WHOQOL METHOD The WHOQOL-100 was developed using a unique cross-cultural approach.

The WHOQOL development methodology has several unique features.

First, this action included a cooperative approach to international equipment development (Bullinger, 1994; Kuyken, Orley, Hudelson, Sartorius, 1994).

WHOQOL METHOD The WHOQOL-100 was developed using a unique cross-cultural approach.

The WHOQOL development methodology has several unique features.

First, this action included a cooperative approach to international equipment development (Bullinger, 1994; Kuyken, Orley, Hudelson, Sartorius, 1994).

The aim was to co-develop a single quality-of-life device in multiple environments.

Therefore, several culturally diverse centers were involved in operationalizing the areas of quality of life measurement, question development, question selection, response scale derivation, and pilot testing.

In , this approach, standardization, and equivalence of configuration and translation issues was at the forefront of the development process.

To ensure that the cooperation is truly international, differences in levels of industrialization, available health services, and other indicators relevant to measuring quality of life (family roles, time awareness, self-awareness) should be considered.

Field centers were selected that provide services such as: , dominant religion).

Table 1.

1 lists the field centers involved in the development and testing of the WHOQOL pilot instrument.