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Using the WHOQOL as a Generic Measure to Assess Quality of Life During Cancer

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Handbook of Quality of Life in Cancer

Abstract

A cancer diagnosis often affects people’s perceptions of their quality of life (QOL). Improvements to QOL during and after treatment are valued as indicators of success, in tandem with reductions in symptoms and side effects. Insights into how cancer patients assess different aspects of their lives can be more rapidly and comprehensively assessed by a well-designed questionnaire than a time-pressured appointment. A printed profile of scores allows a patient to communicate their perceptions to their clinician and inspect the results themselves. These data can also be the basis for drawing up a mutually agreed treatment plan. While QOL questionnaires assessing symptom intensity and bothersome side effects are well established for use in oncology, they are now more likely to be accompanied by a generic assessment like the WHOQOL that assesses other potentially important QOL dimensions like perceptions of social support, access to health care, financial resources, meaning and purpose in life, and sex life, which may also need to be improved during cancer treatments or afterward. Generic QOL instruments are designed for almost all sick and healthy populations. Their use enables QOL scores for different cancers, or different treatments and interventions to be compared using the same generic measure. Cancer can also be compared with other disease groups, to underpin policy decisions during annual budgeting. Here we review the development and application of the WHOQOL suite of instruments over 25 years, with a particular focus on the QOL of people with cancer.

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Dedication:

From Suzanne Skevington to her husband Nicholas Ferris Britton (1953–2020).

Acknowledgments

Dr. Christine Rowland, for discussion.

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Authors and Affiliations

  1. Department of Medical and Clinical Psychology, Center of Research on Psychological disorders and Somatic diseases, Tilburg University, Tilburg, The Netherlands

    Brenda L. Den Oudsten

  2. Manchester Centre for Heath Psychology, Faculty of Psychological Sciences and Mental Health, The University of Manchester, Manchester, UK

    Suzanne M. Skevington

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  1. Brenda L. Den Oudsten
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Correspondence to Brenda L. Den Oudsten .

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  1. Department of Applied Health Research, University College London, London, UK

    Angelos P. Kassianos

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Den Oudsten, B.L., Skevington, S.M. (2022). Using the WHOQOL as a Generic Measure to Assess Quality of Life During Cancer. In: Kassianos, A.P. (eds) Handbook of Quality of Life in Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-84702-9_3

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