Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO)

D. Duppen; Gina Rossi; Eva Dierckx; Lieve Hoeyberghs; Liesbeth De Donder; A-S. Smetcoren; S. Dury; N. De Witte; D. Lambotte; B. Fret; M. Kardol; D. Verte; E. De Roeck; S. Engelborghs; P. P. Dedeyn; M. C. J. Van der Elst; J. De Lepeleire; B. Schoenmakers; A. van der Vorst; G. A. R. Zijlstra; G. I. J. M. Kempen; J. M. G. A. Schols; D-SCOPE Consortium

doi:10.1017/S1041610219000401

Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO)

D. Duppen^*, Gina Rossi, Eva Dierckx, Lieve Hoeyberghs, Liesbeth De Donder, A-S. Smetcoren, S. Dury, N. De Witte, D. Lambotte, B. Fret, M. Kardol, D. Verte, E. De Roeck, S. Engelborghs, P. P. Dedeyn, M. C. J. Van der Elst, J. De Lepeleire, B. Schoenmakers, A. van der Vorst, G. A. R. ZijlstraG. I. J. M. Kempen, J. M. G. A. Schols, D-SCOPE Consortium

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: Studies of frailty have tended to focus on adverse outcomes. This study aims to develop a short instrument that identifies a positive outcome, namely, the level of well-being in older adults at risk of frailty. Method: 871 older adults (49.4% women; mean age 75.72 years; SD = 8.05) with a frailty risk profile participated in the first wave of the D-SCOPE study. The possible domains of well-being were identified using a bottom-up approach. Exploratory Structural Equation Modeling (ESEM) and multidimensional Item Response Theory (IRT) analysis of 17 items in 4 domains measuring well-being was performed on a calibration sample (n = 435) to develop the instrument. The instrument was subsequently corroborated by confirmatory factor analysis and convergent/divergent relations with relevant external measures in a validation sample (n = 436). Results: The ESEM three-factor solution, with the subdimensions of sense of mastery, meaning in life, and life satisfaction, displayed good fit to the data (RMSEA = 0.070). For each dimension, the three best discriminating items were retained for the instrument following IRT analysis. Internal consistency of these dimensions was good in the validation sample (sense of mastery alpha = 0.864, meaning in life alpha = 0.715, and life satisfaction alpha = 0.782). The confirmatory factor analysis (CFA) three-factor model also showed good fit to the data (RMSEA = 0.064). Small to large zero-order correlations with the external measures were as expected. Conclusions: Using a bottom-up approach, this study developed a short instrument to identify levels of well-being in vulnerable or frail older adults. The instrument can be applied in primary care and prevention programs.

Original language	English
Pages (from-to)	767-777
Number of pages	11
Journal	International Psychogeriatrics
Volume	31
Issue number	6
DOIs	https://doi.org/10.1017/S1041610219000401
Publication status	Published - Jun 2019

Keywords

item response theory
well-being
health outcomes
short form
RANDOMIZED CONTROLLED-TRIAL
LIFE
PEOPLE
QUESTIONNAIRE
INTEGRATION

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Duppen, D., Rossi, G., Dierckx, E., Hoeyberghs, L., De Donder, L., Smetcoren, A.-S., Dury, S., De Witte, N., Lambotte, D., Fret, B., Kardol, M., Verte, D., De Roeck, E., Engelborghs, S., Dedeyn, P. P., Van der Elst, M. C. J., De Lepeleire, J., Schoenmakers, B., van der Vorst, A., ... D-SCOPE Consortium (2019). Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO). International Psychogeriatrics, 31(6), 767-777. https://doi.org/10.1017/S1041610219000401

