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

  • Anju Devianee Keetharuth (a1), John Brazier (a1), Janice Connell (a1), Jakob Bue Bjorner (a2), Jill Carlton (a1), Elizabeth Taylor Buck (a1), Thomas Ricketts (a1), Kirsty McKendrick (a1), John Browne (a3), Tim Croudace (a4) and Michael Barkham (a5)...
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, well-being, autonomy, and physical health. Both versions achieved acceptable internal consistency, test–retest reliability (>0.85), known-group differences, convergence with related measures, and were responsive over time (standardised response mean (SRM) > 0.4). They performed marginally better than the Short Warwick-Edinburgh Mental Well-being Scale and markedly better than the EQ-5D.

Conclusions

Both versions are appropriate for measuring service-user recovery-focused quality of life outcomes.

Declaration of interest

M.B. and J.Co. were members of the research group that developed the Clinical Outcomes in Routine Evaluation (CORE) outcome measures.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence: Anju Keetharuth, School of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S14DA, UK. Email: d.keetharuth@sheffield.ac.uk
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Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties

  • Anju Devianee Keetharuth (a1), John Brazier (a1), Janice Connell (a1), Jakob Bue Bjorner (a2), Jill Carlton (a1), Elizabeth Taylor Buck (a1), Thomas Ricketts (a1), Kirsty McKendrick (a1), John Browne (a3), Tim Croudace (a4) and Michael Barkham (a5)...
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