Evidence map›Paper›PMID 39012558›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2024

Measuring what matters to older persons for active living: part II cross-sectional validity evidence for OPAL measure across four countries.

Nancy E Mayo, Mohammad Auais, Ruth Barclay, Joan Branin, Helen Dawes, Ida J Korfage, Kim Sawchuk, Eran Tal, Carole L White, Zain Ayoubi and 5 more

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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The argument-based approach to validity: theory, assumptions, evidence, and consequences.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Nancy E MayoDepartment of Medicine School of Physical and Occupational Therapy, McGill University, Montreal, Canada. nancy.mayo@mcgill.ca.ORCID http://orcid.org/0000-0003-2066-7120
Mohammad AuaisSchool of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Ruth BarclayDepartment of Physical Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, R106-771 McDermot Ave, Winnipeg, MB, R3E 0T6, Canada.
Joan BraninCenter for Health and Aging, Pasadena, CA, 91106, USA.
Helen DawesDepartment of Public Health & Sports Sciences, Faculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Medical School Building, College of Medicine and Health, St Lukes Campus, Heavitree Road, Exeter, EX12LU, UK.
Ida J KorfageDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Kim SawchukConcordia University, Montreal, QC, Canada.
Eran TalDepartment of Philosophy, McGill University, Leacock Building, Room 933, Montreal, Canada.
Carole L WhiteSchool of Nursing, UT Health San Antonio, San Antonio, USA.
Zain AyoubiCenter for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Center, Montreal, Canada.
Ezinne EkediegwuCenter for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Center, Montreal, Canada.
Kedar MateFaculty of Medicine, McGill University, Montreal, Canada.
Lyne NadeauCenter for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Center, Montreal, Canada.
Sebastian Rodriguez DuqueDepartment of Philosophy, McGill University, Leacock Building, Room 933, Montreal, Canada.
Ayse KuspinarSchool of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada.

Funding

CIHR (PJT-173538 ).
6 · The paper itself

Abstract

introductionThrough interviews with 148 older persons from four countries and in four languages, the content for a 17-item measure of active living was developed. The purpose of this paper is to present further evidence of the extent to which this new measure, Older Persons Active Living (OPAL), is "fit-for-purpose" for measuring the extent of active living at one point in time.

methodsA cross-sectional study was carried out on a population aged 65 + and living independently, drawn from a participant panel, HostedinCanada, sampling people from Canada, United States, United Kingdom, and Netherlands. The survey instrument comprised the OPAL questionnaire rated on importance and frequency, sociodemographics, and information on physical and mental function. The argument-based approach to validity framed the analyses. Logistic regression, structural equation modeling, ordinary least-squares regression, and correlation were used to generate estimates for parameters underpinning validity evidence.

resultsA total of 1612 people completed the survey, 100 to 400 people across the 6 country-language strata. The proportion of people rating the items as extremely or quite important ranged from 60 to 90%, with no important differences between men and women and few differences between strata. A single-factor structure was supported. The ordinality of the response options justified an additive total score yielding a near normal distribution (mean: 33.1; SD: 11.5; range 0-51). Correlations with other measures of converging constructs were of moderate strength (~ 0.50), and differences across groups known to affect functioning and health were observed, suggesting a Miminal Important Difference (MID) of 6 out of 51.

conclusionThe results of this study provide evidence that the 17-item OPAL measure is fit for the purpose of estimating the extent to which older persons are living actively at one point in time.

Indexed as

Activities of Daily LivingAgedAged, 80 and overCanadaCross-Sectional StudiesFemaleGeriatric AssessmentHumansIndependent LivingMaleNetherlandsPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesUnited KingdomActive livingAgingMeasurementMinimal important differenceValidity

Identifiers

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Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.