means and retirement, leisure and social participation, residential environment, and satisfaction with those issues. Face-to-face semi-structured interviews were conducted. Cronbach's α coefficients were used to assess internal consistency of the scales.

Results: This nationally representative survey furnishes information about global QoL, health-related QoL, resources availability, living conditions, and satisfaction with the assessed aspects, including life domains most valued by this group. In general, community-dwelling older adults reported positive assessments of health, living conditions, and high levels of satisfaction with the different aspects of QoL. The reliability of the measures in this population was good.

Conclusions: This survey provides comprehensive and useful information, based on the view of older people themselves, with potential to contribute to health and social policies towards promoting active aging. The database is available for in-depth comparisons.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Azpiazu Garrido, M., Cruz Jentoft, A., Villagrasa Ferrer, J. R., Abanades Herranz, J. C., Garcia Marin, N. and Alvarez De Mon Rego, C. (2003). [Quality of life in noninstitutionalized persons older than 65 years in two health care districts in Madrid]. Atencion Primaria, 31, 285292.Google Scholar
Badia, X., Montserrat, S., Roset, M. and Herdman, M. (1999). Feasibility, validity and test-retest reliability of scaling methods for health states: the visual analogue scale and the time trade-off. Quality of Life Research, 8, 303310.CrossRefGoogle ScholarPubMed
Badia, X., Roset, M., Herdman, M. and Kind, P. (2001). A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5D health states. Medical Decision Making, 21, 716.CrossRefGoogle ScholarPubMed
Bellon Saameno, J. A., Delgado Sanchez, A., Luna del Castillo, J. D. and Lardelli Claret, P. (1996). [Validity and reliability of the Duke-UNC-11 questionnaire of functional social support]. Atencion Primaria, 18, 153163.Google ScholarPubMed
Broadhead, W. E., Gehlbach, S. H., de Gruy, F. V. and Kaplan, B. H. (1988). The Duke-UNC Functional Social Support Questionnaire: measurement of social support in family medicine patients. Medical Care, 26, 709723.CrossRefGoogle ScholarPubMed
Brown, J., Bowling, A. and Flynn, T. (2004). Models of Quality of Life: A Taxonomy, Overview and Systematic Review of the Literature. European Forum on Population Ageing Research. Available at: http://www.ageingresearch.group.shef.ac.uk/pdf/qol_review_complete.pdf; last accessed 24 July 2011.Google Scholar
Browne, J. P. et al. (1994). Individual quality of life in the healthy elderly. Quality of Life Research, 3, 235244.CrossRefGoogle ScholarPubMed
Cummins, R. A., Eckersley, R., Pallant, J., van Vugt, J. and Misajon, R. (2003). Developing a National Index of Subjective Wellbeing: the Australian Unity Wellbeing Index. Social Indicators Research, 64, 159190.Google Scholar
de Jong Gierveld, J. and van Tilburg, T. (2006). A 6-item scale for overall, emotional, and social loneliness confirmatory test on survey data. Research on Aging, 28, 582598. doi:10.1177/0164027506289723CrossRefGoogle Scholar
de la Revilla Ahumada, L., Bailon, E., de Dios Luna, J., Delgado, A., Prados, M. A. and Fleitas, L. (1991). [Validation of a functional social support scale for use in the family doctor's office]. Atencion Primaria, 8, 688692.Google Scholar
EuroQol Group (1990). EuroQol: a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16, 199208.CrossRefGoogle Scholar
Fernandez-Ballesteros, R. and Santacreu-Ivars, M. (2010). Aging and quality of life. In Stone, J. H. and Blouin, M. (eds.), International Encyclopedia of Rehabilitation. Center for International Rehabilitation Research Information & Exchange. Available at: http://cirrie.buffalo.edu/encyclopedia/en/article/296; last accessed 24 July 2011.Google Scholar
Fernandez-Ballesteros, R., Zamarron, M. D. and Marcia, A. (2006). [Quality of Life in Old Age in Different Context]. Madrid: INSERSO.Google Scholar
Fernandez-Mayoralas, G. et al. (2007). [The Meaning of Health in the Quality of Life of Older People]. Madrid: Portal Mayores, Instituto de Mayores y Servicios Sociales.Google Scholar
