While incorporating everything that is important to patients into an outcome measure may not be feasible (without generalising to a very abstract level), adopting a broader informational ‘attributes’ base for economic evaluation would be helpful for evaluating across sectors. This work identified a list of capabilities that will be important in evaluating cross-sectoral interventions for those with chronic pain and presents a tool, in the form of the questionnaire, through which this can be done. Next steps will involve assessing the validity of the instrument, through its inclusion alongside and comparison with both established generic and condition-specific instruments. In its current form, it will offer service providers a systematic means of capturing outcomes which extend beyond health symptoms; it will give an indication of whether services enable users to be and do those things which are of value to them. Condition-specific instruments are not typically used in economic evaluation. Whilst eliciting values for this instrument will enhance its use in terms of gathering additional economic evidence to inform policy-makers, a generic capability-instrument which explicitly incorporates health could offer a stand-alone alternative to the QALY. References: Al-Janabi, H., T. Flynn, et al. (2012). "Development of a self-report measure of capability wellbeing for adults: the ICECAP-A." QUALITY OF LIFE RESEARCH 21(1): 167-76. Alkire, S. (2008). Using the capability approach: prospective and evaluative analyses. The Capability Approach: Concepts, Measures and Applications. F. Comin, M. Qizilbash and S. Alkire. New York, Cambridge University Press. Anand, P., G. Hunter, et al. (2005). "Capabilities and Well-Being: Evidence Based on the Sen-Nussbaum Approach to Welfare." Social Indicators Research 74(1): 9-55. Blomqvist, K. and A. Edberg (2002). "Living with persistent pain: experiences of older people receiving home care." Journal of Advanced Nursing 40(3): Borell, L., E. Asaba, et al. (2006). "Exploring experiences of "participation" among individuals living with chronic pain." Scandinavian Journal of Occupational Therapy 13: 76-85.
While incorporating everything that is important to patients into an outcome measure may not be feasible (without generalising ‘attributes’ to a very abstract level), adopting a broader informational base for economic evaluation would be helpful for evaluating across sectors. This work identified a list of capabilities that will be important in evaluating cross-sectoral interventions for those with chronic pain and presents a tool, in the form of the questionnaire, through which this can be done. Next steps will involve assessing the validity of the instrument, through its inclusion alongside and comparison with both established generic and condition-specific instruments. In its current form, it will offer service providers a systematic means of capturing outcomes which extend beyond health symptoms; it will give an indication of whether services enable users to be and do those things which are of value to them. Condition-specific instruments are not typically used in economic evaluation. Whilst eliciting values for this instrument will enhance its use in terms of gathering additional economic evidence to inform policy-makers, a generic capability-instrument which explicitly incorporates health could offer a stand-alone alternative to the QALY. References: Al-Janabi, H., T. Flynn, et al. (2012). "Development of a self-report measure of capability wellbeing for adults: the ICECAP-A." QUALITY OF LIFE RESEARCH 21(1): 167-76. Alkire, S. (2008). Using the capability approach: prospective and evaluative analyses. The Capability Approach: Concepts, Measures and Applications. F. Comin, M. Qizilbash and S. Alkire. New York, Cambridge University Press. Anand, P., G. Hunter, et al. (2005). "Capabilities and Well-Being: Evidence Based on the Sen-Nussbaum Approach to Welfare." Social Indicators Research 74(1): 9-55. Blomqvist, K. and A. Edberg (2002). "Living with persistent pain: experiences of older people receiving home care." Journal of Advanced Nursing 40(3): Borell, L., E. Asaba, et al. (2006). "Exploring experiences of "participation" among individuals living with chronic pain." Scandinavian Journal of Occupational Therapy 13: 76-85.
SocIndRes_Revisions_for_Pure.docx