ReviewArchives of public health = Archives belges de sante publique2018
Measuring disability: a systematic review of the validity and reliability of the Global Activity Limitations Indicator (GALI).
Review in Archives of public health = Archives belges de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
56 citing papers in PubMed.
- Severity of activity limitation and prevalence of long COVID: a nationally representative cross-sectional study of adults in Scotland.Tropical medicine and health · 2026Article
- [Physical functioning and frailty in very old age in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Article
- Is educational expansion beneficial for health? A counterfactual mediation analysis of its impact on trends of daily activity limitations among different age groups in Germany.Archives of public health = Archives belges de sante publique · 2026Article
- Educational inequalities in disability among older adults: a trend analysis in 15 European countries (2002 to 2023).Scientific reports · 2026Article
- Functional limitations and loneliness in middle-aged and older adults: differentiating emotional loneliness and social loneliness.BMC public health · 2026Article
- Inequality in prevalence of unmedicated hypertension or diabetes among older Filipinos: analysis of nationally representative survey data.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Mental health in adults aged 50+ since the COVID-19 pandemic: Are we (all) back to 'normal'? evidence from England.Journal of affective disorders reports · 2026Article
- Identifying vulnerable groups in academic burnout among higher education students: lifestyle and sociodemographic characteristic.BMC public health · 2026Article
- Ethical reflections on the use of the category "children with disabilities" in quantitative research.Frontiers in rehabilitation sciences · 2026Article
- The role of living arrangements in disability assistance and survival in Mexican older adults.Innovation in aging · 2026Article
- Unmet need for healthcare services among unemployed people - findings from a national survey in Finland.BMC health services research · 2025Article
- Functional limitations in 2004-22 among Europeans aged 55-69 years: time trends according to labor market group and impacts of the COVID-19 pandemic.European journal of public health · 2025Article
- The relationship between food security, fruit and vegetable consumption, and health-related factors in the late COVID-19 pandemic in Czechia: a cross-sectional study.BMC public health · 2025Article
- Quality of life of informal caregivers 50 years old and older in Spain by household living status: a descriptive study.Scientific reports · 2025Observational
- Informal and formal long-term care utilization and unmet needs in Europe: examining socioeconomic disparities and the role of social policies for older adults.International journal of health economics and management · 2025Article
- From curing to caring: exploring social care needs after the onset of chronic conditions among European older adults (50+).Innovation in aging · 2025Article
- Satisfaction with continuity of care from the perspective of older adults who are primary care users and its association with depressive symptoms in Santiago, Chile.Frontiers in medicine · 2025Article
- The importance of including a mental health dimension in a multimorbidity indicator: an analysis of Belgian health survey data.BMC public health · 2024Article
- Trends and social inequalities in self-reported health and activity limitations in France between 2017 and 2021: results from four nationwide representative surveys.BMC public health · 2024Article
- Disproportionately High Rates of Burnout Among Disabled Caregivers During the COVID-19 Pandemic.Research square · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGALI or Global Activity Limitation Indicator is a global survey instrument measuring participation restriction. GALI is the measure underlying the European indicator Healthy Life Years (HLY). Gali has a substantial policy use within the EU and its Member States. The objective of current paper is to bring together what is known from published manuscripts on the validity and the reliability of GALI.
methodsFollowing the PRISMA guidelines, two search strategies (PUBMED, Google Scholar) were combined to identify manuscripts published in English with publication date 2000 or beyond. Articles were classified as reliability studies, concurrent or predictive validity studies, in national or international populations.
resultsFour cross-sectional studies (of which 2 international) studied how GALI relates to other health measures (concurrent validity). A dose-response effect by GALI severity level on the association with the other health status measures was observed in the national studies. The 2 international studies (SHARE, EHIS) concluded that the odds of reporting participation restriction was higher in subjects with self-reported or observed functional limitations. In SHARE, the size of the Odds Ratio's (ORs) in the different countries was homogeneous, while in EHIS the size of the ORs varied more strongly. For the predictive validity, subjects were followed over time (4 studies of which one international). GALI proved, both in national and international data, to be a consistent predictor of future health outcomes both in terms of mortality and health care expenditure. As predictors of mortality, the two distinct health concepts, self-rated health and GALI, acted independently and complementary of each other. The one reliability study identified reported a sufficient reliability of GALI.
conclusionGALI as inclusive one question instrument fits all conceptual characteristics specified for a global measure on participation restriction. In none of the studies, included in the review, there was evidence of a failing validity. The review shows that GALI has a good and sufficient concurrent and predictive validity, and reliability.
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