@article{01f60c9ee33042eb8661ff8b1db1c3b7,

title = "Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO)",

abstract = "Objective: Studies of frailty have tended to focus on adverse outcomes. This study aims to develop a short instrument that identifies a positive outcome, namely, the level of well-being in older adults at risk of frailty. Method: 871 older adults (49.4% women; mean age 75.72 years; SD = 8.05) with a frailty risk profile participated in the first wave of the D-SCOPE study. The possible domains of well-being were identified using a bottom-up approach. Exploratory Structural Equation Modeling (ESEM) and multidimensional Item Response Theory (IRT) analysis of 17 items in 4 domains measuring well-being was performed on a calibration sample (n = 435) to develop the instrument. The instrument was subsequently corroborated by confirmatory factor analysis and convergent/divergent relations with relevant external measures in a validation sample (n = 436). Results: The ESEM three-factor solution, with the subdimensions of sense of mastery, meaning in life, and life satisfaction, displayed good fit to the data (RMSEA = 0.070). For each dimension, the three best discriminating items were retained for the instrument following IRT analysis. Internal consistency of these dimensions was good in the validation sample (sense of mastery alpha = 0.864, meaning in life alpha = 0.715, and life satisfaction alpha = 0.782). The confirmatory factor analysis (CFA) three-factor model also showed good fit to the data (RMSEA = 0.064). Small to large zero-order correlations with the external measures were as expected. Conclusions: Using a bottom-up approach, this study developed a short instrument to identify levels of well-being in vulnerable or frail older adults. The instrument can be applied in primary care and prevention programs.",

keywords = "item response theory, well-being, health outcomes, short form, RANDOMIZED CONTROLLED-TRIAL, LIFE, PEOPLE, QUESTIONNAIRE, INTEGRATION",

author = "D. Duppen and Gina Rossi and Eva Dierckx and Lieve Hoeyberghs and {De Donder}, Liesbeth and A-S. Smetcoren and S. Dury and {De Witte}, N. and D. Lambotte and B. Fret and M. Kardol and D. Verte and {De Roeck}, E. and S. Engelborghs and Dedeyn, {P. P.} and {Van der Elst}, {M. C. J.} and {De Lepeleire}, J. and B. Schoenmakers and {van der Vorst}, A. and Zijlstra, {G. A. R.} and Kempen, {G. I. J. M.} and Schols, {J. M. G. A.} and {D-SCOPE Consortium}",

note = "Publisher Copyright: {\textcopyright} International Psychogeriatric Association 2019.",

year = "2019",

month = jun,

doi = "10.1017/S1041610219000401",

language = "English",

volume = "31",

pages = "767--777",

journal = "International Psychogeriatrics",

issn = "1041-6102",

publisher = "Cambridge University Press",

number = "6",

}

Duppen, D, Rossi, G, Dierckx, E, Hoeyberghs, L, De Donder, L, Smetcoren, A-S, Dury, S, De Witte, N, Lambotte, D, Fret, B, Kardol, M, Verte, D, De Roeck, E, Engelborghs, S, Dedeyn, PP, Van der Elst, MCJ, De Lepeleire, J, Schoenmakers, B, van der Vorst, A, Zijlstra, GAR, Kempen, GIJM, Schols, JMGA & D-SCOPE Consortium 2019, 'Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO)', International Psychogeriatrics, vol. 31, no. 6, pp. 767-777. https://doi.org/10.1017/S1041610219000401

TY - JOUR

T1 - Focusing on positive outcomes in frailty research

T2 - development of a short well-being instrument for older adults (SWIO)

AU - Duppen, D.

AU - Rossi, Gina

AU - Dierckx, Eva

AU - Hoeyberghs, Lieve

AU - De Donder, Liesbeth

AU - Smetcoren, A-S.

AU - Dury, S.

AU - De Witte, N.

AU - Lambotte, D.

AU - Fret, B.

AU - Kardol, M.

AU - Verte, D.

AU - De Roeck, E.

AU - Engelborghs, S.

AU - Dedeyn, P. P.

AU - Van der Elst, M. C. J.

AU - De Lepeleire, J.

AU - Schoenmakers, B.

