Skip to main content

Table 1 Constructs, facets, and measurement tools in OMAHA

From: Operationalizing multimorbidity and autonomy for health services research in aging populations - the OMAHA study

Theoretical Construct and Facets

Measure

Berlin cohort

German cohort

Multimorbidity

Long-standing or chronic disease

Minimum European Health Module (MEHM)[31, 32]

PI

TI

Diseases and health problems

Closed-ended questions on medical conditions and health problems (cf. Figure 2) a

PI

TI

Operations

Open-ended questions for surgery since age 40, followed by closed-ended questions a

PI

TI

Regular medication

Closed-ended question a

PI

TI

Depression

Patient Health Questionnaire (PHQ2/9)[33, 34]

PI

TI

Medication

Barcode scanning and assessment of currently used medication[20]

PI

-

Falls

Closed-ended questions according to[35]

PI

TI

Fractures

List a

PI

-

Medical care

According to German National Health Interview and Examination Survey[30]

SQ

TI

Blood pressure

Blood pressure meter b

PI

-

Weight

Electronic scales c

PI

-

Height

Portable stadiometer d

PI

-

Circumference of waist, calf, arm

Flexible measuring tape e

PI

-

Quality of Life

Self-rated overall health

Minimum European Health Module (MEHM; also question 2 in SF-36)[31, 32]

PI

TI

Global life-satisfaction

Single question a

PI

TI

Global life-satisfaction

Satisfaction With Life Scale (SWLS)[36]

PI

-

Global life-satisfaction

Fragebogen zur Lebensqualität multimorbider älterer Menschen (FLQM)[37]

PI

-

Subjective well-being

International Positive and Negative Affect Schedule (IPANAS)[38, 39]

PI

-

Comparative self-rated overall health

Closed-ended questions a

SQ

-

Health-related quality of life

EQ-5D[40, 41]

SQ

TI

Subjective well-being

Vitality sub-scale of SF-36[42, 43]

SQ

TI

Pain

Questions 7 and 8 of SF-36; adapted time-frame[42, 43]

SQ

TI

Autonomy

Limitations due to health problem

Minimum European Health Module (MEHM)[31, 32]

PI

TI

Need for assistance

Closed-ended questions modified from[44]

PI

TI

Functional health I: ADL

According to Katz[45, 46]

PI

TI

Functional health I: IADL

According to Lawton & Brody[47, 48]

PI

TI

Functional health II: Functional limitations

Closed-ended questions adapted from[32]

SQ

TI

Autonomy

Wahrgenommene Autonomie im Alter (WAA)[49]

SQ

-

Resources (incl. Socio-Demography) and Performance Tests

Year of birth

According to German National Health Interview and Examination Survey[30]

PI

TI

Gender

According to German National Health Interview and Examination Survey[30]

PI

TI

Marital status

According to German National Health Interview and Examination Survey[30]

PI

TI

Education and employment

According to German National Health Interview and Examination Survey[30]

PI

TI

Net household income

According to German National Health Interview and Examination Survey[30]

PI

TI

Household size

Closed-ended questions [24]

PI

TI

Number of and contact with children

Closed-ended questions[44]

PI

TI

Religion

Closed-ended question [50]

PI

TI

Migration

According to Schenk et al.[51]

PI

TI

Health insurance

According to German National Health Interview and Examination Survey[30]

SQ

-

Nursing care level

Closed-ended question a

PI

TI

Housing and environment

Mannheimer Inventar der Lebensverhältnisse im Alter (MILVA), subscale, housing'[52]

SQ

TI

Social contacts

Mannheimer Inventar der Lebensverhältnisse im Alter (MILVA), subscale, contacts'[52]

SQ

TI

Social support

Berliner Social Support Scales (BSSS)[53]

SQ

-

Nutrition

Mini Nutritional Assessment (MNA)[54]

PI

TI

Changes in height and weight

Open-ended questions a

PI

TI

Healthcare products

List a

PI

TI

Alcohol consumption

Alcohol Use Disorders Identification Test - alcohol consumption questions (AUDIT-C)[55, 56]

SQ

TI

Smoking

According to German National Health Interview and Examination Survey[30]

SQ

TI

Medication addiction

Severity of Dependence Scale (SDS)[57, 58]

SQ

-

Physical activity

Closed-ended questions a

SQ

TI

Activities

List a

SQ

-

Critical life-events

List following[59]

SQ

-

Coping

Proactive Coping Inventory PCI[15]

SQ

-

Cognitive function: Episodic memory

Memory Impairment Screen (MIS)[26, 60, 61]

PI

TI

Cognitive function: Verbal fluency

Verbal fluency subtest of the CERAD test battery[62, 63]

PI

TI

Cognitive function: psychomotor speed

Digit symbol substitution test of WAIS (adapted German version from BASE)[64, 65]

PI

-

Cognitive function: Temporal orientation

Subscale orientation of the ADAScog[26, 66]

PI

TI

Grip Strength

Smedley dynamometer[67, 68]

PI

-

Functional Mobility

Timed Up and Go-Test[27]

PI

-

Lower extremity function

Chair-Rise-Test[28]

PI

-

Balance

According to Guralnik[29]

PI

-

  1. PI = personal interview/assessment; SQ = self-complete questionnaire; TI = telephone interview
  2. a Self-developed questionnaire.
  3. b Datascope Accutor Plus, the Netherlands.
  4. c SECA, Germany, accuracy of measurement 0.1 kg.
  5. d Holtain Ltd., UK, accuracy of measurement 0.1 cm.
  6. e Hoechstmass, Sulzbach, Germany, accuracy of measurement 0.1 cm.