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Caregiver Work Limitations Questionnaire (Caregiver WLQ)

Lerner D; Benson C; Chang H; Adler D; Rogers WH; Lyson MC; Parsons SK

Distributed by Mapi Research Trust

ProQolid

Distributed by Mapi Research Trust

Basic description

Developed in 2014

Based on the original WLQ

A work absence scale exists for the Caregiver WLQ

Authors

Lerner D; Benson C; Chang H; Adler D; Rogers WH; Lyson MC; Parsons SK

Copyright
Caregiver Work Limitations Questionnaire, © 2014, Tufts Medical Center; Debra Lerner, Ph.D.; William H. Rogers, Ph.D. All Rights Reserved.
Objective
To assess the impact of caregiving on work performance and productivity
Therapeutic area
  • Generic
Therapeutic indication

All

Type of Clinical Outcome Assessment (COA)
  • pro PRO
Original language(s)
  • English for the USA
Bibliographic reference(s) of the original questionnaire

Lerner D, Parsons SK, Chang H, Visco ZL, Pawlecki JB. The reliability and validity of the Caregiver Work Limitations Questionnaire. J Occup Environ Med. 2015 Jan;57(1):22-31 (Full Text Article)

Lerner D, Benson C, Chang H, Rogers WH, Adler D, Lyson MC, Parsons SK. Measuring the Work Impact of Caregiving for Individuals With Schizophrenia and/or Schizoaffective Disorder With the Caregiver Work Limitations Questionnaire (WLQ). J Occup Environ Med. 2017 Aug 2 (PubMed Abstract)


Contact and conditions of use

Authors

Lerner D; Benson C; Chang H; Adler D; Rogers WH; Lyson MC; Parsons SK

Debra Lerner, PhD
Director,
Program on Health, Work and Productivity
Institute for Clinical Research and Health Policy Studies
Box 345
800 Washington Street
Boston, MA 02111
USA
E-mail: dlerner@tuftsmedicalcenter.org

Debra Lerner- Biosketch
Debra Lerner PubMed publications

Contact information

Mapi Research Trust
PROVIDE™
27 rue de la Villette
69003 Lyon
France
Phone: +33 (0)4 72 13 66 66

Conditions of use

All requests have to be submitted through our online request management:

  1. Log in or Register for free
  2. Submit your request (Tutorials are available on our FAQs)
  3. In order for our team to issue the user agreement for your specific use of the Caregiver WLQ and associated fees (if applicable), we need you to first complete the ‘Caregiver WLQ Pre-agreement form” and attach it to your online request.
    Click the link below for the Pre-agreement Form template.
  4. Our PROVIDE team will then get back to you with the needed information in a timely manner along with the User agreement for your review and signature.

 

Access fees

Categories of User

Specific conditions

Types of fees

Fees

Research Institution or nonprofit organization (1)

User agrees to share Data

Owners Royalty fees

Free

MRT distribution fees

Free

Commercial entity and for a single use license (2)

User does not agree to share Data

Owners Royalty fees

$12,000 per use*

MRT distribution fees 

$1,500 per use + $600 per language version*

User agrees to share Data

Owners Royalty fees

$8,000 per use *

MRT distribution fees

$1,500 per use + $600 per language version*

Commercial entity and wishes a Multi-Use Annual license (3)

User does not agree to share Data

Owners Royalty fees 

$20,000 per year*

MRT distribution fees

$1,500 per use + $600 per language version*

User agrees to share Data

Owners Royalty fees 

$15,000 per year*

MRT distribution fees

$1,500 per use + $600 per language version*

Other industry supported projects (Non commercial) (4)

User agrees to share Data

Owners Royalty fees

$500 per use*

MRT distribution fees

$350 per use + $75 per language version*

(1)(2)(3)(4) Please refer to the Pre-agreement form for more information and additional details

* excluding VAT

Conditions to translate

Please refer to the "Languages" tab

Conditions to implement in electronic applications

Exclusive licensor for e-versions of the questionnaireMapi Research Trust 

Academic and Commercial Users 

  • Shall follow the “Conditions of use”  mentioned above
  • In addition, in case the electronic version of the questionnaire is developed by a third party (IT Company, e-PRO vendor…), User shall check with Mapi Research Trust that this third party has signed the necessary License Agreement with Mapi Research Trust before developing the electronic version of the Questionnaire.

Information Technology (IT) Companies (incl. ePRO vendors)
  • In case of a one-shot development and commercial use of an electronic version of the questionnaire by the IT Company, the IT Company shall:
    • Sign a “Specific-Study License Agreement with IT Company” with Mapi Research Trust
      • authorizing the electronic implementation of the questionnaire for the specific study only
      • shall not permit the IT Company to promote the electronic version of the questionnaire or its use for another study or another client
    • Pay a one-shot license fee per study to Mapi Research Trust: 600 USD
  • In case of an IT Company who wishes to develop an electronic version of the questionnaire and would like to obtain a non-exclusive license to market and promote their devices / tablets / smartphones / e-applications using the questionnaire, the IT Company shall:
    • Sign a “General License Agreement with IT Company” with Mapi Research Trust
      • authorizing the electronic implementation of the questionnaire on multiple devices for multiple studies and clients
      • permitting the IT Company to promote the electronic versions of the questionnaire by any marketing means (including, but not limited to, IT Company’s  promotional documents / websites / press release / communication during conferences / webinars)
    • Pay an annual administrative fee of 1,500 USD to Mapi Research Trust
    • Pay an annual royalty fee of 3,300 USD to the author(s)

Review copy

Examination copies can only be used for the limited purpose of examining the suitability of the Questionnaire for subsequent research and/or clinical use, and cannot be used in research or in clinical practice or distributed to others.
You are not authorized to modify, retype, translate, copy or otherwise duplicate the Questionnaire except with the further and prior written permission of Mapi Research Trust / the developers / copyright holders / distributors.

  • WLQ sample Items English version
  • Caregiver WLQ sample Items in English for the USA (available soon)

Languages

Original language(s)

  • English for the USA

Translations

The listed translations may not have undergone a full linguistic validation process and may require further work to be suitable for use in a study. This list is subject to constant changes, therefore please check the status of translations with Mapi Research Trust / the developers / copyright holders / distributors.

The author has selected Mapi as exclusive linguistic validation company to ensure the production of harmonized and consistent language versions.

For additional information on available translations of this instrument, or for a project involving new languages, please submit a request (tutorials available on our FAQs).

More information on translations

For information on, or permission to use the translations, please contact Mapi Research Trust

Bibliographic references of the translations:

Japanese

Ida H, Nakagawa K, Miura M, Ishikawa K, Yakura N. Development of the Work Limitations Questionnaire Japanese Version (WLQ-J): Fundamental Examination of the Reliability and Validity of the WLQ-J. Sangyo Eiseigaku Zasshi. 2012 Mar 13  [Epub ahead of print]

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