An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire
<h4>Introduction</h4> Capability-adjusted life years Sweden (CALY-SWE) are a new Swedish questionnaire-based measure for quality of life based on the capability approach. CALY-SWE are targeted towards use in cost-effectiveness evaluations of social welfare consequences. Here, we first mo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824323/?tool=EBI |
| _version_ | 1797984000120193024 |
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| author | Kaspar Walter Meili Anna Månsdotter Linda Richter Sundberg Jan Hjelte Lars Lindholm |
| author_facet | Kaspar Walter Meili Anna Månsdotter Linda Richter Sundberg Jan Hjelte Lars Lindholm |
| author_sort | Kaspar Walter Meili |
| collection | DOAJ |
| description | <h4>Introduction</h4> Capability-adjusted life years Sweden (CALY-SWE) are a new Swedish questionnaire-based measure for quality of life based on the capability approach. CALY-SWE are targeted towards use in cost-effectiveness evaluations of social welfare consequences. Here, we first motivate the measure both from a theoretical and from a Swedish policy-making perspective. Then, we outline the core principles of the measure, namely the relation to the capability approach, embedded equity considerations inspired by the fair-innings approach, and the bases for which capabilities should be considered. The aims were to 1) the most vital capabilities for individuals in Sweden, 2) to define a sufficient level of each identified capability to lead a flourishing life, and to 3) develop a complete questionnaire for the measurement of the identified capabilities. <h4>Material and methods</h4> For the selection of capabilities, we used a Delphi process with Swedish civil society representants. To inform the questionnaire development, we conducted a web survey in three versions, with each Swedish 500 participants, to assess the distribution of capabilities that resulted from the Delphi process in the Swedish population. Each version was formulated with different strictness so that less strict wordings of a capability level would apply to a larger share of participants. All versions also included questions on inequality aversion regarding financial, educational, and health capabilities. <h4>Results</h4> The Delphi process resulted in the following six capabilities: Financial situation & housing, health, social relations, occupations, security, and political & civil rights. We formulated the final phrasing for the questionnaire based on normative reasons and the distribution of capabilities in the population while taking into account inequality aversion. <h4>Conclusion</h4> We developed a capability-based model for cost effectiveness economic evaluations of broader social consequences, specific to the Swedish context. |
| first_indexed | 2024-04-11T06:54:55Z |
| format | Article |
| id | doaj.art-b7190dd346cb414f856b1388c9c37ced |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-11T06:54:55Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-b7190dd346cb414f856b1388c9c37ced2022-12-22T04:39:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01172An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaireKaspar Walter MeiliAnna MånsdotterLinda Richter SundbergJan HjelteLars Lindholm<h4>Introduction</h4> Capability-adjusted life years Sweden (CALY-SWE) are a new Swedish questionnaire-based measure for quality of life based on the capability approach. CALY-SWE are targeted towards use in cost-effectiveness evaluations of social welfare consequences. Here, we first motivate the measure both from a theoretical and from a Swedish policy-making perspective. Then, we outline the core principles of the measure, namely the relation to the capability approach, embedded equity considerations inspired by the fair-innings approach, and the bases for which capabilities should be considered. The aims were to 1) the most vital capabilities for individuals in Sweden, 2) to define a sufficient level of each identified capability to lead a flourishing life, and to 3) develop a complete questionnaire for the measurement of the identified capabilities. <h4>Material and methods</h4> For the selection of capabilities, we used a Delphi process with Swedish civil society representants. To inform the questionnaire development, we conducted a web survey in three versions, with each Swedish 500 participants, to assess the distribution of capabilities that resulted from the Delphi process in the Swedish population. Each version was formulated with different strictness so that less strict wordings of a capability level would apply to a larger share of participants. All versions also included questions on inequality aversion regarding financial, educational, and health capabilities. <h4>Results</h4> The Delphi process resulted in the following six capabilities: Financial situation & housing, health, social relations, occupations, security, and political & civil rights. We formulated the final phrasing for the questionnaire based on normative reasons and the distribution of capabilities in the population while taking into account inequality aversion. <h4>Conclusion</h4> We developed a capability-based model for cost effectiveness economic evaluations of broader social consequences, specific to the Swedish context.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824323/?tool=EBI |
| spellingShingle | Kaspar Walter Meili Anna Månsdotter Linda Richter Sundberg Jan Hjelte Lars Lindholm An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire PLoS ONE |
| title | An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire |
| title_full | An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire |
| title_fullStr | An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire |
| title_full_unstemmed | An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire |
| title_short | An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire |
| title_sort | initiative to develop capability adjusted life years in sweden caly swe selecting capabilities with a delphi panel and developing the questionnaire |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824323/?tool=EBI |
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