Cited by 667Health Systems, Economic Evaluations, Quality of LifeEconomic and Environmental ValuationHealth Education and Validation

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Development of a self-report measure of capability wellbeing for adults: the ICECAP-A

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Al-Janabi, Hareth, N Flynn, Terry, Coast, Joanna·2012·Quality of Life Research

DOI 10.1007/s11136-011-9927-2PMC PMC3254872

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Abstract

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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Fig. 1 Iterative interview processCC BY-NC · PubMed Central

Fig. 2 Establishing a lay term for ‘stability’ for the measureCC BY-NC · PubMed Central

Fig. 3 Descriptive system for the ICECAP-A measure of capability wellbeing for adultsCC BY-NC · PubMed Central

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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
Publisher: Springer Science and Business Media LLC
Published: 2011-05-20
Volume: 21
Issue: 1
Pages: 167-176
ISSN: 0962-9343 (ISSN-L)
1573-2649
DOI: 10.1007/s11136-011-9927-2
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: cc-by-nc
creativecommons.org/licenses/by-nc/2.0 (tdm)
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
Health Sciences › Nursing › Research and Theory › 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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Development of a self-report measure of capability wellbeing for adults: the ICECAP-A

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