OBJECTIVES: The aim was to assess the reliability and validity of the quality of life (QoL) instrument CASP-19, and three shorter versions of CASP-12 in large population sample of older adults from the HAPIEE (Health, Alcohol, and Psychosocial factors In Eastern Europe) study. METHODS: From the Czech Republic, Russia, and Poland, 13,210 HAPIEE participants aged 50 or older completed the retirement questionnaire including CASP-19 at baseline. Three shorter 12-item versions were also derived from original 19-item instrument. Psychometric validation used confirmatory factor analysis, Cronbach's alpha, Pearson's correlation, and construct validity. RESULTS: The second-order four-factor model of CASP-19 did not provide a good fit to the data. Two-factor CASP-12v.3 including residual covariances for negative items to account for the method effect of negative items had the best fit to the data in all countries (CFI = 0.98, TLI = 0.97, RMSEA = 0.05, and WRMR = 1.65 in the Czech Republic; 0.96, 0.94, 0.07, and 2.70 in Poland; and 0.93, 0.90, 0.08, and 3.04 in Russia). Goodness-of-fit indices for the two-factor structure were substantially better than second-order models. CONCLUSIONS: This large population-based study is the first validation study of CASP scale in Central and Eastern Europe (CEE), which includes a general population sample in Russia, Poland, and the Czech Republic. The results of this study have demonstrated that the CASP-12v.3 is a valid and reliable tool for assessing QoL among adults aged 50 years or older. This version of CASP is recommended for use in future studies investigating QoL in the CEE populations.

Department of Epidemiology and Public Health University College London London UK

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af Sandeberg M., Johansson E.M., Hagell P., Wettergren L. Psychometric properties of the DISABKIDS chronic generic module (DCGM-37) when used in children undergoing treatment for cancer. Health and Quality of Life Outcomes. 2010:109. doi: 10.1186/1477-7525-8-109. PubMed DOI PMC

Bergner M. Quality of life, health-status, and clinical research. Medical Care. 1989;(3):S148–S156. doi: 10.1097/00005650-198903001-00012. PubMed DOI

Blane D., Higgs P., Hyde M., Wiggins R.D. Life course influences on quality of life in early old age. Social Science & Medicine. 2004;(11):2171–2179. doi: 10.1016/j.socscimed.2003.08.028. PubMed DOI

Bobak M., McKee M., Rose R., Marmot M. Alcohol consumption in a national sample of the Russian population. Addiction. 1999;(6):857–866. doi: 10.1046/j.1360-0443.1999.9468579.x. PubMed DOI

Bobak M., Murphy M., Pikhart H., Martikainen P., Rose R., Marmot M. Mortality patterns in the Russian Federation: Indirect technique using widowhood data. Bulletin of the World Health Organization. 2002;(11):876–881. PubMed PMC

Bobak M., Room R., Pikhart H., Kubinova R., Malyutina S., Pajak A. Marmot M. Contribution of drinking patterns to differences in rates of alcohol related problems between three urban populations. Journal of Epidemiology and Community Health. 2004;(3):238–242. PubMed PMC

Borsch-Supan A., Brandt M., Hunkler C., Kneip T., Korbmacher J., Malter F. Zuber S. Data resource profile: The survey of health, ageing and retirement in Europe (SHARE) International Journal of Epidemiology. 2013;(4):992–1001. doi: 10.1093/ije/dyt088. PubMed DOI PMC

Borsch-Supan A., Brugiavini A., Jurges H., Mackenbach J., Siegrist J., Weber G. Health ageing and retirement in Europe: First results from the survey of health, ageing and retirement in Europe. Mannheim: Mannheim Research Institute for the Economics of Aging; 2005.

Bowling A. The psychometric properties of the older people's quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Current Gerontology and Geriatric Research. 2009:298950. doi: 10.1155/2009/298950. PubMed DOI PMC

Bowling A., Stenner P. Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD. Journal of Epidemiology and Community Health. 2011;(3):273–280. doi: 10.1136/jech.2009.087668. PubMed DOI PMC

Clarke P., Fisher G., House J., Smith J., Weir D. Guide to content of the HRS psychosocial leave-behind participant lifestyle questionnaires: 2004 & 2006. Survey Research Center; , Institute for Social Research; Michigan: University of Michigan; 2007.

