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In Reply: Dr Gandjour suggests that, because we used a validated questionnaire capable of detecting clinically meaningful changes in patients' HRQL, it is self-evident that the provision of such feedback will be of use.

Although the questionnaire has proven its usefulness in clinical research (eg, in comparing the HRQL of groups of patients), little is known about its value when used at the level of the individual patient. Rather than simply assuming the value of structured HRQL information in daily clinical practice, we believe that it is essential to demonstrate this empirically.

We do agree with Gandjour that, given the positive results of our study, the next step is to determine how the intervention might be improved and how it can be successfully implemented on a wider scale outside of the context of a controlled trial. We also advocate the use of computers with touch screens as a feasible and . . . [Full Text of this Article]

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RELATED ARTICLE

Improving Communication of Health-Related Quality of Life
Afschin Gandjour
JAMA. 2003;289(13):1636.
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