Control, Autonomy, Self-Realization, and Pleasure in Early Old Age (CASP-19)

Control, Autonomy, Self-Realization, and Pleasure in Early Old Age (CASP-19) is a 19-items measure of the quality of life among older people. The measure covers four domains: control, autonomy, self-realization, and pleasure.


Geographies Tested: United Kingdom

Populations Included: Female, Male

Age Range: Adults


1. My age prevents me from doing the things I would like to.*
2. I feel that what happens to me is out of my control.*
3. I feel free to plan for the future.
4. I feel left out of things.*
5. I can do the things I want to do.

6. Family responsibilities prevent me from doing what I want to do.*
7. I feel that I can please myself what I can do.
8. My health stops me from doing the things I want to do.*
9. Shortage of money stops me from doing the things that I want to do.*
10. I look forward to each day.
11. I feel that my life has meaning.

12. I enjoy the things that I do.
13. I enjoy being in the company of others.
14. On, balance, I look back on my life with a sense of happiness.
15. I feel full of energy these days.

16. I choose to do things that I have never done before.
17. I feel satisfied with the way my life has turned out.
18. I feel that life is full of opportunities.
19. I feel that the future looks good to me.

*Items are reverse scored

Response Options:
Never - 0
Sometimes - 1
Not Often - 2
Often - 3

Scoring Procedures

The items are summed to create a scale score.

Original Citation

Hyde, M., Wiggins, R. D., Higgs, P., & Blane, D. B. (2003). A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19). Aging & Mental Health, 7(3), 186-194.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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