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Applying cognitive design principles to formatting HRQOL instruments.

P A Mullin1, K N Lohr, B W Bresnahan

  • 1Research Triangle Institute, Research Triangle Park, NC 27709-2194, USA. pmullin@rti.org

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|September 12, 2000
PubMed
Summary

This study provides formatting guidelines for health-related quality of life (HRQOL) questionnaires to improve data accuracy and reduce participant burden. Applying these guidelines enhances HRQOL instrument design, benefiting researchers and respondents.

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Area of Science:

  • Health Services Research
  • Survey Methodology
  • Psychometrics

Background:

  • Health-related quality of life (HRQOL) instruments are crucial for patient assessment.
  • Effective formatting of self-administered questionnaires is essential for accurate data collection.
  • Current HRQOL instruments may present challenges in respondent navigation and completion.

Purpose of the Study:

  • To present evidence-based guidelines for formatting HRQOL instruments.
  • To improve respondent experience and data quality in HRQOL assessments.
  • To reduce errors, respondent burden, and enhance motivation in HRQOL surveys.

Main Methods:

  • Extensive literature review to identify effective questionnaire formatting techniques.
  • Development of specific formatting guidelines for HRQOL instruments.

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  • Application and adaptation of guidelines to internationally used HRQOL instruments with developer approval.

    • Main Results:

    • Established formatting guidelines based on cognitive design principles and empirical evidence.
    • Identified six critical attributes for optimized HRQOL instrument formatting: simple, consistent, organized, natural, clear, and attractive.
    • Demonstrated practical application of guidelines to improve existing HRQOL instruments.

    Conclusions:

    • The proposed formatting guidelines offer a structured approach to enhance HRQOL instrument design.
    • Implementation of these guidelines can improve data collection efforts by addressing cognitive aspects of survey methodology.
    • Further empirical testing is recommended to validate the overall impact of these formatting recommendations.