Defining and applying the concept of quality of life.
Quality of life has six moving parts—blend facts with feelings and weigh each by what the person values.
01Research in Context
What this study did
Branford (1997) wrote a think-piece, not an experiment. The author asked, “What should quality of life mean for people with disabilities?”
The paper answers with six must-check boxes: emotional well-being, physical health, personal control, social ties, money and housing, and rights.
The model says you must mix hard facts (like having a job) with the person’s own feelings (like liking that job).
What they found
There are no numbers. The product is a one-page map that teams can use to pick or build tools.
The map tells you to weigh each domain by what the client values, not just what staff think matters.
How this fits with other research
Verdugo et al. (2024) look back and call the 1997 paper the “second era” that turned a fuzzy idea into a test-ready model. The six boxes are still standing 27 years later.
Adams et al. (2021) give you a six-step lab recipe that starts with the same six boxes. They show how to turn the map into real data in IDD research.
Brown et al. (2013) keep the boxes but add a twist: they swap “standard indicators” for “personal capabilities.” Same spirit, sharper lens.
Petry et al. (2007) prove the map works even for people with profound multiple disabilities. Experts kept 91 % of the items, showing the domains stretch without breaking.
Why it matters
You now have a quick checklist that covers what funders, families, and clients actually care about. Use it to pick tools, write goals, or defend why a “soft” area like happiness belongs in the behavior plan. When a measure skips one of the six boxes, you can spot the gap and fill it before the annual review.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Open your current behavior plan and check: does it list at least one goal or measure in each of the six domains—if not, add the missing one the client names as important.
02At a glance
03Original abstract
Quality of life has been increasingly used as a scientific concept in literature embracing a wide range of target groups and populations as a whole. Conceptualizations vary, but there is much common ground concerning the domain content embraced by the term. Commentators are also clear that account needs to be taken of both objective life conditions and subjective personal appraisals, and the fact that what is important to each person varies. A synthesis of these perspectives provides a model of quality of life which integrates objective and subjective indicators and individual values across a broad range of life domains. Life domain issues may be categorized within six areas: physical, material, social, productive, emotional and civic well-being. Whatever its precise specification, the model is put forward as a framework for organizing measurement relevant to the quality of life concept rather than as a blueprint for deriving the ultimate single instrument. There is still a need for methodological flexibility. The pre-eminent aim is to relate the fine grain of the experience of individuals with disability to that of the wider world.
Journal of intellectual disability research : JIDR, 1997 · doi:10.1111/j.1365-2788.1997.tb00689.x