A high level quality of life is considered the ultimate goal in rehabilitation efforts for spinal cord injury patients. But, quality of life can be difficult to determine because of its subjective nature. A recent review of quality of life assessment tools found that the World Health Organization Quality of Life (WHOQOL-BREF) assessment was the most consistently promising tool for predicting quality of life in spinal cord patients.
The following questions are examples from the WHOQOL-BREF. Subjects answer on a scale of 1-5, with 1 being the most negative answer and 5 being the most positive answer.
- How would you rate your quality of life?
- How satisfied are you with your health?
- To what extent do you feel that physical pain prevents you from doing what you need to do?
- How much do you need any medical treatment to function in your daily life?
- How much to you enjoy life?
- To what extent do you feel your life to be meaningful?
- How well are you able to concentrate?
- Do you have enough energy for everyday life?
- Are you able to accept your bodily appearance?
- Have you enough money to meet your needs?
- How available to you is the information you need in your day-to-day life?
- To what extent do you have the opportunity for leisure activities?
- How well are you able to get around?
- How satisfied are you with your sleep?
- How satisfied are you with your ability to perform your daily living activities?
- How satisfied are you with your capacity for work?
- How satisfied are you with yourself?
- How satisfied are you with your personal relationships?
- How satisfied are you with your access to health services?
- How often do you have negative feelings such as blue mood, despair, anxiety, depression?
Hill MR, Noonan VK, Sakakibara, et al. Quality of life instruments and definitions in individuals with spinal cord injury: A systematic review. Spinal Cord. (June 2010).