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Protocol - Spirituality

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Description

The WHOQOL Spirituality, Religion and Personal Beliefs (SRPB) is an instrument covering 8 facets, representing 32 items. The WHOQOL-SRPB questions ask about one’s spiritual, religious or personal beliefs and how these beliefs have affected Quality of Life (QoL), including positive feelings, social support, self-esteem, pain, energy, work capacity, health and social care, and leisure activities.

Specific Instructions

None

Availability

Available

Protocol

Connectedness to a spiritual being or force

1. To what extent does any connection to a spiritual being help you to get through hard times?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

2. To what extent does any connection to a spiritual being help you to tolerate stress?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

3. To what extent does any connection to a spiritual being help you to understand others?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

4. To what extent does any connection to a spiritual being provide you with comfort / reassurance?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Inner peace/ serenity/harmony

5. To what extent do you feel peaceful within yourself?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

6. To what extent do you have inner peace?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

7. How much are you able to feel peaceful when you need to?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

8. To what extent do you feel a sense of harmony in your life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Meaning of life

9. To what extent do you find meaning in life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

10. To what extent does taking care of other people provide meaning of life for you?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

11. To what extent do you feel your life has a purpose?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

12. To what extent do you feel you are here for a reason?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Hope & optimism

13. How hopeful do you feel?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

14. To what extent are you hopeful about your life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

15. To what extent does being optimistic improve your quality of life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

16. How able are you to remain optimistic in times of uncertainty?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Awe

17. To what extent are you able to experience awe from your surroundings? (e.g. nature, art, music)

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

18. To what extent do you feel spiritually touched by beauty?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

19. To what extent do you have feelings of inspiration/excitement in your life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

20. To what extent are you grateful for the things in nature that you can enjoy?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Faith

21. To what extent does faith contribute to your well-being?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

22. To what extent does faith give you comfort in daily life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

23. To what extent does faith give you strength in daily life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

24. To what extent does faith help you to enjoy life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Wholeness & integration

25. To what extent do you feel any connection between your mind, body and soul?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

26. How satisfied are you that you have a balance between mind, body and soul?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

27. To what extent do you feel the way you live is consistent with what you feel and think?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

28. How much do your beliefs help you to create coherence between what you do, think and feel?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Spiritual strength

29. To what extent do you feel inner spiritual strength?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

30. To what extent can you find spiritual strength in difficult times?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

31. How much does spiritual strength help you to live better?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

32. To what extent does your spiritual strength help you to feel happy in life?

1 [ ] Not at all

2 [ ] A little

3 [ ] A moderate amount

4 [ ] Very much

5 [ ] An extreme amount

Scoring:

Items are rated on a 5-point Likert interval scale where 1 indicates low, negative perceptions and 5 indicates high, positive perceptions. For example, an item in the personal relationships facet asks ‘‘How alone do you feel?’’ and the available responses are 1 (not at all), 2 (a little), 3 (a moderate amount), 4 (very much), and 5 (extremely). Domain scores are obtained by adding the facet means in the respective domain, and dividing by the number of facets in that domain, and multiplying by 4, so that scores range from 4 to 20.

Personnel and Training Required

The survey should be self-administered if respondents have sufficient ability to read; otherwise, interviewer-assisted or interviewer-administered forms should be used. The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a “don’t know” response is provided.

Equipment Needs

The PhenX Working Group acknowledges that these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

Adults, ages 18 and older

Selection Rationale

Fielded in 18 countries, this questionnaire has a scoring algorithm that has been successful in showing that low spiritually affects health outcomes. The elements in this protocol are neutral and not specific to any Judeo-Christian religion. This internationally used instrument measures important components of quality of life.

Language

English, Other languages available at source

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Protocol Name from Source

World Health Organization’s Quality of Life Measure (WHOQOL) Spirituality, Religion and Personal Beliefs (SRPB)

Source

WHOQOL SRPB Group. (2006). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. Social Science & Medicine 62, 1486–1497.

General References

Mandhouj O, Etter JF, Courvoisier D, Aubin HJ. French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument. Health Qual Life Outcomes. 2012 Apr 19;10:39. doi: 10.1186/1477-7525-10-39.

Panzini RG, Maganha C, Rocha NS, Bandeira DR, Fleck MP. Brazilian validation of the Quality of Life Instrument/spirituality, religion and personal beliefs. Rev Saude Publica. 2011 Feb;45(1):153-65. English, Portuguese.

