HRQoL-o-meter: Gauging Patient Wellness with Health-related Quality of Life Measures

Home / Blogs / Generic measures of HRQoL
Profile-based measures:Used for general comparisons between respondentsMedical Outcome Study Short Form 36 (SF-36)Patient-reported Outcomes Measurement Information System-29 (PROMIS-29)Nottingham Health Profile (NHP)Sickness Impact Profile (SIP)Psychological General Well-being Index (PGWB)
8 domains, 36 items7 domains, 29 items6 domains, 38 items12 domains, 136 items6 domains, 22 items
Domains assessedPhysical functioning, role limitations due to physical and emotional problems, bodily pain, social functioning and mental health, general health, vitalityPhysical function, fatigue, pain interference, sleep disturbance, depressive symptoms, anxiety, ability to participate in social roles and activitiesPhysical mobility pain, social isolation, emotional reactions, energy, sleepAmbulation, mobility, body care and movement, communication, alertness behavior, emotional behavior, social interaction, sleep and rest, eating, work, home management, recreation and pastimesAnxiety, depressed mood, positive well-being, self-control, general health, vitality
Common applicationsSurveys of general and specific populations, comparisons of relative burden of diseases, health benefits of different treatmentsGeneral health indicators in different types of chronic conditionsClinical practice and population studies comprising individuals with disabilitiesComparing groups with different levels of health and daily functioningClinical trials mostly comprising population-based and mental health samples
Measurement methodsRating scaleRating scaleDichotomous (Yes/No)Dichotomous (Yes/No)Rating scale
Score rangeT-score: 0 to 100T-score: 20 to 80*T-score: worse health0 to 100T-score: 22 to 132
Score interpretation↑ T score: better health 😊 (SF-12 is a shorter version with 12 items)Negatively worded concepts: ↑ score = worse health πŸ˜“ Positively worded concepts: ↑ score = better health πŸ˜Šβ†‘ score: worse health πŸ˜“β†‘ score: worse health πŸ˜“β†‘ score: better health 😊

Widely used generic measures of HRQoL

Preference-based measures:Used for economic analysis such as CUA and CEAEuropean Quality of Life Survey (EQ-5D)Quality of Well-being Scale-Self Administered (QWB-SA)The Health and Activities Limitation Index (HALE)Health Utilities Index (HUI)Short Form 6 Dimensions (SF-6D)
5 domains, 6 items4 domains, 76 items2 domains, 11 itemsMark II:7 items, Mark III:8 items6 domains, 11 items
Domains assessedMobility, self-care, usual activities, pain/discomfort, anxiety/depressionMobility, physical activity, social activity, symptom/problem complexHealth perception, activity limitationMark II: Sensation, mobility, emotion, cognitive, self-care, pain, fertility
Mark III: Vision, hearing, speech, ambulation, dexterity, emotion, cognition, pain
Physical functioning, role limitations, social functioning, pain, mental health, vitality
Common applicationsStandardized national survey instrumentIncludes a comprehensive list of symptoms that can be used for evaluating a wide range of conditionsStandardized national survey instrumentStandardized national survey instrumentConvert profile-based measures for CUA
Measurement methodsTime trade-off values and VASRating scaleRating scaleVAS and standard gambleVAS and standard gamble
Score range0 to 10 to 10 to 10 to 10 to 1
Score interpretation1.0 = best health πŸ˜ƒ1.0 = best health πŸ˜ƒ1.0 = best health πŸ˜ƒ1.0 = best health πŸ˜ƒ1.0 = best health πŸ˜ƒ