Health-Related Quality of Life (HRQOL) Questionnaire

Use our free HRQOL Questionnaire template to help your clients assess their physical and mental health, guiding effective care and treatment planning.

By Liliana Braun on Dec 18, 2024.

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Fact Checked by Ericka Pingol.

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What is the Health-Related Quality of Life (HRQOL) Questionnaire?

The Health-Related Quality of Life (HRQOL) Questionnaire is a 14-item tool used to assess an individual's overall well-being, specifically in relation to their health. Developed by the Centers for Disease Control and Prevention., this tool measures the impact of physical, mental, and social health on a person’s quality of life, helping healthcare providers understand how health conditions and treatments affect daily living. The HRQOL focuses on a person's health's objective and subjective aspects, including the ability to perform daily activities, emotional well-being, and social functioning.

The HRQOL Questionnaire includes physical, mental, and social health sections and asks individuals to rate their overall health and well-being. It uses a Likert scale format to capture responses on various aspects of daily functioning and emotional well-being.

Health-Related Quality of Life (HRQOL) Questionnaire Template

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Health-Related Quality of Life (HRQOL) Questionnaire Example

Download Example PDF

How does our HRQOL Questionnaire template work?

Our HRQOL Questionnaire is quick and easy to use, simply follow these steps to get started:

Step 1: Download the template

Start by downloading the HRQOL Questionnaire from Carepatron by clicking the "Use template" button. This lets you customize the template via the Carepatron app. For a PDF copy, choose "Download."

Step 2: Patient completes the questionnaire

Provide the questionnaire to your patient. They can fill it out digitally through the Carepatron app or a printed PDF version. Ensure that they answer all the questions honestly and to the best of their ability, as this will help accurately assess their health-related quality of life.

Step 3: Review the responses

Once the patient completes the questionnaire, review their responses. Use the provided scoring system to interpret their answers and identify areas where their health or quality of life may be impacted. This step is crucial for understanding their needs and planning further interventions.

Step 4: Store the data securely

After reviewing the responses, save the completed questionnaire securely in the Carepatron app. This ensures that patient information is stored in compliance with privacy regulations and can be accessed easily for follow-up assessments or future comparisons.

Scoring and interpretation

The HRQOL Questionnaire provides scores that help assess the overall health-related quality of life. The scoring system includes the core healthy days, activity limitations, and healthy days symptoms modules, each contributing to understanding the patient's physical and mental health (.

Core healthy days module

The core healthy days module assesses the patient's perceived overall health (Q1) and the number of days in the past month affected by physical (Q2), mental (Q3), or overall health problems (Q4). Lower scores in Q1 indicate poorer perceived health, while higher numbers in Q2, Q3, and Q4 indicate more days of health issues. These scores help gauge the frequency of physical and mental health challenges experienced by the patient.

Activity limitations module

The activity limitations module identifies if health problems limited the patient’s activities (Q5) and specifies which conditions caused these limitations (Q6). A “yes” response to Q5 indicates activity restrictions, while the specific health problems listed in Q6 provide further context. Q7 allows for additional details on limitations, offering a clearer understanding of how health conditions impact daily functioning.

Healthy days symptoms module

To calculate the unhealthy days score, sum the number of physically unhealthy (Q2) and mentally unhealthy days (Q3), with a maximum possible score of 30 days. The healthy days score is then derived by subtracting the unhealthy days from 30. Higher healthy days scores indicate better overall health, while more unhealthy days signal a greater impact of physical and mental health issues on the patient’s life.

The HRQOL scores provide a comprehensive view of a patient's health status. A higher number of healthy days indicates better overall health, while more unhealthy days signal a higher burden of physical and mental health issues. Activity limitations and the specific conditions causing those limitations are also important in understanding the full scope of the patient's health challenges. This information helps healthcare providers tailor treatment plans and interventions to improve the patient's quality of life.

Next steps

After administering the HRQOL to your patient and analyzing their scores, the next steps involve using the results to inform clinical practice and guide patient care. The HRQOL measures offer valuable insights into life outcomes and health status, helping clinicians assess physical and mental health and identify areas for improvement. By evaluating these life measures, healthcare providers can make data-driven decisions to enhance medical outcomes and support patients in their self-care efforts.

Ensure that the HRQOL scores are incorporated into life assessments to track changes over time, monitor progress, and adjust care plans accordingly. The internal consistency of the HRQOL tool helps ensure that the results are reliable, allowing for effective comparisons and evaluations. Based on the findings, focus on prevention strategies and health promotion to improve the patient’s healthy days measures, which can significantly impact overall well-being. This proactive approach enables a tailored, patient-centered care plan aimed at improving both physical and mental health.

Reference

Centers for Disease Control and Prevention. (2016). Health-related quality of life (HRQOL). https://www.cdc.gov/hrqol/methods.htm.

What is the purpose of the HRQOL Questionnaire?
What is the purpose of the HRQOL Questionnaire?

Commonly asked questions

What is the purpose of the HRQOL Questionnaire?

The HRQOL Questionnaire measures both physical and mental health to assess how these conditions impact a patient's quality of life and daily activities.

Who should use the HRQOL Questionnaire?

Healthcare professionals, including physicians, psychologists, and public health experts, use the HRQOL Questionnaire to evaluate patient health, track progress, and guide treatment planning.

How can the HRQOL Questionnaire improve patient care?

Using life instruments like HRQOL helps professionals understand the extent of physical illness and mental health issues, allowing for tailored treatment and monitoring of improvements or setbacks over time.

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