Development of a self-report measure of capability wellbeing for adults: the ICECAP-A
Open accessAbstract
PURPOSE: The benefits of health and social care are not confined to patient health alone and therefore broader measures of wellbeing may be useful for economic evaluation. This paper reports the development of a simple measure of capability wellbeing for adults (ICECAP-A). METHODS: In-depth, informant-led, interviews to identify the attributes of capability wellbeing were conducted with 36 adults in the UK. Eighteen semi-structured, repeat interviews were carried out to develop a capability-based descriptive system for the measure. Informants were purposively selected to ensure variation in socio-economic status, age, sex, ethnicity and health. Data analysis was carried out inductively and iteratively alongside interviews, and findings were used to shape the questions in later interviews. RESULTS: Five over-arching attributes of capability wellbeing were identified for the measure: "stability", "attachment", "achievement", "autonomy" and "enjoyment". One item, with four response categories, was developed for each attribute for the ICECAP-A descriptive system. CONCLUSIONS: The ICECAP-A capability measure represents a departure from traditional health economics outcome measures, by treating health status as an influence over broader attributes of capability wellbeing. Further work is required to value and validate the attributes and test the sensitivity of the ICECAP-A to healthcare interventions.
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Support from a coach can enhance weight-loss effects of digital interventions.
“Meta-analyses indicate that support from a coach can enhance weight-loss effects of digital interventions, but further evidence from randomized trials is needed [19].”
From Supporting Weight Management during COVID-19: A Randomized Controlled Trial of a Web-Based, ACT-Based, Guided Self-Help Intervention (2022) · cites this paper as [19]
The Introduction and Discussion describe the development of the ICECAP-A capability-wellbeing measure, not weight-loss interventions. Searches for coach support, digital weight-loss interventions, meta-analyses, and randomized trials found no passage addressing the cited claim. (LLM, conf=0.77)
Experimental — accuracy not yet measuredSelf-help interventions are effective for weight loss and technology-mediated interventions can result in clinically significant weight loss.
“Evidence suggests self-help interventions are effective for weight loss [18] and that technology-mediated interventions can result in clinically significant weight loss [19].”
From Supporting Weight Management during COVID-19: A Randomized Controlled Trial of a Web-Based, ACT-Based, Guided Self-Help Intervention (2022) · cites this paper as [19]
The Introduction and Discussion describe the ICECAP-A measure of capability wellbeing, not weight-loss outcomes. Searches of our complete copy for self-help weight-loss interventions and clinically significant weight loss from technology-mediated interventions found no passage addressing either claim. The citing sentence assigns its two parts to separate citations [18] and [19], but does not identify which number corresponds to this source. (LLM, conf=0.76)
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- Authors
- Al-Janabi, H., N Flynn, T., & Coast, J.
- Affiliations
- University of Birmingham (GB)
- ORCID
- Coast, Joanna
- Venue
- Quality of Life Research
- Published
- 2011-05-20
- Volume
- 21
- Issue
- 1
- Pages
- 167-176
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC3254872
- OpenAlex
- W2011644590
- Cited by
- 666
- References
- 43
- Citations by year
- 2026: 34 · 2025: 75 · 2024: 70 · 2023: 54 · 2022: 76 · 2021: 83 · 2020: 58 · 2019: 46 · 2018: 33 · 2017: 35 · 2016: 32 · 2015: 27 · 2014: 18 · 2013: 13 · 2012: 7
- FWCI
- 34.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Quality of Life Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Birmingham Institutional Research Archive (University of Birmingham) (acceptedVersion)
- UniSA Research Outputs Repository (University of South Australia) (acceptedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- UTS ePRESS (University of Technology Sydney) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Funders
- London School of Economics and Political Science
- Medical Research Council (G0701027)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Environmental Valuation
- Social Sciences › Education › Health Education and Validation
- Keywords
- ICECAP-A, self-report measure development, capability approach, economic evaluation, stability, attachment, achievement, autonomy, enjoyment, health status
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Interviews as Topic, Male, Middle Aged, Personal Satisfaction, Quality of Life, Young Adult, Self Report
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