Ferrans, C. E., Zerwic, J. J., Wilbur, J. E. and Larson, J. L. (2005). Conceptual model of health-related quality of life. Journal of Nursing Scholarship, 37, 336342.Google Scholar
Forjaz, M. J. et al. (2011a). Rasch analysis of the International Wellbeing Index in older adults. International Psychogeriatrics. Epublished ahead of print. doi: 10.1017/S104161021100158X.CrossRefGoogle Scholar
Forjaz, M. J. et al. (2011b). Measurement properties of the Community Wellbeing Index in older adults. Quality of Life Research, 20, 733743. doi:10.1007/s11136-010-9794-2.Google Scholar
Gomez, L. E., Verdugo, M. A., Arias, B. and Navas, P. (2008). [Evaluation of quality of life in elderly and disabled: Fumat Scale]. Intervencion Psicosocial, 17, 189199.Google Scholar
Instituto de Mayores y Servicios Sociales (2009). [Older People in Spain: Report 2008]. Madrid: Portal Mayores, Instituto de Mayores y Servicios Sociales.Google Scholar
Instituto Nacional de Estadistica (2007). [Municipal Census 2007]. Available at http://www.ine.es/inebmenu/indice.htm#6; last accessed 17 July 2011.Google Scholar
International Wellbeing Group (2006). Personal Wellbeing Index: 4th edn. Melbourne: Australian Centre on Quality of Life, Deakin University.Google Scholar
Kriegsman, D. M., Penninx, B. W., Van Eijk, J. T., Boeke, A. J. and Deeg, D. J. (1996). Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly: a study on the accuracy of patients' self-reports and on determinants of inaccuracy. Journal of Clinical Epidemiology, 49, 14071417.Google Scholar
Lundberg, O. and Nystrom Peck, M. (1995). A simplified way of measuring sense of coherence: experiences from a population survey in Sweden. European Journal of Public Health, 5, 5659.Google Scholar
Mahoney, F. I. and Barthel, D. W. (1965). Funtional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 6165.Google Scholar
Martinez-Martin, P. et al. (2009). [Validation of the functional independence scale]. Gaceta Sanitaria, 23, 4954.Google ScholarPubMed
Miller, M. D. et al. (1992). Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Research, 41, 237248.Google Scholar
Noll, H. H. (2002). Towards a European system of social indicators: theoretical framework and system architecture. In Hagerty, M. R., Vogek, J. and Moller, V. (eds.), Assessing Quality of Life and Living Conditions to Guide National Policy: The State of the Art (pp. 4787). Dordrecht: Kluwer Academic Publishers.Google Scholar
Perez-San-Gregorio, M. A., Martin-Rodriguez, A., Perez-Bernal, J. and Maldonado, M. D. (2010). Quality of life in Spanish patients with liver transplant. Clinical Practice and Epidemiology in Mental Health, 6, 7985.CrossRefGoogle ScholarPubMed
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433441.Google Scholar
Robine, J. M. and Michel, J. P. (2004). Looking forward to a general theory on population aging. Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 59, M590M597.CrossRefGoogle ScholarPubMed
Rodriguez-Blazquez, C. et al. (2010). Psychometric properties of the International Wellbeing Index in community-dwelling older adults. International Psychogeriatrics, 23, 161169. doi:10.1017/S104161021000092X.CrossRefGoogle ScholarPubMed
Rojo-Perez, F., Fernandez-Mayoralas, G., Rodriguez-Rodriguez, V., Prieto-Flores, M. E. and Rojo-Abuin, J. M. (2007a). Residential environment of the elderly people in Spain: towards a municipal categorization. Boletin de la Asociacion de Geografos Españoles, 43, 369374.Google Scholar
Rojo-Perez, F., Fernandez-Mayoralas, G., Rodriguez-Rodriguez, V. and Rojo-Abuin, J. M. (2007b). The environments of ageing in the context of the Global Quality of Life among older people living in family housing. In Mollenkopf, H. and Walker, A. (eds.), Quality of Life in Old Age (pp. 123150). Dordrecht: Springer.CrossRefGoogle Scholar
World Health Organization (2002). Active Ageing: A Policy Framework. Geneva: World Health Organization.Google Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed
Zunzunegui, M. V., Nunez, O., Durban, M., Garcia de Yebenes, M. J. and Otero, A. (2006). Decreasing prevalence of disability in activities of daily living, functional limitations and poor self-rated health: a 6-year follow-up study in Spain. Aging Clinical and Experimental Research, 18, 352358.CrossRefGoogle Scholar