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Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2003 December;39(4) > Europa Medicophysica 2003 December;39(4):191-8



A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095


Europa Medicophysica 2003 December;39(4):191-8


Quality of life assessment in rehabilitation medicine

Franchignoni F. 1, Salaffi F. 2

1 Unit of Occupational Rehabilitation ­and Ergonomics “Salvatore Maugeri” Foundation Clinica ­del Lavoro e del­la Riabilitazione, IRCCS Istituto Scientifico di Veruno (NO), Italy
2 Department of Rheumatology University of Ancona, Ancona, Italy

Health-relat­ed qual­ity of ­life (­HRQOL) ­refers to ­the ­individual’s psy­cho­log­i­cal ­well-­being in ­and gen­er­al sat­is­fac­tion ­with phys­i­cal, psy­cho­log­i­cal ­and ­social ­domains of ­life ­and ­how ­this is affect­ed by dis­eas­es, acci­dents ­and treat­ment ­from ­the ­patient’s ­point of ­view. The ­major dimen­sions of ­HRQOL instru­ments ­include: impair­ments (symp­toms, sub­jec­tive com­plaints ­etc.); func­tion­al ­states (phys­i­cal, psy­cho­log­i­cal ­and ­social); gen­er­al ­health per­cep­tions (sat­is­fac­tion ­with ­health, per­ceived ­well-­being ­etc.). The rela­tion­ships ­between dif­fer­ent con­cepts ­and indi­ca­tors ­are influ­enced by a num­ber of indi­vid­u­al ­and envi­ron­men­tal fac­tors. The ­main per­spec­tives ­for meas­ur­ing ­HRQOL ­rely ­upon descrip­tions of spe­cif­ic beha­vi­ours, sub­jec­tive ­states, ­and rel­a­tiv­is­tic assess­ments, ­always fil­tered by ­the ­individual’s per­cep­tions ­and expec­ta­tions. ­HRQOL instru­ments ­can be clas­si­fied accord­ing to ­range of pop­u­la­tion ­and con­cepts ­embraced (gener­ic vs spe­cif­ic meas­ures), ­types of ­scores pro­duced (indi­ces, pro­files, ­etc.), ­source of ­report, ­mode of col­lec­tion, ­and weight­ing ­system. Differences ­among ­HRQOL instru­ments main­ly con­cern ­the empha­sis on dif­fer­ent indi­ca­tors, ­the ­extent to ­which dif­fer­ent ­domains ­are cov­ered/weight­ed, ­and ­the for­mat. Caution is rec­om­mend­ed in inter­pret­ing ­HRQOL ­scores, ­due to ­the sub­jec­tive ­nature of ­the con­struct, ­its indi­rect assess­ment, ­the mul­ti­ple sourc­es of meas­ure­ment ­error, ­and ­many oth­er fac­tors. In ­order to fos­ter ­the appli­ca­tion of ­HRQOL meas­ures in clin­i­cal prac­tice ­and deci­sion-mak­ing, ­and pol­i­cy devel­op­ment, ­future ­research ­should ­address ­both method­o­log­i­cal ­and ­applied ­issues (e.g. ­item-­response-the­o­ry ­use, respon­sive­ness ­and bet­ter cal­i­bra­tion of ­the instru­ments, com­par­abil­ity ­across dif­fer­ent pop­u­la­tions).

language: English


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