Duchenne Muscular Dystrophy Quality of Life Measure (DMD QoL)

The DMD QoL is the first condition-specific preference-based measure of health-related quality of life (HRQoL) in people with Duchenne Muscular Dystrophy (DMD).

Background

The DMD QoL can be used in cost-effectiveness evaluations of new healthcare interventions. It is the product of a study which featured input from  a  multidisciplinary  team  working  with  the  charity  Duchenne  UK,  clinicians,  patients  and  primary  caregivers  of  people  with DMD.

The DMD QoL is a 14 item questionnaire available as a patient reported version and a proxy version.

Read more about the background of the DMD-QoL here.

Preference based utility measure

A preference-based measure for capturing the quality of life of people with Duchenne muscular dystrophy (DMD) from the DMD-QoL is also available and can be used to generate QALYs for people with DMD. QALYs can then be used to inform economic models of the cost-effectiveness of
interventions in DMD. You can find our more about the DMD-Qol -8D via the relevant publication or under “Key References”.

Scoring system

The DMD-QoL has a hierarchical (or ‘higher-order’) factor structure, with 3 lower-order factors (physical, social, and psychological) and 1 higher-order factor (overall quality of life [QoL], comprised of the 3 lower-order factors).

A simple, summative scoring system is proposed for each of the 3 lower-order factors, and consequently the higher-order factor (QoL) being a composite score of these.

Higher scores represent a more positive QoL (overall or within each subscale).

The DMD-QoL-8D is also available to licence and is a preference-based measure that can be used to generate utility values to produce quality-adjusted life years (QALYs).

Funding

This work was supported by Duchenne UK under the Project Hercules funding stream.

Administration methods

The DMD-QoL is to date validated for pen and paper completion. Careful migration to a digital delivery format (for example screen based device) can be authorised. Please contact us for advice.

Validated Therapeutic Areas:

Duchenne muscular dystrophy

Research Team:

Dr Philip A Powell

Dr Jill Carlton

Dr Donna Rowen

Fleur Chandler

Prof. Michela Guglieri

Prof. John E Brazier

Dossier Extracts:

Sample Copy

Sample Copy - Proxy version

Available Languages

Background Information

Key References:

Carlton J, Powell PA; Project HERCULES Carer Group. Measuring carer quality of life in Duchenne muscular dystrophy: a systematic review of the reliability and validity of self-report instruments using COSMIN. Health Qual Life Outcomes. 2022;20(1):57. Published 2022 Apr 2. doi:10.1186/s12955-022-01964-4

Powell PA, Carlton J. A comprehensive qualitative framework for health-related quality of life in Duchenne muscular dystrophy [published online ahead of print, 2022 Sep 1]. Qual Life Res. 2022;10.1007/s11136-022-03240-w. doi:10.1007/s11136-022-03240-w

Powell PA, Carlton J, Rowen D, Chandler F, Guglieri M, Brazier JE. Development of a New Quality of Life Measure for Duchenne Muscular Dystrophy Using Mixed Methods: The DMD-QoL. Neurology. 2021 May 11;96(19):e2438-e2450. doi: 10.1212/WNL.0000000000011896. Epub 2021 Mar 30.

Powell, Philip & Carlton, Jill & Rowen, Donna & Brazier, John & Facey, Karen & Bayley, Klair & Chandler, Fleur & Godfrey, Josie & Crossley, Emily. (2021). Measuring What Matters: Little Evidence Supporting the Content Validity of EQ-5D in People with Duchenne Muscular Dystrophy and Their Caregivers. Medical Decision Making. 10.1177/0272989X211062237.

Powell PA, Carlton J, Woods HB, Mazzone P. Measuring quality of life in Duchenne muscular dystrophy: a systematic review of the content and structural validity of commonly used instruments. Health Qual Life Outcomes. 2020;18(1):263. Published 2020 Aug 3. doi:10.1186/s12955-020-01511-z

Powell PA, Carlton J, Rowen D, Brazier JE. Producing a preference-based quality of life measure for people with Duchenne muscular dystrophy: a mixed-methods study protocol. BMJ Open. 2019;9(3):e023685. Published 2019 Mar 9. doi:10.1136/bmjopen-2018-023685

Uttley L, Carlton J, Woods HB, Brazier J. A review of quality of life themes in Duchenne muscular dystrophy for patients and carers. Health Qual Life Outcomes. 2018;16(1):237. Published 2018 Dec 19. doi:10.1186/s12955-018-1062-0

Rowen D, Powell P, Mukuria C, Carlton J, Norman R, Brazier J. Deriving a Preference-Based Measure for People With Duchenne Muscular Dystrophy From the DMD-QoL. Value Health. 2021 Oct;24(10):1499-1510. doi: 10.1016/j.jval.2021.03.007. Epub 2021 May 6. PMID: 34593174.

Pearlmutter A, Powell P, Carlton J, Chen E, Gallington K, Bacci E, Gelhorn H, Cho M, Dashiell-Aje E. Qualitative interviews with caregivers of children aged 4–7 years using the Duchenne muscular dystrophy quality of life (DMD-QoL) proxy measure. Neuromuscul Disord. 2025;S0960-8966(25)00247-0. doi: 10.1016/j.nmd.2025.00247

Date Added:

05/04/2021

Therapeutic Area

Rare Diseases