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Advancing cross-cultural research on quality of life: Observations drawn from the WHOQOL development

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Abstract

This paper is concerned with methods and theory recently used in cross-cultural research. It begins by looking at why we need cross-cultural measures and why we need more of them. A discussion of the translation styles, and the issues underpinning their design is central to this discussion. Through a description of the World Health Organisation Quality of Life Assessment instruments and their development, the paper demonstrates how some of the earlier theoretical and methodological challenges have been addressed, together with a critique of its limitations.

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References

  1. World Health Organisation. World Health Statistics Annual. WHO: Geneva, 1987.

    Google Scholar 

  2. Doyle L, Gough IR. A Theory of Human Need. London: Macmillan, 1991.

    Google Scholar 

  3. The WHOQOL Group. Studyprotocol for the World Health Organisation project to develop a quality of life assessment instrument (the WHOQOL). Qual Life Res 1993; 2: 153–159.

    Google Scholar 

  4. The WHOQOL Group. The development of the World Health Organisation Quality of Life Assessment instrument (the WHOQOL). In: Orley J, Kuyken W (eds), Quality of Life Assessment: International Perspectives. Berlin: Springer-Verlag, 1994; pp. 41–60.

    Google Scholar 

  5. Bullinger M. Cognitive theories and individual quality of life assessment. In: Joyce CB, O'Boyle CA, McGee H (eds), Individual Quality of Life: Approaches to Conceptualisation and Assessment, Amsterdam: Harwood Academic Publishers, 1999, pp. 29–40.

    Google Scholar 

  6. Aaronson NK, Acquadro C, Alonso J, et al. International Quality of Life Assessment (IQOLA) Project. Qual Life Res 1992; 1: 349–351.

    Google Scholar 

  7. The WHOQOL Group. The World Health Organisation Quality of Life assessment (WHOQOL): Position paper from the World Health Organisation. Soc Sci Med 1995; 41(10): 1403–1409.

    Google Scholar 

  8. The WHOQOL Group. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med 1998; 46(12): 1569–1585.

    Google Scholar 

  9. The WHOQOL Group. Development of the WHOQOLBREF Quality of Life Assessment. Psychol Med 1999; 28: 551–558.

    Google Scholar 

  10. Cook M. Levels of Personality, 2nd ed. London: Cassell, 1993.

    Google Scholar 

  11. Skevington SM, Bradshaw J, Saxena S. Selecting national items for the WHOQOL: Conceptual and psychometric considerations. Soc Sci Med 1999; 48: 473–487.

    Google Scholar 

  12. Bergner M, Bobbitt RA, Carter WB, et al. The Sickness Impact profile: Development and final revision of a health status measure. Med Care 1981; 19: 787–805.

    Google Scholar 

  13. Bullinger M. The challenge of cross-cultural quality of life assessment. Psychol Health 1997; 12: 813–824.

    Google Scholar 

  14. Hunt SM. The researchers tale: a story of virtue lost and regained. In: Joyce CB, O'Boyle CA, McGee H (eds), Individual Quality of Life: Approaches to Conceptualisation and Assessment, Amsterdam: Harwood Academic Publishers, 1999; pp. 225–232.

    Google Scholar 

  15. Wagner AK, Gandek B, Aaronson NK, et al. Cross-cultural applications of the content of the SF-36 translations across 10 countries: Results from the IQOLA project. J Clin Epidemiol 1998; 51(191): 925–932.

    Google Scholar 

  16. Aaronson NK, Cull A, Kaasa S, et al. Language and translation issues. In Spilker B (ed.), Quality of Life and Pharmacoeconomics in Clinical Trials, 2nd ed. Philadelphia: Lippincott-Raven, 1996; pp. 575–587.

    Google Scholar 

  17. Badia X, Podzamczer D, Garcia M, LopezLavid C, Consiglio E. A randomised study comparing instruments for measuring health-related QoL in HIV-infected patients. AIDS 1999; 13: 1727–1735.

    Google Scholar 

  18. O'Keefe EA, Wood R. The impact of human immunodeficiency virus (HIV) infection on quality of life in a multi racial South African population. Qual Life Res 1996; 5: 275–280.