Cohen R.J. Exercises in psychological testing and assessment. 6th ed. Boston, MA: McGraw Hill; 2005.

DeVellis R.F. Scale development : Theory and applications. Newbury Park: Sage; 1991.

Doyal L., Gough I. A theory of human need. Basingstoke: Macmillan; 1991.

Eurostat . Active ageing and solidarity between generations: A statistical portrait of the European Union 2012: A statistical portrait of the European Union 2012. Brussels: European Union; 2012.

Giddens A. The consequences of modernity. Cambridge: Polity; 1991.

Gilleard C.J., Higgs P. Cultures of ageing: Self, citizen, and the body. Harlow: Prentice Hall; 2000.

Gunnell D.J., Frankel S., Nanchahal K., Braddon F.E., Smith G.D. Life course exposure and later disease: A follow-up study based on a survey of family diet and health in pre-war Britain (1937–1939) Public Health. 1996;(2):85–94. PubMed

Hancock G.R., Mueller R.O. Structural equation modeling: A second course. Greenwich, CT: IAP; 2006.

Higgs P., Hyde M., Wiggins R., Blane D. Researching quality of life in early old age: The importance of the sociological dimension. Social Policy & Administration. 2003;(3):239–252. doi: 10.1111/1467-9515.00336. DOI

Hu L., Bentler P.M. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal. 1999;(1):1–55.

Hyde M., Wiggins R.D., Higgs P., Blane D.B. A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19) Aging Mental Health. 2003;(3):186–194. doi: 10.1080/1360786031000101157. PubMed DOI

Janse A.J., Gemke R.J.B.J., Uiterwaal C.S.P.M., van der Tweel I., Kimpen J.L.L., Sinnema G. Quality of life: Patients and doctors don't always agree: A meta-analysis. Journal of Clinical Epidemiology. 2004;(7):653–661. doi: 10.1016/j.jclinepi.2003.11.013. PubMed DOI

Kuyken W., Orley J., Power M., Herrman H., Schofield H., Murphy B. Vandam F. The World Health Organization Quality of Life assessment (WHOQOL) – position paper from the World Health Organization. Social Science & Medicine. 1995;(10):1403–1409. PubMed

Laslett P. A fresh map of life: The emergence of the third age. London: Harvard University Press; 1989. Cartographer.

Layte R., Sexton E., Savva G. Quality of life in older age: Evidence from an Irish cohort study. Journal of American Geriatrics Society. 2013;(2):S299–S305. doi: 10.1111/jgs.12198. PubMed DOI

Lima M.G., Barros M.B.D., Cesar C.L.G., Goldbaum M., Carandina L., Alves M.C.G.P. Health-related behavior and quality of life among the elderly: A population-based study. Revista de Saude Publica. 2011;(3):485–493. PubMed

Marmot M., Banks J., Blundell R., Lessof C., Nazroo J. The health, wealth and lifestyles of older populations in England. The 2002 English longitudinal study of aging. London: Institute of Fiscal Studies; 2003.

Marsh H.W. Positive and negative global self-esteem: A substantively meaningful distinction or artifactors. Journal of Personality and Social Psychology. 1996;(4):810–819. PubMed

Maslow A.H. Toward a psychology of being. 2nd ed. Princeton, NJ: Van Nostrand; 1968.

McHorney C.A., Tarlov A.R. Individual-patient monitoring in clinical practice: Are available health status surveys adequate. Quality of Life Research. 1995;(4):293–307. PubMed

Mchorney C.A., Ware J.E., Raczek A.E. The Mos 36-item short-form health survey (Sf-36) .2. Psychometric and clinical-tests of validity in measuring physical and mental-health constructs. Medical Care. 1993;(3):247–263. doi: 10.1097/00005650-199303000-00006. PubMed DOI

Muthén L.K., Muthén B.O. Mplus user's guide. 6th edn. Los Angeles, CA: Muthén & Muthén; 1998–2010.

