Adaptation of the Good Spirit, Good Life quality of life tool for remote Indigenous Australians
Gilchrist, Lianne, Flicker, Leon, Bessarab, Dawn, Malay, Roslyn, Yambo, Laurie, Sagigi, Betty, Wapau, Chenoa, Russell, Sarah, Quigley, Rachel, Rivers, Caleb, Hyde, Zoë, Chaney, Esther, Strivens, Edward, White, Christianne, and Smith, Kate (2025) Adaptation of the Good Spirit, Good Life quality of life tool for remote Indigenous Australians. Quality of Life Research, 34 (11). pp. 3245-3255.
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Abstract
Purpose: The Good Spirit, Good Life (GSGL) assessment tool was co-developed in urban and regional Australia to address quality of life (QoL) for older Aboriginal and Torres Strait Islander peoples and inform culturally responsive care. This study aimed to determine the acceptability and validity of the GSGL tool in Australian remote settings. Methods: A co-design methodology was applied to this study. Yarning groups were conducted in 5 communities across 2 remote regions of Australia with older Aboriginal and Torres Strait Islander people. Required adaptations to the tool were refined with governance groups in each region. Forward and back translation was performed for the adapted tool with consensus achieved through an expert committee. Results: Adaptations to the GSGL tool involved small wording changes to two items (Country/Island Home and Elder role). Five items were adapted through additional prompts and examples (culture, respect, supports and services, safety and security, basic needs). The remaining five items were retained (family and friends, community, health, spirituality, future planning). During forward and back translation, translation errors were identified with an expert language committee highlighting the importance of clear translation methods. Conclusion: The adapted GSGL tool is an acceptable QoL tool for use in health and aged care with urban, regional and remote-living Aboriginal and Torres Strait Islander Australians. When translating a tool, forward-back translation with an expert language committee is recommended to reach concordance in meaning. The adapted GSGL tool is suitable for use with an interpreter when required.
| Item ID: | 89938 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 1573-2649 |
| Keywords: | Adaptation, Ageing, Assessment, Indigenous, Translation, Wellbeing |
| Copyright Information: | © The Author(s) 2025, corrected publication 2025. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Funders: | National Health and Medical Research Council of Australia (NHMRC). |
| Projects and Grants: | NHMRC APP1198890, NHMRC APP1170422 |
| Date Deposited: | 30 Jul 2026 00:32 |
| FoR Codes: | 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450417 Aboriginal and Torres Strait Islander public health and wellbeing @ 100% |
| SEO Codes: | 21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210302 Aboriginal and Torres Strait Islander health status and outcomes @ 100% |
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