Assessment & Research

From a concept to a theory: The six eras of quality of life research and application.

Verdugo et al. (2024) · Research in developmental disabilities 2024
★ The Verdict

Quality-of-life work has matured through six eras; knowing the era keeps your assessments current.

✓ Read this if BCBAs writing QOL goals for adults or youth with ID/DD.
✗ Skip if Practitioners who only run skill-acquisition programs without long-term outcome tracking.

01Research in Context

01

What this study did

Verdugo et al. (2024) traced how quality-of-life ideas grew up.

They split 70 years of work into six clear eras.

The story starts with fuzzy thoughts and ends with a solid theory.

02

What they found

The field moved from "what is QOL?" to "how do we prove it?"

Each era fixed the blind spots of the one before.

Today we have a shared map instead of scattered guesses.

03

How this fits with other research

Branford (1997) drew the first six-domain map. Ángel shows that map belongs to Era 2, the "concept" era.

Petry et al. (2007) turned ideas into items using Delphi consensus. Ángel slots that work into Era 3, the "measurement" era.

Adams et al. (2021) gave us six research steps to test the Quality of Life Supports Model. Ángel places those steps in Era 5, the "applied-science" era.

Mercier et al. (2025) looked for pure emotional-well-being tools and found most are just QOL scales in disguise. Their hunt for tighter measures extends Ángel’s story into a seventh chapter.

04

Why it matters

You no longer have to pick a QOL tool at random.

Use Ángel’s eras like a timeline: choose instruments born in Era 3, pair them with theory from Era 4, and test change with methods from Era 5.

Monday morning, open your client’s file and ask which era their current plan reflects. If it stops at Era 2 "concepts," add a brief standardized scale and move them into Era 3 evidence.

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Pick one Era-3 validated QOL scale, add it to your intake packet, and plot baseline this week.

02At a glance

Intervention
not applicable
Design
narrative review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

This article describes the evolution of the quality of life concept through the lens of six distinct eras. Each era reflects a shared process in which multiple stakeholders, including persons with intellectual and developmental disabilities and researchers, have played a significant role. Across these six eras, research on quality of life has evolved from operationalizing a concept to developing a theory. As described in the article, the first three eras resulted in formulating conceptualization, measurement, and application principles; developing quality of life conceptual and operational models; and constructing reliable and valid instruments to assess quality of life domains or domain-referenced indicators. The application era has focused on applying the concept of quality of life and its measurement, supports provision, conceptualization and theory, and systemic change. The final two eras have involved theory development and theory confirmation.

Research in developmental disabilities, 2024 · doi:10.1016/j.ridd.2024.104763