Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments

Abstract Objectives The importance of economic evaluations of mental healthcare interventions is increasingly recognized. Despite the multitude of available quality of life instruments, concerns have been raised regarding the content validity of these instruments, and hence suitability for use in me...

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Autores principales:	F. C. W. van Krugten, K. Feskens, J. J. V. Busschbach, L. Hakkaart-van Roijen, W. B. F. Brouwer
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Quality of life Patient-reported outcome measures Mental health Systematic review Cost-effectiveness QALY Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/faa5d1f18f004483a3a15f9359b40447
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spelling	oai:doaj.org-article:faa5d1f18f004483a3a15f9359b404472021-11-08T10:58:40ZInstruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments10.1186/s12955-021-01883-w1477-7525https://doaj.org/article/faa5d1f18f004483a3a15f9359b404472021-11-01T00:00:00Zhttps://doi.org/10.1186/s12955-021-01883-whttps://doaj.org/toc/1477-7525Abstract Objectives The importance of economic evaluations of mental healthcare interventions is increasingly recognized. Despite the multitude of available quality of life instruments, concerns have been raised regarding the content validity of these instruments, and hence suitability for use in mental health. The aim of this paper, therefore, was to assess the content validity and the suitability of existing quality of life instruments for use in economic evaluations in mental health problems. Methods In order to identify available quality of life instruments used in people with mental health problems, a systematic review was performed using the Embase, Medline and PsycINFO databases (time period January 2012 to January 2018). Two reviewers independently assessed study eligibility and executed data extraction. The evaluation framework of Connell and colleagues was used to assess whether the identified quality of life instruments cover the dimensions valued highly by people with mental health problems. Two reviewers independently mapped the content of each identified instrument onto the evaluation framework and indicated the extent to which the instrument covered each of the dimensions of the evaluation framework. Results Searches of databases yielded a total of 5727 references. Following duplicate removal and double-independent screening, 949 studies were included in the qualitative synthesis. A total of 44 unique quality of life instruments were identified, of which 12 were adapted versions of original instruments. The best coverage of the dimensions of the evaluation framework of Connell and colleagues was by the WHOQOL-100, S-QoL, SQLS, EDQoL, QLI and the IMHQOL, but none fully covered all dimensions of the evaluation framework. Conclusions The results of this study highlight the multitude of available quality of life instruments used in people with mental health problems and indicate that none of the available quality of life instruments fully cover the dimensions previously found to be important in people with mental health problems. Future research should explore the possibilities of refining or expanding existing instruments as well as the development and testing of new quality of life instruments to ensure that all relevant quality of life dimensions for people with mental health problems are covered in evaluations.F. C. W. van KrugtenK. FeskensJ. J. V. BusschbachL. Hakkaart-van RoijenW. B. F. BrouwerBMCarticleQuality of lifePatient-reported outcome measuresMental healthSystematic reviewCost-effectivenessQALYComputer applications to medicine. Medical informaticsR858-859.7ENHealth and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality of life Patient-reported outcome measures Mental health Systematic review Cost-effectiveness QALY Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Quality of life Patient-reported outcome measures Mental health Systematic review Cost-effectiveness QALY Computer applications to medicine. Medical informatics R858-859.7 F. C. W. van Krugten K. Feskens J. J. V. Busschbach L. Hakkaart-van Roijen W. B. F. Brouwer Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
description	Abstract Objectives The importance of economic evaluations of mental healthcare interventions is increasingly recognized. Despite the multitude of available quality of life instruments, concerns have been raised regarding the content validity of these instruments, and hence suitability for use in mental health. The aim of this paper, therefore, was to assess the content validity and the suitability of existing quality of life instruments for use in economic evaluations in mental health problems. Methods In order to identify available quality of life instruments used in people with mental health problems, a systematic review was performed using the Embase, Medline and PsycINFO databases (time period January 2012 to January 2018). Two reviewers independently assessed study eligibility and executed data extraction. The evaluation framework of Connell and colleagues was used to assess whether the identified quality of life instruments cover the dimensions valued highly by people with mental health problems. Two reviewers independently mapped the content of each identified instrument onto the evaluation framework and indicated the extent to which the instrument covered each of the dimensions of the evaluation framework. Results Searches of databases yielded a total of 5727 references. Following duplicate removal and double-independent screening, 949 studies were included in the qualitative synthesis. A total of 44 unique quality of life instruments were identified, of which 12 were adapted versions of original instruments. The best coverage of the dimensions of the evaluation framework of Connell and colleagues was by the WHOQOL-100, S-QoL, SQLS, EDQoL, QLI and the IMHQOL, but none fully covered all dimensions of the evaluation framework. Conclusions The results of this study highlight the multitude of available quality of life instruments used in people with mental health problems and indicate that none of the available quality of life instruments fully cover the dimensions previously found to be important in people with mental health problems. Future research should explore the possibilities of refining or expanding existing instruments as well as the development and testing of new quality of life instruments to ensure that all relevant quality of life dimensions for people with mental health problems are covered in evaluations.
format	article
author	F. C. W. van Krugten K. Feskens J. J. V. Busschbach L. Hakkaart-van Roijen W. B. F. Brouwer
author_facet	F. C. W. van Krugten K. Feskens J. J. V. Busschbach L. Hakkaart-van Roijen W. B. F. Brouwer
author_sort	F. C. W. van Krugten
title	Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
title_short	Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
title_full	Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
title_fullStr	Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
title_full_unstemmed	Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
title_sort	instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments
publisher	BMC
publishDate	2021
url	https://doaj.org/article/faa5d1f18f004483a3a15f9359b40447
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Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments

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