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      Assessing quality of life in older adults: psychometric properties of the OPQoL-brief questionnaire in a nursing home population

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          Abstract

          Background

          Well-adapted and validated quality-of-life measurement models for the nursing home population are scarce. Therefore, the aim of this study was to test the psychometrical properties of the OPQoL-brief questionnaire among cognitively intact nursing home residents. The research question addressed evidence related to the dimensionality, reliability and construct validity, all of which considered interrelated measurement properties.

          Methods

          Cross-sectional data were collected during 2017–2018, in 27 nursing homes representing four different Norwegian municipalities, located in Western and Mid-Norway. The total sample comprised 188 of 204 (92% response rate) long-term nursing home residents who met the inclusion criteria: (1) municipality authority’s decision of long-term nursing home care; (2) residential time 3 months or longer; (3) informed consent competency recognized by responsible doctor and nurse; and (4) capable of being interviewed.

          Results

          Principal component analysis and confirmative factor analyses indicated a unidimensional solution. Five of the original 13 items showed low reliability and validity; excluding these items revealed a good model fit for the one-dimensional 8-items measurement model, showing good internal consistency and validity for these 8 items.

          Conclusion

          Five out of the 13 original items were not high-quality indicators of quality-of-life showing low reliability and validity in this nursing home population. Significant factor loadings, goodness-of-fit indices and significant correlations in the expected directions with the selected constructs (anxiety, depression, self-transcendence, meaning-in-life, nurse-patient interaction, and joy-of-life) supported the psychometric properties of the OPQoL-brief questionnaire. Exploring the essence of quality-of-life when residing in a nursing home is highly warranted, followed by development and validation of new tools assessing quality-of-life in this population. Such knowledge and well-adapted scales for the nursing home population are beneficial and important for the further development of care quality in nursing homes, and consequently for quality-of-life and wellbeing in this population.

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          Most cited references 56

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          The meaning in life questionnaire: Assessing the presence of and search for meaning in life.

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            AN EXPERIMENTAL STUDY IN EXISTENTIALISM: THE PSYCHOMETRIC APPROACH TO FRANKL'S CONCEPT OF NOOGENIC NEUROSIS.

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              Exploratory and confirmatory factor analysis: guidelines, issues, and alternatives

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                Author and article information

                Contributors
                gorill.haugan@nord.no
                Journal
                Health Qual Life Outcomes
                Health Qual Life Outcomes
                Health and Quality of Life Outcomes
                BioMed Central (London )
                1477-7525
                2 January 2020
                2 January 2020
                2020
                : 18
                Affiliations
                [1 ]ISNI 0000 0001 1516 2393, GRID grid.5947.f, NTNU Center for health promotion research, , Norwegian University of Science and Technology, ; Trondheim, Norway
                [2 ]GRID grid.465487.c, Faculty of Nursing and Health Sciences, , Nord University, ; Bodø, Norway
                [3 ]Faculty of Health and Social Science, Western University of Applied Science, Bergen, Norway
                [4 ]ISNI 0000 0004 1936 7443, GRID grid.7914.b, University of Bergen, ; Bergen, Norway
                [5 ]ISNI 0000 0001 0428 6825, GRID grid.29906.34, Faculty of Nursing, , Akdeniz University, ; Antalya, Turkey
                [6 ]GRID grid.442642.2, Social Worker, , Kyambogo University and Butabika National Referral and Teaching Hospital, ; Kampala, Uganda
                [7 ]ISNI 0000 0001 1516 2393, GRID grid.5947.f, Department of Teacher Education, , Norwegian University of Science and Technology, ; Trondheim, Norway
                Article
                1245
                10.1186/s12955-019-1245-3
                6941243
                31898546
                © The Author(s). 2019

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005416, Norges Forskningsråd;
                Award ID: 238331
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

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