The world health organization quality of life assessment (WHOQOL) - position paper from the world health organization

Background. The paper reports on the development of the WHOQOL-BREF, an abbreviated version of the WHOQOL-100 quality of life assessment. Method. The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Results. Domain scores produced by the WHOQOL-BREF correlate highly (0.89 or above) with WHOQOL-100 domain scores (calculated on a four domain structure). WHOQOL-BREF domain scores demonstrated good discriminant validity, content validity, internal consistency and test-retest reliability. Conclusion. These data suggest that the WHOQOL-BREF provides a valid and reliable alternative to the assessment of domain profiles using the WHOQOL-100. It is envisaged that the WHOQOL-BREF will be most useful in studies that require a brief assessment of quality of life, for example, in large epidemiological studies and clinical trials where quality of life is of interest. In addition, the WHOQOL-BREF may be of use to health professionals in the assessment and evaluation of treatment efficacy. [References: 9]

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Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment

Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group.

Quality of life (QOL) assessments that are easily administered and which do not impose a great burden on the respondent are needed for use in large epidemiological surveys, clinical settings and clinical trials. Using data from the WHOQOL-BREF field trials, the objectives of this work are to examine the performance of the WHOQOL-BREF as an integrated instrument, and to test its main psychometric properties. The WHOQOL-BREF is a 26-item version of the WHOQOL-100 assessment. Its psychometric properties were analysed using cross-sectional data obtained from a survey of adults carried out in 23 countries (n = 11,830). Sick and well respondents were sampled from the general population, as well as from hospital, rehabilitation and primary care settings, serving patients with physical and mental disorders and with respect to quotas of important socio-demographic variables. The WHOQOL-BREF self-assessment was completed, together with socio-demographic and health status questions. Analyses of internal consistency, item-total correlations, discriminant validity and construct validity through confirmatory factor analysis, indicate that the WHOQOL-BREF has good to excellent psychometric properties of reliability and performs well in preliminary tests of validity. These results indicate that overall, the WHOQOL-BREF is a sound, cross-culturally valid assessment of QOL, as reflected by its four domains: physical, psychological, social and environment.

http://www.pain-initiative-un.org/doc-center/en/docs/The%20World%20Health%20Organization's%20WHOQOL-BREF%20quality%20of%20life%20.pdf

The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group.

http://www.hrainc.net/publications/pdfs/2005%20Wild%20VIH%20-%20PRO-SIG.pdf

Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation.

The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties.

The Development of Cross-Cultural Quality of Life Assessment Instruments.- Translation of Health Status Instruments.- Cross-Cultural Validation of Quality of Life Measures.- Ensuring International Equivalence of Quality of Life Measures: Problems and Approaches to Solutions.- The Development of the WHO Quality of Life Assessment Instrument (The WHOQOL).- Perspectives on Quality of Life.- The Relationship Between Health Economics and Health-Related Quality of Life.- The PCASEE Model: An Approach to Subjective Well-Being.- Quality of Life Assessment in Cancer.- Quality of Life Assessment in SWOG Cancer Clinical Trials: Translating and Validating a Spanish Questionnaire.- Quality of Life Assessment in Cancer Patients in India: Cross-Cultural Issues.- Measuring the Quality of Life in Breast Cancer.- Quality of Life Assessment in Specific Populations.- The Experiences and Quality of Life of Informal Caregivers.- Quality of Life Assessment in Arthritis.- The Assessment of Quality of Life in Refugees.- Quality of Life in Hypertensives and Normotensives in Israel: Introducing a Self-Structured Subjective Measure.- Subjective Quality of Life Assessment in Therapeutic Trials: Presentation of a New Instrument in France (SQLP: Subjective Quality for Life Profile) and First Results.

Quality of life assessment : international perspectives

(1994). Quality of Life Assessment across Cultures. International Journal of Mental Health: Vol. 23, Quality of Life Assessment Cross-cultural Issues—1, pp. 5-27.

Quality of Life Assessment across Cultures

To the Editor. —We have read with interest the essay "The Experience of Gay and Lesbian Students in Medical School" by Tinmouth and Hamwi1in your journal. We would like to comment on a phrase in the second paragraph, where the author states that theInternational Classification of Diseases2of the World Health Organization "still maintains homosexuality as a medical diagnosis." The International Statistical Classification of Diseases and Related Health Problems (ICD-10)2is a statistical tool that can be used by member states for reporting about people who contact health care facilities. In the ninth revision of theICD(1977), homosexuality was classified under code 302.0, with an instruction to "code homosexuality here whether or not it is considered as a mental disorder." Although theICDnever stated that homosexuality should be regarded as a disease, this formulation carried a risk of misinterpretation. The 10th revision of

https://jamanetwork.com/journals/jama/articlepdf/383560/jama_272_21_029.pdf

John Orley

Papers

The world health organization quality of life assessment (WHOQOL) - position paper from the world health organization

The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties.

Quality of life assessment : international perspectives

Quality of Life Assessment across Cultures

Homosexuality in the International Classification of Diseases: a clarification.