Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties

Abstract

BackgroundOutcome measures for mental health services need to adopt a service-user recovery focus.AimsTo develop and validate a 10- and 20-item self-report recovery-focused quality of life outcome measure named Recovering Quality of Life (ReQoL).MethodQualitative methods for item development and initial testing, and quantitative methods for item reduction and scale construction were used. Data from >6500 service users were factor analysed and item response theory models employed to inform item selection. The measures were tested for reliability, validity and responsiveness.ResultsReQoL-10 and ReQoL-20 contain positively and negatively worded items covering seven themes: activity, hope, belonging and relationships, self-perception, well-being, autonomy, and physical health. Both versions achieved acceptable internal consistency, test–retest reliability (>0.85), known-group differences, convergence with related measures, and were responsive over time (standardised response mean (SRM) > 0.4). They performed marginally better than the Short Warwick-Edinburgh Mental Well-being Scale and markedly better than the EQ-5D.ConclusionsBoth versions are appropriate for measuring service-user recovery-focused quality of life outcomes.Declaration of interestM.B. and J.Co. were members of the research group that developed the Clinical Outcomes in Routine Evaluation (CORE) outcome measures.

Development and psychometric properties of a new brief scale for subjective personal agency (SPA-5) in people with schizophrenia

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“…The App also directed participants to an additional short questionnaire on three separate occasions, (to provide baseline, post-intervention [7 days] and follow-up [1 month] data) that helped determine further information about well-being and engagement with nature. Primary outcome measures included: the 10-item Recovering Quality of Life scale (ReQoL; α = 0.92; a measure of mental health) (Keetharuth et al 2018) and the single item Inclusion of Nature with Self scale (INS; α = 0.90; a measure of the implicit connection that individuals make between self and nature) (Schultz et al 2004). Secondary outcome measures included the 6-item short form Nature Relatedness scale (NR6; α = 0.86) (Nisbet et al 2008) and the 4-item Engagement with Natural Beauty scale (EWNB; α = 0.87) (Diessner et al 2008).…”

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“…Personal recovery was seen as another facet of well-being (Keetharuth et al, 2018). The Questionnaire on Personal Recovery (QPR) (Law, Neil, Dunn, & Morrison, 2014;Neil et al, 2009), which focuses on intrapersonal and interpersonal factors of relevance for recovery, was used.…”