Measuring quality of life of adults with intellectual disabilities: Psychometric evaluation of the personal outcomes scale in the United Kingdom

J Appl Res Intellect Disabil. 2024 Mar;37(2):e13189. doi: 10.1111/jar.13189.

Abstract

Background: The Personal Outcomes Scale (POS) is a scale developed to measure quality of life of adults (18+) with intellectual disability. Previous studies have reported good fit for Spanish and Portuguese language versions of POS.

Aims: This study aimed to evaluate the factor structure of the English language version of POS when used to measure the quality of life of adults (18+) with intellectual disability in the UK.

Materials and methods: Analysis was conducted on POS data from 310 adults with an intellectual disability. First and second order factor models and multi-level models were used to assess fit.

Results: There was poor fit to the data for all tested models. We estimated that 23% of variance in POS scores was accounted for by interviewer cluster.

Discussion: This was the first UK-based evaluation of POS and our data did not confirm the factor structure of the POS measure. The identification of systematic variability within the dataset indicates that inter-rater reliability is a potential limitation of the POS tool.

Conclusion: Further research is needed to investigate inter-rater reliability of POS interviewers and to explore factor structure.

Keywords: factor analysis; intellectual disability; psychometric testing; quality of life.

MeSH terms

  • Adult
  • Humans
  • Intellectual Disability*
  • Psychometrics
  • Quality of Life
  • Reproducibility of Results
  • Surveys and Questionnaires
  • United Kingdom