Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties

Anju Devianee Keetharuth (Lead / Corresponding author), John E. Brazier, Janice Connell, Jakob Bue Bjorner, Jill Carlton, Elizabeth Taylor Buck, Thomas Ricketts, Kirsty McKendrick, John Browne, Timothy Croudace, Michael Barkham

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Abstract

Background: Outcome measures for mental health services need to adopt a service user recovery focus.

Aims: To develop and validate a 10 and 20-item self-report recovery-focused quality of life outcome measure named Recovering Quality of Life (ReQoL).

Method: Qualitative methods for item development and initial testing, and quantitative methods for item reduction and scale construction were used. Data from >6500 service users were factor analysed and item response theory models employed to inform item selection. The measures were tested for reliability, validity and responsiveness.

Results: ReQoL-10 and ReQoL-20 contain positively and negatively worded items covering seven themes: activity, hope, belonging and relationships, self-perception, wellbeing, autonomy, and physical health. Both versions achieved acceptable internal consistency, test-retest reliability (>.85), known group differences, convergence with related measures, and were responsive over time (SRM>.4). They performed marginally better than SWEMWBS and markedly better than EQ-5D.

Conclusions: Both versions are appropriate for measuring service-user recovery-focused quality of life outcomes.
Original languageEnglish
Pages (from-to)42-49
Number of pages8
JournalBritish Journal of Psychiatry
Volume212
Issue number1
Early online date4 Jan 2018
DOIs
Publication statusPublished - 4 Jan 2018

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    Keetharuth, A. D., Brazier, J. E., Connell, J., Bjorner, J. B., Carlton, J., Buck, E. T., Ricketts, T., McKendrick, K., Browne, J., Croudace, T., & Barkham, M. (2018). Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties. British Journal of Psychiatry, 212(1), 42-49. https://doi.org/10.1192/bjp.2017.10