Protocol ID

280601

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX280601_Spirituality_Awe_Beauty
PX280601180000 To what extent do you feel spiritually more
touched by beauty? show less
N/A
PX280601_Spirituality_Awe_Grateful
PX280601200000 To what extent are you grateful for the more
things in nature that you can enjoy? show less
N/A
PX280601_Spirituality_Awe_Inspiration
PX280601190000 To what extent do you have feelings of more
inspiration/excitement in your life? show less
N/A
PX280601_Spirituality_Awe_Surroundings
PX280601170000 To what extent are you able to experience more
awe from your surroundings? (e.g. nature, art, music) show less
N/A
PX280601_Spirituality_Faith_Comfort_Daily_Life
PX280601220000 To what extent does faith give you comfort more
in daily life? show less
N/A
PX280601_Spirituality_Faith_Enjoy_Life
PX280601240000 To what extent does faith help you to enjoy life? N/A
PX280601_Spirituality_Faith_Strenght_Daily_Life
PX280601230000 To what extent does faith give you strength more
in daily life? show less
N/A
PX280601_Spirituality_Faith_Well_Being
PX280601210000 To what extent does faith contribute to your more
well-being? show less
N/A
PX280601_Spirituality_Hope_Optimism
PX280601130000 How hopeful do you feel? N/A
PX280601_Spirituality_Hope_Optimism_Extent
PX280601140000 To what extent are you hopeful about your life? N/A
PX280601_Spirituality_Hope_Optimism_Quality_Life
PX280601150000 To what extent does being optimistic improve more
your quality of life? show less
N/A
PX280601_Spirituality_Hope_Optimism_Uncertainty
PX280601160000 How able are you to remain optimistic in more
times of uncertainty? show less
N/A
PX280601_Spirituality_Inner_Peace
PX280601050000 To what extent do you feel peaceful within more
yourself? show less
N/A
PX280601_Spirituality_Inner_Peace_Extent
PX280601060000 To what extent do you have inner peace? N/A
PX280601_Spirituality_Inner_Peace_Harmony
PX280601080000 To what extent do you feel a sense of more
harmony in your life? show less
N/A
PX280601_Spirituality_Inner_Peace_Need
PX280601070000 How much are you able to feel peaceful when more
you need to? show less
N/A
PX280601_Spirituality_Meaning_Life
PX280601090000 To what extent do you find meaning in life? N/A
PX280601_Spirituality_Meaning_Life_Care_Others
PX280601100000 To what extent does taking care of other more
people provide meaning of life for you? show less
N/A
PX280601_Spirituality_Meaning_Life_Purpose
PX280601110000 To what extent do you feel your life has a more
purpose? show less
N/A
PX280601_Spirituality_Meaning_Life_Reason
PX280601120000 To what extent do you feel you are here for more
a reason? show less
N/A
PX280601_Spirituality_Spiritual_Being_Comfort
PX280601040000 To what extent does any connection to a more
spiritual being provide you with comfort / reassurance? show less
N/A
PX280601_Spirituality_Spiritual_Being_Hard_Times
PX280601010000 To what extent does any connection to a more
spiritual being help you to get through hard times? show less
N/A
PX280601_Spirituality_Spiritual_Being_Stress
PX280601020000 To what extent does any connection to a more
spiritual being help you to tolerate stress? show less
N/A
PX280601_Spirituality_Spiritual_Being_Understand_Others
PX280601030000 To what extent does any connection to a more
spiritual being help you to understand others? show less
N/A
PX280601_Spirituality_Strength_Difficult_Times
PX280601300000 To what extent can you find spiritual more
strength in difficult times? show less
N/A
PX280601_Spirituality_Strength_Feel_Happy
PX280601320000 To what extent does your spiritual strength more
help you to feel happy in life? show less
N/A
PX280601_Spirituality_Strength_Inner
PX280601290000 To what extent do you feel inner spiritual more
strength? show less
N/A
PX280601_Spirituality_Strength_Live_Better
PX280601310000 How much does spiritual strength help you to more
live better? show less
N/A
PX280601_Spirituality_Wholeness_Integration_Balance
PX280601260000 How satisfied are you that you have a more
balance between mind, body and soul? show less
N/A
PX280601_Spirituality_Wholeness_Integration_Coherence
PX280601280000 How much do your beliefs help you to create more
coherence between what you do, think and feel? show less
N/A
PX280601_Spirituality_Wholeness_Integration_Connection
PX280601250000 To what extent do you feel any connection more
between your mind, body and soul? show less
N/A
PX280601_Spirituality_Wholeness_Integration_Feel_Think
PX280601270000 To what extent do you feel the way you live more
is consistent with what you feel and think? show less
N/A
Individual Social Determinants of Health
Measure Name

Spirituality

Release Date

May 11, 2020

Definition

A questionnaire to assess spirituality, which affects the individual’s ability to cope with stress, illness, and maintain well being

Purpose

To assess an individual’s connectedness to a spiritual being and the extent to which those beliefs provide hope, inner peace, and other positive emotions.

Keywords

Social Determinants of Health, World Health Organization, Spirituality, Religion, Personal Beliefs

Measure Protocols
Protocol ID Protocol Name
280601 Spirituality
Publications

Burnett-Bowie, S. A. M., et al. (2024) The American Society for Bone and Mineral Research Task Force on clinical algorithms for fracture risk report. Journal of Bone and Mineral Research. 2024 May; 39(5): 517-530. doi: 10.1093/jbmr/zjae048

Bartholomew, T. S., et al. (2024) Project CHARIOT: study protocol for a hybrid type 1 effectiveness-implementation study of comprehensive tele-harm reduction for engagement of people who inject drugs in HIV prevention services Addiction Science & Clinical Practice. 2024 March; 19(1). doi: 10.1186/s13722-024-00447-9

Chan, N. W., et al. (2022) Social Determinants of Health Data Capture Within National and Health System Data Sources. Journal of the American College of Surgeons. 2022 November; 235(5): S136. doi: 10.1097/01.XCS.0000894008.17070.09

Chan, N. W., et al. (2022) Social determinants of health data in solid organ transplantation: National data sources and future directions. Am J Transplant. 2022 October; 22(10): 2293-2301. doi: 10.1111/ajt.17096