Objective assessments of quality of life: How much do they agree with each other?

Information was collected on 14 objective measures of service quality in 15 staffed houses for people with learning disabilities. Measures or dimensions of the measures were grouped under six headings: (1) quality of housing; (2) social and community integration; (3) social interactions; (4) development; (5) activity; and (6) autonomy and choice. Rank order correlation coefficients were calculated to explore the extent to which different quality assessments within each category agreed. Overall, there was a reassuring level of agreement. Some of the lack of agreement found could be attributed to the fact that, even though addressing the same general area, measures were focused on subtly different facets of the phenomenon under study. Other disagreement seemed to stem from the interaction between the nature of the information and the process for obtaining it. Comparisons between measures which required staff to give an opinion about how the setting was organized, and those which either required staff to comment on resident activity or employed independent observation, tended to disagree. The study illustrates that the basis for translating a multidimensional definition of quality into measurable terms is developing. Further research to examine the interrelationship between measurement approaches is warranted