Module 22: Quality of Life Form

A Module Used in The Measurement Group's Cross-Cutting Evaluation of the HRSA HIV/AIDS Bureau's Special Projects of National Significance on Innovative Models of HIV/AIDS Care


Purpose

  • Objective indicator of ability to engage in macro-level life activities such as being a partner, employment, attending recreational activities, etc.
  • Objective indicator of presence of sufficient resources to provide adequate standard of living.
  • Subjective indicator of self-perceived satisfaction with domain areas identified for objective indicators.

Content Domain - Rated ability to fully participate in and enjoy a large number of domains of activities including employment, being a partner, sexual relationships, recreation, travel, strenuous activity - exercise, enmeshment in the community. Checklist of activities participated in during the past month.

Operational Data Items - Site, Sub-Provider, Date, Staff Code, Client Gender, six "ladders" showing from low to high levels in different domains (health, enjoyment of life, household duties, leisure time, social relationships, and general quality of life).

Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1996). Module 22: Quality of Life Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Source Citations

  • Endicott, J., Nee, J., Harrison, W., and Blumenthal, R. (1993). Quality of life enjoyment and satisfaction questionnaire: A new measure. Pschopharmacology Bulletin, 9, 321-326.
  • Padilla, G. V., Ferrell, B., Grant, M. M., and Rhiner, M. (1990). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13, 108-115.

Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group.

Findings from Evaluating HIV/AIDS Programs

Reliability and Validity Studies


Back to Modules Index

 


© Copyright 1997-2005 by The Measurement Group LLC. All rights reserved.