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Operational Definition of Active and Healthy Aging (AHA): The European Innovation Partnership (EIP) on AHA Reference Site Questionnaire: Montpellier October 20–21, 2014, Lisbon July 2, 2015

2015; Elsevier BV; Volume: 16; Issue: 12 Linguagem: Inglês

10.1016/j.jamda.2015.09.004

1538-9375

Jean Bousquet, João O. Malva, Michel Noguès, Leocadio Rodríguez‐Mañas, Bruno Vellas, J. Farrell, M. Bewick, M. L. Kowalski, Timo Strandberg, Jordi Alonso, Karen Andersen‐Ranberg, Joël Ankri, Mario Barbagallo, Yoav Ben‐Shlomo, Claudine Berr, George Crooks, Esteban De Manuel Keenoy, Marcel Goldberg, Nick Guldemond, Maddalena Illario, Marie-Ève Joël, Emmanuelle Kesse‐Guyot, Jean‐Pierre Michel, Richard Pengelly, Karen Ritchie, Jean‐Marie Robine, Valéria Ferreira Romano, Bolesław Samoliński, Holger Schulz, Carel Thijs, Jacques Touchon, Asghar Zaidi, João Apóstolo, Federico Alonso-Trujillo, Valentina A. Andreeva, S. Arnavielhe, Hassan Arshad, A. Avignon, Mirca Barbolini, Anna Bedbrook, Paola Bertone, Hubert Blain, Alessandro Blasimme, С. Бонини, Rodolphe Bourret, Philippe‐Jean Bousquet, Carol Brayne, J. Bringer, Govert Joan Buijs, Laura Calzà, T. Camuzat, Antonio Cano, Ana Carriazo, Alfredo Cesario, Niels H. Chavannes, Bernard Combe, Julia Coletta, Jaime Correia de Sousa, Theodore D. Cosco, Marc Criton, Frédéric Cuisinier, Pascal Demoly, Susana Fernandez-Nocelo, Bertrand Fougère, Judith García‐Aymerich, Z. Gutter, Daniel Harman, Anne Hendry, D. Hève, Guido Iaccarino, Claude Jeandel, Thomas Keil, Olivier Krys, David Kula, Daniel Laune, Dieter Maier, P. Matignon, Erik Melén, Grégoire Mercier, Giuliana Moda, Isabelle Momas, Alessandro Pinto, Adrianna Nizińska, Catarina Oliveira, Martina O'Neill, J.Y. Pelissier, José António Pereira da Silva, Dagmar Poethig, D. Porta, Dirkje Postma, François Puisieux, Sandra Rebello, Carlos Robalo Cordeiro, François Roubille, Ana Raquel Santiago, Ann Scott, Pierre Sénesse, Sandra N. Slagter, Henriëtte A. Smit, David Somekh, Jorge Suanzes, Christina Tischer, Ana Todo‐Bom, Vicente Traver-Salcedo, M. Van Beurden, Raphaëlle Varraso, J. Venne, Itziar Vergara, Elena Villalba‐Mora, P. Viriot-Durandal, Nicola Wilson, Eveline Wouters, Marie Zins, Jacques Mercier,

Health disparities and outcomes

A core operational definition of active and healthy aging (AHA) is needed to conduct comparisons. A conceptual AHA framework proposed by the European Innovation Partnership on Active and Healthy Ageing Reference Site Network includes several items such as functioning (individual capability and underlying body systems), well-being, activities and participation, and diseases (including noncommunicable diseases, frailty, mental and oral health disorders). The instruments proposed to assess the conceptual framework of AHA have common applicability and availability attributes. The approach includes core and optional domains/instruments depending on the needs and the questions. A major common domain is function, as measured by the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). WHODAS 2.0 can be used across all diseases and healthy individuals. It covers many of the AHA dimensions proposed by the Reference Site network. However, WHODAS 2.0 does not include all dimensions proposed for AHA assessment. The second common domain is health-related quality of life (HRQoL). A report of the AHA questionnaire in the form of a spider net has been proposed to facilitate usual comparisons across individuals and groups of interest.