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

Research output: Contribution to journalArticle

13 Citations (Scopus)
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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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Mental Health
Quality of Life
Outcome Assessment (Health Care)
Reproducibility of Results
Hope
Health Services Needs and Demand
Mental Health Services
Self Concept
Self Report
Health

Cite this

Keetharuth, Anju Devianee ; Brazier, John E. ; Connell, Janice ; Bjorner, Jakob Bue ; Carlton, Jill ; Buck, Elizabeth Taylor ; Ricketts, Thomas ; McKendrick, Kirsty ; Browne, John ; Croudace, Timothy ; Barkham, Michael. / Recovering Quality of Life (ReQoL) : a new generic self-reported outcome measure for use with people experiencing mental health difficulties. In: British Journal of Psychiatry. 2018 ; Vol. 212, No. 1. pp. 42-49.
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title = "Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties",
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.",
author = "Keetharuth, {Anju Devianee} and Brazier, {John E.} and Janice Connell and Bjorner, {Jakob Bue} and Jill Carlton and Buck, {Elizabeth Taylor} and Thomas Ricketts and Kirsty McKendrick and John Browne and Timothy Croudace and Michael Barkham",
note = "This is an independent research commissioned and funded by the Policy Research Programme in the Department of Health. The study was undertaken by the Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU) funded by the Department of Health Policy Research Programme. This independent research is also part-funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (NIHR CLAHRC YH).",
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Keetharuth, AD, Brazier, JE, Connell, J, Bjorner, JB, Carlton, J, Buck, ET, 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, vol. 212, no. 1, pp. 42-49. https://doi.org/10.1192/bjp.2017.10

Recovering Quality of Life (ReQoL) : a new generic self-reported outcome measure for use with people experiencing mental health difficulties. / Keetharuth, Anju Devianee (Lead / Corresponding author); Brazier, John E.; Connell, Janice; Bjorner, Jakob Bue; Carlton, Jill; Buck, Elizabeth Taylor; Ricketts, Thomas; McKendrick, Kirsty; Browne, John; Croudace, Timothy; Barkham, Michael.

In: British Journal of Psychiatry, Vol. 212, No. 1, 04.01.2018, p. 42-49.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Recovering Quality of Life (ReQoL)

T2 - a new generic self-reported outcome measure for use with people experiencing mental health difficulties

AU - Keetharuth, Anju Devianee

AU - Brazier, John E.

AU - Connell, Janice

AU - Bjorner, Jakob Bue

AU - Carlton, Jill

AU - Buck, Elizabeth Taylor

AU - Ricketts, Thomas

AU - McKendrick, Kirsty

AU - Browne, John

AU - Croudace, Timothy

AU - Barkham, Michael

N1 - This is an independent research commissioned and funded by the Policy Research Programme in the Department of Health. The study was undertaken by the Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU) funded by the Department of Health Policy Research Programme. This independent research is also part-funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (NIHR CLAHRC YH).

PY - 2018/1/4

Y1 - 2018/1/4

N2 - 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.

AB - 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.

U2 - 10.1192/bjp.2017.10

DO - 10.1192/bjp.2017.10

M3 - Article

VL - 212

SP - 42

EP - 49

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 1

ER -