Can capabilities be self-reported? A think aloud study

Hareth Al-Janabi*, Thomas Keeley, Paul Mitchell, Joanna Coast

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

50 Citations (Scopus)


Direct assessment of capability to function may be useful in healthcare settings, but poses many challenges. This paper reports a first investigation of the feasibility of individuals self-reporting their capabilities and the meaning of the responses. The study was conducted in 2010, using think-aloud interviews with participants in the UK. The findings of the study suggest that the majority of participants were able to comprehend questions about their capabilities, felt able to judge their own capability wellbeing and provided responses in line with this judgement. In a number of cases, for example in relation to 'autonomy', participants highlighted that their capability was potentially greater than their functioning. The findings also show varying interpretations of the capability concept, with some participants finding thecapability concept unintuitive in relation to specific aspects of life (in particular, 'attachment'). The findings suggest that guiding individuals in the process of identifying their capabilities may be important in generating consistent responses to capability questions.

Original languageEnglish
Pages (from-to)116-122
Number of pages7
JournalSocial Science and Medicine
Publication statusPublished - Jun 2013


  • Capability approach
  • EQ-5D
  • Health economics
  • Outcome measurement
  • Think-aloud
  • United Kingdom
  • Wellbeing


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