AU - van der Vorst, A.

AU - Zijlstra, G. A. R.

AU - Kempen, G. I. J. M.

AU - Schols, J. M. G. A.

AU - D-SCOPE Consortium

PY - 2019/6

Y1 - 2019/6

N2 - Objective: Studies of frailty have tended to focus on adverse outcomes. This study aims to develop a short instrument that identifies a positive outcome, namely, the level of well-being in older adults at risk of frailty. Method: 871 older adults (49.4% women; mean age 75.72 years; SD = 8.05) with a frailty risk profile participated in the first wave of the D-SCOPE study. The possible domains of well-being were identified using a bottom-up approach. Exploratory Structural Equation Modeling (ESEM) and multidimensional Item Response Theory (IRT) analysis of 17 items in 4 domains measuring well-being was performed on a calibration sample (n = 435) to develop the instrument. The instrument was subsequently corroborated by confirmatory factor analysis and convergent/divergent relations with relevant external measures in a validation sample (n = 436). Results: The ESEM three-factor solution, with the subdimensions of sense of mastery, meaning in life, and life satisfaction, displayed good fit to the data (RMSEA = 0.070). For each dimension, the three best discriminating items were retained for the instrument following IRT analysis. Internal consistency of these dimensions was good in the validation sample (sense of mastery alpha = 0.864, meaning in life alpha = 0.715, and life satisfaction alpha = 0.782). The confirmatory factor analysis (CFA) three-factor model also showed good fit to the data (RMSEA = 0.064). Small to large zero-order correlations with the external measures were as expected. Conclusions: Using a bottom-up approach, this study developed a short instrument to identify levels of well-being in vulnerable or frail older adults. The instrument can be applied in primary care and prevention programs.

AB - Objective: Studies of frailty have tended to focus on adverse outcomes. This study aims to develop a short instrument that identifies a positive outcome, namely, the level of well-being in older adults at risk of frailty. Method: 871 older adults (49.4% women; mean age 75.72 years; SD = 8.05) with a frailty risk profile participated in the first wave of the D-SCOPE study. The possible domains of well-being were identified using a bottom-up approach. Exploratory Structural Equation Modeling (ESEM) and multidimensional Item Response Theory (IRT) analysis of 17 items in 4 domains measuring well-being was performed on a calibration sample (n = 435) to develop the instrument. The instrument was subsequently corroborated by confirmatory factor analysis and convergent/divergent relations with relevant external measures in a validation sample (n = 436). Results: The ESEM three-factor solution, with the subdimensions of sense of mastery, meaning in life, and life satisfaction, displayed good fit to the data (RMSEA = 0.070). For each dimension, the three best discriminating items were retained for the instrument following IRT analysis. Internal consistency of these dimensions was good in the validation sample (sense of mastery alpha = 0.864, meaning in life alpha = 0.715, and life satisfaction alpha = 0.782). The confirmatory factor analysis (CFA) three-factor model also showed good fit to the data (RMSEA = 0.064). Small to large zero-order correlations with the external measures were as expected. Conclusions: Using a bottom-up approach, this study developed a short instrument to identify levels of well-being in vulnerable or frail older adults. The instrument can be applied in primary care and prevention programs.

KW - item response theory

KW - well-being

KW - health outcomes

KW - short form

KW - RANDOMIZED CONTROLLED-TRIAL

KW - LIFE

KW - PEOPLE

KW - QUESTIONNAIRE

KW - INTEGRATION

U2 - 10.1017/S1041610219000401

DO - 10.1017/S1041610219000401

M3 - Article

C2 - 31060639

SN - 1041-6102

VL - 31

SP - 767

EP - 777

JO - International Psychogeriatrics

JF - International Psychogeriatrics

IS - 6

ER -

Focusing on positive outcomes in frailty research: development of a short well-being instrument for older adults (SWIO)

Abstract

Keywords

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