Cited by 4,686Health Systems, Economic Evaluations, Quality of LifePsychometric Methodologies and TestingHealth Education and Validation

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The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group

Skevington, S.M., Lotfy, M., O'Connell, K.A.·2004·Quality of Life Research

DOI 10.1023/b:qure.0000018486.91360.00

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Abstract

Quality of life (QOL) assessments that are easily administered and which do not impose a great burden on the respondent are needed for use in large epidemiological surveys, clinical settings and clinical trials. Using data from the WHOQOL-BREF field trials, the objectives of this work are to examine the performance of the WHOQOL-BREF as an integrated instrument, and to test its main psychometric properties. The WHOQOL-BREF is a 26-item version of the WHOQOL-100 assessment. Its psychometric properties were analysed using cross-sectional data obtained from a survey of adults carried out in 23 countries (n = 11,830). Sick and well respondents were sampled from the general population, as well as from hospital, rehabilitation and primary care settings, serving patients with physical and mental disorders and with respect to quotas of important socio-demographic variables. The WHOQOL-BREF self-assessment was completed, together with socio-demographic and health status questions. Analyses of internal consistency, item-total correlations, discriminant validity and construct validity through confirmatory factor analysis, indicate that the WHOQOL-BREF has good to excellent psychometric properties of reliability and performs well in preliminary tests of validity. These results indicate that overall, the WHOQOL-BREF is a sound, cross-culturally valid assessment of QOL, as reflected by its four domains: physical, psychological, social and environment.

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Authors: Skevington, S. M., Lotfy, M., & O'Connell, K. A.
Affiliations: University of Bath (GB)
World Health Organization (CH)
Corresponding author: Skevington, S.M.
ORCID: Skevington, S.M.
Venue: Quality of Life Research
Publisher: Springer Science and Business Media LLC
Published: 2004-03
Volume: 13
Issue: 2
Pages: 299-310
ISSN: 0962-9343 (ISSN-L)
1573-2649
DOI: 10.1023/b:qure.0000018486.91360.00
OpenAlex: W2109935313
Cited by: 4,686
References: 15
Citations by year: 2026: 318 · 2025: 339 · 2024: 326 · 2023: 316 · 2022: 337 · 2021: 376 · 2020: 346 · 2019: 304 · 2018: 256 · 2017: 254 · 2016: 220 · 2015: 255 · 2014: 218 · 2013: 187 · 2012: 164
FWCI: 93.17
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Quality of Life Research (publishedVersion)
PubMed (publishedVersion)
Funders: Economic and Social Research Council (M569255001)
Topics: Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Nursing › Research and Theory › Health Education and Validation
Keywords: WHOQOL-BREF, quality of life assessment, psychometric properties, cross-cultural validity, internal consistency, construct validity, discriminant validity, WHOQOL-100, self-report questionnaire, physical health, mental health, social health, environmental health
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Child, Cross-Sectional Studies, Cross-Cultural Comparison, Female, Humans, Male, Middle Aged, Psychometrics, Quality of Life, World Health Organization, Sickness Impact Profile

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The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group

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