There are several conceptualizations regarding the quality of life and what it means for individuals. This thesis takes a specific approach to examine the quality of life by examining the work of Maslow (1961), and Doyal, and Gough (1991), basic human needs. Doyal’s and Gough’s (1991) work operationalized through CASP-19 (Control, Autonomy, Self-realization, and Pleasure), a well-established and theoretically derived instrument to assess the quality of life in older adults in Karachi, Pakistan.
The cross-cultural survey was conducted to assess the quality of life of 50+ older adults in Karachi, Pakistan. Nearly 100 participants from each low, middle, and high-income areas were selected using cluster sampling. The rigorous method was used for cross-cultural adaptation of CASP 19 in Pakistani population, which included (translated from English to Urdu, back translation, pre-test the Urdu version).
The pilot-testing explored the language, cultural and conceptual similarities of the tool to the original version. Both focus groups confirmed that CASP-19 has conceptual relevance to Pakistani culture. However confirmatory analysis results show that CASP13 had a good model fit to use in Karachi, Pakistan. The regression analysis was used to model the association between the various predictors of quality of life, for example, the socio-demographic variables show that age does not show any effect on the quality of life, whereas gender inequality decreases the quality of life. While financial constraints in later life decrease the quality of life in Karachi, Pakistan.
This thesis indicates that after appropriate analysis, CASP13 is a valid and reliable tool to assess the quality of life of 50+ older adults in Karachi. Moreover, study’s finding recommended the importance of developing policies at the state level within the government.