    Google Scholar 

  19. Fox-Rushby J. The relationship between health economics and health related quality of life. In: Orley J, Kuyken W (eds), Quality of Life Assessment: International Perspectives. Berlin: Springer-Verlag, 1994; pp. 61–74.

    Google Scholar 

  20. Pike KL. Language in Relation to a Unified Theory of the Structure of Human Behaviour. The Hague: Mouton, 1966.

    Google Scholar 

  21. Berry JW, Poortinga YH, Segall MH, Dasen PR. Cross-Cultural Psychology: Research and Applications. Cambridge: Cambridge University Press, 1992.

    Google Scholar 

  22. Berry JW. Imposed etics-emics-derived etics: The operationalisation of a compelling idea. Int J Psychol 1989; 24: 721–735.

    Google Scholar 

  23. Sartorius N, Kuyken W. Translation of health status instruments. In: Orley J, Kuyken W (eds), Quality of Life Assessment: International Perspectives, Berlin: Springer-Verlag, 1994; pp. 3–19.

    Google Scholar 

  24. Bowling A. Measuring Disease: A Review of Disease-Specific Quality of Life Measurement Scales. Buckingham: Open University Press, 1995.

    Google Scholar 

  25. Skevington SM. Psychology of Pain. Chichester: Wiley, 1995.

    Google Scholar 

  26. Berry JW, Dasen PR. Culture and Cognition. London: Methuen, 1974.

    Google Scholar 

  27. Frijda N, Jahoda G. On the scope and methods of crosscultural research. Int J Psychol 1966; 1: 109–127.

    Google Scholar 

  28. Skevington SM. Investigating the relationship between pain and discomfort and quality of life, using the WHOQOL. Pain 1998; 76: 395–406.

    Google Scholar 

  29. Anderson TRT, Aaronson NK, Wilkin DT. Critical review of the international assessments of health-related quality of life. Qual Life Res 1993; 2: 369–395.

    Google Scholar 

  30. Leplege A, Ecosse E, Andrich D and the WHOQOL Rasch Scientific Committee. Methodological issues in using the Rasch model to develop a quality of life index: The analysis of four WHOQOL-100 data sets (Argentina, France, Hong Kong, UK). Paper to 5th Annual meeting of the International Society for Quality of Life Research, Baltimore, USA, 1998.

  31. HagertyMR, Cummins RA, Ferriss, AL, et al. Quality of life indexes for national policy: review and agenda for research. Soc Indicators Res 2001; 55: 1–96.

    Google Scholar 

  32. Szabo S, Orley J, Saxena S on behalf of the WHOQOL Group. An approach to response scale development for crosscultural questionnaires. Eur Psychol 1997; 2(3): 270–276.

    Google Scholar 

  33. Skevington SM, Tucker C. Designing response scales for cross-cultural use: Data and experience from the development of the UK WHOQOL. Br J Med Psychol, 1999; 72: 51–61.

    Google Scholar 

  34. Skevington SM, Wright A. Changes in the quality of life of patients receiving anti-depressant medication in primary care: Validation of the WHOQOL-100. Br J Psychiatry 2001; 178: 261–267.

    Google Scholar 

  35. Berry JW. On cross-cultural comparability. Int J Psychol, 1969; 4: 119–128.

    Google Scholar 

  36. Power M, Bullinger M, Harper A and the WHOQOL Group. The World Health Organisation WHOQOL-100: Tests of the universality of quality of life in 15 different cultural groups world-wide. Health Psychol 1999; 18(5): 495–505.

    Google Scholar 

  37. Bullinger M. Ensuring international equivalence of quality of life measures: problems and approaches to solutions. In: Orley J, Kuyken W (eds), Quality of Life Assessment: International Perspectives, Berlin: Springer-Verlag, 1994; pp. 33–40.

    Google Scholar 

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Skevington, S.M. Advancing cross-cultural research on quality of life: Observations drawn from the WHOQOL development. Qual Life Res 11, 135–144 (2002). https://doi.org/10.1023/A:1015013312456

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