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Can capabilities be self-reported? A think aloud study

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  • Al-Janabi, Hareth
  • Keeley, Thomas
  • Mitchell, Paul
  • Coast, Joanna
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    Abstract

    Direct assessment of capability to function may be useful in healthcare settings, but poses many challenges. This paper reports a first investigation of the feasibility of individuals self-reporting their capabilities and the meaning of the responses. The study was conducted in 2010, using think-aloud interviews with participants in the UK. The findings of the study suggest that the majority of participants were able to comprehend questions about their capabilities, felt able to judge their own capability wellbeing and provided responses in line with this judgement. In a number of cases, for example in relation to ‘autonomy’, participants highlighted that their capability was potentially greater than their functioning. The findings also show varying interpretations of the capability concept, with some participants finding the capability concept unintuitive in relation to specific aspects of life (in particular, ‘attachment’). The findings suggest that guiding individuals in the process of identifying their capabilities may be important in generating consistent responses to capability questions.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 87 (2013)
    Issue (Month): C ()
    Pages: 116-122

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    Handle: RePEc:eee:socmed:v:87:y:2013:i:c:p:116-122

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    Related research

    Keywords: Capability approach; EQ-5D; Health economics; ICECAP-A; Outcome measurement; Think-aloud; United Kingdom; Wellbeing;

    References

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    1. Mandy Ryan & Verity Watson & Vikki Entwistle, 2009. "Rationalising the 'irrational': a think aloud study of discrete choice experiment responses," Health Economics, John Wiley & Sons, Ltd., vol. 18(3), pages 321-336.
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    4. Grewal, Ini & Lewis, Jane & Flynn, Terry & Brown, Jackie & Bond, John & Coast, Joanna, 2006. "Developing attributes for a generic quality of life measure for older people: Preferences or capabilities?," Social Science & Medicine, Elsevier, Elsevier, vol. 62(8), pages 1891-1901, April.
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    11. Coast, Joanna & Flynn, Terry N. & Natarajan, Lucy & Sproston, Kerry & Lewis, Jane & Louviere, Jordan J. & Peters, Tim J., 2008. "Valuing the ICECAP capability index for older people," Social Science & Medicine, Elsevier, Elsevier, vol. 67(5), pages 874-882, September.
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    13. Brouwer, Werner B. F. & van Exel, N. Job A. & Stolk, Elly A., 2005. "Acceptability of less than perfect health states," Social Science & Medicine, Elsevier, Elsevier, vol. 60(2), pages 237-246, January.
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    15. Allison, P. J. & Locker, D. & Feine, J. S., 1997. "Quality of life: A dynamic construct," Social Science & Medicine, Elsevier, Elsevier, vol. 45(2), pages 221-230, July.
    16. Menzel, Paul & Dolan, Paul & Richardson, Jeff & Olsen, Jan Abel, 2002. "The role of adaptation to disability and disease in health state valuation: a preliminary normative analysis," Social Science & Medicine, Elsevier, Elsevier, vol. 55(12), pages 2149-2158, December.
    17. Brazier, John & Ratcliffe, Julie & Salomon, Joshua A. & Tsuchiya, Aki, 2007. "Measuring and Valuing Health Benefits for Economic Evaluation," OUP Catalogue, Oxford University Press, Oxford University Press, number 9780198569824, October.
    18. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, Elsevier, vol. 48(11), pages 1507-1515, June.
    19. Mallinson, Sara, 2002. "Listening to respondents: : a qualitative assessment of the Short-Form 36 Health Status Questionnaire," Social Science & Medicine, Elsevier, Elsevier, vol. 54(1), pages 11-21, January.
    20. Coast, Joanna & Smith, Richard D. & Lorgelly, Paula, 2008. "Welfarism, extra-welfarism and capability: The spread of ideas in health economics," Social Science & Medicine, Elsevier, Elsevier, vol. 67(7), pages 1190-1198, October.
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