COSMIN database

Quality of life in older people: a structured review of self-assessed health instruments

Haywood, K. L., Garratt, A. M., and Fitzpatrick, R.
A range of terms (including quality of life, health-related quality of life and health status) describe a broad set of aspects of self-reported health that can be captured by questionnaires and related instruments. Health in older people particularly requires attention to broader aspects of the impact of health on physical, social and psychological function. A structured review was performed to assess how well such issues are measured by available instruments. A total of 45 instruments were identified that have received some degree of evaluation to establish their use in assessing the health of older individuals. Two types of instruments were included in the review: generic and older-people-specific instruments. The SF-36 has by far the largest evidence base to support its use in older people. The OMFAQ has the best evidence base amongst older-people-specific instruments. Many instruments have only minimal evidence of measurement properties. Concepts such as quality of life are still defined and used in a variety of ways, and major questions must be addressed before uniform practice emerges in this important area of health policy.
Expert Rev Pharmacoecon Outcomes Res
1744-8379 (Electronic)
Publication year:
General health perceptions / HRQoL:
Health-related quality of life
Overall quality of life:
Overall quality of life
Seniors (65+)
Certain conditions originating in the perinatal period and related symptoms
Certain infections and parasitic diseases and related symptoms
Congenital malformations, deformations and chromosomal abnormalities and related symptoms
Diseases of and symptoms related to the blood and blood-forming organs and certain disorders involving the immune mechanism
Diseases of and symptoms related to the circulatory system
Diseases of and symptoms related to the digestive system
Diseases of and symptoms related to the ear and mastoid process
Diseases of and symptoms related to the eye and adnexa
Diseases of and symptoms related to the genitourinary system
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Diseases of and symptoms related to the nervous system
Diseases of and symptoms related to the respiratory system
Diseases of and symptoms related to the skin and subcutaneous tissue
Endocrine, nutritional and metabolic diseases and related symptoms
External causes of morbidity and mortality
Injury, poisoning and certain other consequences of external causes
Mental and behavioural disorders and related symptoms
Neoplasms and related symptoms
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
AQoL - Assessment of Quality of Life
BSQ - Brief Screening Questionnaire
CARE - Comprehensive Assessment and Referral Evaluation
CASP-19 - Control, Autonomy, Selfrealization, Pleasure-19; Quality of Life Scale
COOP Charts for Primary Care Practice
CORE-CARE - CORE Comprehensive Assessment and Referral Evaluation
EASY-CARE - Easy Comprehensive Assessment and Referral Evaluation
EQ-5D - EuroQoL-5 Dimensions   
FSQ - Functional Status Questionnaire
GOL - Goteborg Quality of Life
GPSS - Geriatric Postal Screening Survey
GQLQ - Geriatric Quality of Life Questionnaire
GSQ - Geriatric Screening Questionnaire
HSQ-12 - Health Status Questionnaire 12
HUI - Health Utilities Index
IHQL - Index for Health-related Quality of Life
ISAI - IOWA Self-Assessment Inventory
Modified COOP/WONCA charts
NHP - Nottingham Health Profile   
OMFAQ - Older Americans Resources and Services (OARS) Multi-dimensional Functional Assessment Questionnaire
PGCMAI - Philadelphia Geriatric Centre Multilevel Assessment Instrument
PGI - Patient Generated Index
PWB - Perceived Well-being Scale
QLC - Quality of Life Checklist
QLI - Quality of Life Index [alias: Ferrans and Powers Quality of Life Index]
QLWMV - Quality of life – well-being, meaning and value
QOLP-SV - Quality of Life Profile-Seniors Version
QuiLL - Quality of Life in Later Life
QWB - Quality of Well-Being Scale
QWB-SA - Quality of Well Being Self-administered Scale
RG - Repertory Grid
Schedule for Evaluation of Individual Quality of LIfe- Direct Weighting for frail elderly
SELF - Self-evaluation of Life Scale
SENOTS program and battery
SF-12 - 12-item Short Form Health Survey [alias: RAND-12]
SF-20 - MOS short-form general health survey 20 item
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: Medical Outcomes Study (MOS) SF-36]]    |  | also see:
SHORT-CARE - Short Comprehensive Assessment and Referral Evaluation
SIP - Sickness Impact Profile   
Spitzer Quality of Life Index
Veterans SF-36 - Veterans Short Form 36-items Health Survey
WHOQOL-BREF - World Health Organization Quality of Life questionnaire–Abbreviated Questionnaire [alias: WHO-QOL BREF]   
WHOQOL-OLD - World Health Organization Quality Of Life of older persones
WI - Wellness Index