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Quality of Life Research
Published in: Quality of Life Research 2/2022

Open Access 01-02-2022

The Mental Health Quality of Life Questionnaire (MHQoL): development and first psychometric evaluation of a new measure to assess quality of life in people with mental health problems

Authors: F. C. W. van Krugten, J. J. V. Busschbach, M. M. Versteegh, L. Hakkaart-van Roijen, W. B. F. Brouwer

Published in: Quality of Life Research | Issue 2/2022

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Abstract

Purpose

The purpose of this study was to develop and psychometrically evaluate a new quality of life measure for use in people with mental health problems—the Mental Health Quality of Life questionnaire (MHQoL).

Methods

The MHQoL dimensions were based on prior research by Connell and colleagues, highlighting the seven most important quality of life dimensions in the context of mental health. Items were generated following a systematic review we performed and through inviting expert opinion. A focus group and an online qualitative study (N = 120) were carried out to assess the face and content validity of the MHQoL. The MHQoL was further tested for its internal consistency, convergent validity, known-group validity and test–retest reliability among mental healthcare service users (N = 479) and members of the general population (N = 110).

Results

The MHQoL consists of a descriptive system (MHQoL-7D), including s items covering seven dimensions (self-image, independence, mood, relationships, daily activities, physical health, future) and a visual analogue scale of general psychological well-being (MHQoL-VAS). Internal consistency was high (Cronbach's ∝ = 0.85) and correlations between MHQoL-7D scores and related measures (EQ-5D-5L, MANSA, ICECAP-A, and BSI) supported convergent validity. The intraclass correlation coefficient of the MHQoL-7D sum score for test–retest reliability was 0.85. Known-group validity was supported by the ability to detect significant differences in MHQoL-7D levels between service users and the general population, and between groups with different levels of psychological distress.

Conclusion

The MHQoL demonstrated favourable psychometric properties and showed promise as a simple and effective measure to assess quality of life in people with mental health problems.
Appendix
Available only for authorised users
Footnotes
1
The item labels of the MHQoL correspond as follows to the labels of the dimensions of the conceptual framework (item label MHQoL = dimension label): self-image = self-perception; independence = autonomy; mood = well-being and ill-being; relationships = relationships and belonging; daily activities = activity; physical health = physical health; future = hope and hopelessness.
 
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Metadata
Title
The Mental Health Quality of Life Questionnaire (MHQoL): development and first psychometric evaluation of a new measure to assess quality of life in people with mental health problems
Authors
F. C. W. van Krugten
J. J. V. Busschbach
M. M. Versteegh
L. Hakkaart-van Roijen
W. B. F. Brouwer
Publication date
01-02-2022
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 2/2022
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02935-w

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