Cardiac Rehabilitation And Quality Of Life Scores

WHOQOL-BREF Cardiac-Adapted Calculator

Clinical calculation support · Verify results before clinical use

Questionnaire scoring

Enter responses from a completed, authorized WHOQOL-BREF form. Each item must be scored from 1 to 5.

26Items

Important: This calculator computes standard WHOQOL-BREF domain scores from item-level responses. It is not a validated cardiac-specific adaptation and does not estimate cardiovascular risk. Use the approved language version and its administration instructions.

General items

These two items are reported individually and are not included in the four domain scores.

Item 1: Overall quality of life

Item 2: Satisfaction with health

Physical health

Enter each response exactly as recorded on the administered questionnaire. These topic labels are not a replacement for official questionnaire wording.

Item 3: Pain and discomfort

Item 4: Dependence on medical treatment

Item 10: Energy and fatigue

Item 15: Mobility

Item 16: Sleep and rest

Item 17: Activities of daily living

Item 18: Work capacity

Psychological health

Enter each response exactly as recorded on the administered questionnaire. These topic labels are not a replacement for official questionnaire wording.

Item 5: Positive feelings

Item 6: Meaning in life

Item 7: Concentration

Item 11: Body image and appearance

Item 19: Self-esteem

Item 26: Negative feelings

Social relationships

Enter each response exactly as recorded on the administered questionnaire. These topic labels are not a replacement for official questionnaire wording.

Item 20: Personal relationships

Item 21: Sexual life

Item 22: Support from friends

Environment

Enter each response exactly as recorded on the administered questionnaire. These topic labels are not a replacement for official questionnaire wording.

Item 8: Safety in daily life

Item 9: Physical environment

Item 12: Financial resources

Item 13: Access to information

Item 14: Leisure opportunities

Item 23: Home environment

Item 24: Health and social care

Item 25: Transport

Scoring method

The WHOQOL-BREF contains 26 items. Items 1 and 2 assess overall quality of life and general health and are reported separately. The remaining 24 items contribute to four domains: physical health, psychological health, social relationships, and environment.

Domain item mapping

Physical health: items 3, 4, 10, 15, 16, 17, 18.
Psychological health: items 5, 6, 7, 11, 19, 26.
Social relationships: items 20, 21, 22.
Environment: items 8, 9, 12, 13, 14, 23, 24, 25.

Transformation

After reverse-scoring items 3, 4, and 26, each domain score is calculated as the mean of its items multiplied by four (range 4–20). The transformed score is ((domain score − 4) / 16) × 100.

Cardiac-specific interpretation

No cardiac-specific cutoff, prognostic category, or treatment recommendation is provided because a validated cardiac-adapted scoring algorithm was not established from the supplied code or verified sources. Do not interpret the result as a cardiovascular risk score.

References

World Health Organization.
WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment. Field trial version, December 1996.
Official WHO publication page

Skevington SM, Lotfy M, O’Connell KA; WHOQOL Group.
The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. Qual Life Res. 2004;13(2):299–310.
DOI: 10.1023/B:QURE.0000018486.91360.00

World Health Organization.
WHOQOL-BREF questionnaire and scoring files, including available language versions.
WHOQOL-BREF official resources

Clinical and instrument-use disclaimer: This tool supports scoring of responses collected using an authorized WHOQOL-BREF form. It does not replace the official questionnaire, its manual, clinical assessment, or local language/version requirements. The cardiac-adaptation paper cited in the original code could not be verified and is not retained as an established reference. Do not claim a cardiac-specific adaptation without a verifiable validation study.