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Purpose <p>To systematically review available quality of life (QoL) measures used in adult psychiatric inpatient settings following the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) method.</p> Methods <p>Systematic searches across four databases were conducted following a pre-registered review protocol: MEDLINE, PsycINFO, Scopus, and CINAHL. Forward and backwards citation searches were also conducted. Psychometric properties (content validity, structural validity, internal consistency, cross-cultural validity, test-retest reliability, measurement error, criterion validity, construct validity, and responsiveness) were assessed against the COSMIN criteria. A narrative synthesis was employed to integrate the results. The GRADE approach was used to assess overall certainty of the evidence. Reliable change indices (RCI) were calculated for QoL measures where sufficient data were available.</p> Results <p>Twenty-two QoL measures were included in the review, from 38 studies. Most measures had evidence of good structural validity and internal consistency in this clinical population. However, no outcome measure covered all measurement properties defined by COSMIN and a limited number covered content validity.</p> Conclusion <p>Overall, a small subset of QoL measures demonstrated adequate performance across multiple psychometric properties, including: S-QOL-41, ReQoL, SF-36, and MHQOL. </p>

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Systematic review of the psychometric properties of quality-of-life outcome measures used with adult inpatient psychiatric populations

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月1日

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  • Sinead McLernon,
  • Scott Steen ,
  • Claire Bone,
  • Jaime Delgadillo

摘要

Purpose

To systematically review available quality of life (QoL) measures used in adult psychiatric inpatient settings following the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) method.

Methods

Systematic searches across four databases were conducted following a pre-registered review protocol: MEDLINE, PsycINFO, Scopus, and CINAHL. Forward and backwards citation searches were also conducted. Psychometric properties (content validity, structural validity, internal consistency, cross-cultural validity, test-retest reliability, measurement error, criterion validity, construct validity, and responsiveness) were assessed against the COSMIN criteria. A narrative synthesis was employed to integrate the results. The GRADE approach was used to assess overall certainty of the evidence. Reliable change indices (RCI) were calculated for QoL measures where sufficient data were available.

Results

Twenty-two QoL measures were included in the review, from 38 studies. Most measures had evidence of good structural validity and internal consistency in this clinical population. However, no outcome measure covered all measurement properties defined by COSMIN and a limited number covered content validity.

Conclusion

Overall, a small subset of QoL measures demonstrated adequate performance across multiple psychometric properties, including: S-QOL-41, ReQoL, SF-36, and MHQOL.