Netuveli G., Pikhart H., Bobak M., Blane D. Generic quality of life predicts all-cause mortality in the short term: Evidence from British household panel survey. Journal of Epidemiology and Community Health. 2012;(10):962–966. doi: 10.1136/jech-2011-200310. PubMed DOI

Netuveli G., Wiggins R.D., Hildon Z., Montgomery S.M., Blane D. Quality of life at older ages: Evidence from the English longitudinal study of aging (wave 1) Journal of Epidemiology and Community Health. 2006;(4):357–363. PubMed PMC

Notzon F.C., Komarov Y.M., Ermakov S.P., Sempos C.T., Marks J.S., Sempos E.V. Causes of declining life expectancy in Russia. JAMA. 1998;(10):793–800. doi: 10.1001/jama.279.10.793. PubMed DOI

Peasey A., Bobak M., Kubinova R., Malyutina S., Pajak A., Tamosiunas A. Marmot M. Determinants of cardiovascular disease and other non-communicable diseases in Central and Eastern Europe: Rationale and design of the HAPIEE study. BMC Public Health. 2006 doi: 10.1186/1471-2458-6-255. PubMed DOI PMC

Ramirez M., Ford M.E., Stewart A.L., Teresi J.A. Measurement issues in health disparities research. Health Services Research. 2005;(5 Pt 2):1640–1657. doi: 10.1111/j.1475-6773.2005.00450.x. PubMed DOI PMC

Sexton E., King-Kallimanis B.L., Conroy R.M., Hickey A. Psychometric evaluation of the CASP-19 quality of life scale in an older Irish cohort. Quality of Life Research. 2013;(9):2549–2559. doi: 10.1007/s11136-013-0388-7. PubMed DOI

Sim J., Bartlam B., Bernard M. The CASP-19 as a measure of quality of life in old age: Evaluation of its use in a retirement community. Quality of Life Research. 2011;(7):997–1004. doi: 10.1007/s11136-010-9835-x. PubMed DOI

Taylor M., Brice J., Buck N., Prentice-Lane E. British household panel survey-user manual-volume a: Introduction, technical report and appendices. Colchester: UK Data Archive University of Essex; 2001.

Terwee C.B., Bot S.D., de Boer M.R., van der Windt D.A., Knol D.L., Dekker J. de Vet H.C. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology. 2007;(1):34–42. doi: 10.1016/j.jclinepi.2006.03.012. PubMed DOI

Vanhoutte B. Measuring subjective well-being in later life: Review. Manchester: CCSR, University of Manchester; 2012.

Vanhoutte B. The multidimensional structure of subjective well-being in later life. Journal of Population Ageing. 2014;7:1–20. PubMed PMC

Walters S.J., Munro J.F., Brazier J.E. Using the SF-36 with older adults: A cross-sectional community-based survey. Age Ageing. 2001;(4):337–343. doi: 10.1093/ageing/30.4.337. PubMed DOI

Ware J.E., Jr., Gandek B. Methods for testing data quality, scaling assumptions, and reliability: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology. 1998;(11):945–952. PubMed

Ware J.E., Sherbourne C.D. The Mos 36-Item Short-Form Health Survey (Sf-36) .1. Conceptual-framework and item selection. Medical Care. 1992;(6):473–483. doi: 10.1097/00005650-199206000-00002. PubMed DOI

World Health Organization . European health for all database (HFA-DB) Copenhagen: World Health Organization, Regional Office for Europe; 2011.

Wiggins R.D., Higgs P.F.D., Hyde M., Blane D.B. Quality of life in the third age: Key predictors of the CASP-19 measure. Ageing & Society. 2004:693–708. doi: 10.1017/S0144686×04002284. DOI

Wiggins R.D., Netuveli G., Hyde M., Higgs P., Blane D. The evaluation of a self-enumerated scale of quality of life (CASP-19) in the context of research on ageing: A combination of exploratory and confirmatory approaches. Social Indicators Research. 2008;(1):61–77. doi: 10.1007/s11205-007-9220-5. DOI

Wu T.Y., Chie W.C., Kuo K.L., Wong W.K., Liu J.P., Chiu S.T. Blane D. Quality of life (QOL) among community dwelling older people in Taiwan measured by the CASP-19, an index to capture QOL in old age. Archives of Gerontology and Geriatrics. 2013;(2):143–150. doi: 10.1016/j.archger.2013.03.010. PubMed DOI

The prospective association between frequency of contact with friends and relatives and quality of life in older adults from Central and Eastern Europe