RT Journal Article SR Electronic T1 Preference-based disease-specific health-related quality of life instrument for glaucoma: a mixed methods study protocol JF BMJ Open JO BMJ Open FD British Medical Journal Publishing Group SP e012732 DO 10.1136/bmjopen-2016-012732 VO 6 IS 11 A1 Sergei Muratov A1 Dominik W Podbielski A1 Susan M Jack A1 Iqbal Ike K Ahmed A1 Levine A H Mitchell A1 Monika Baltaziak A1 Feng Xie YR 2016 UL http://bmjopen.bmj.com/content/6/11/e012732.abstract AB Introduction A primary objective of healthcare services is to improve patients' health and health-related quality of life (HRQoL). Glaucoma, which affects a substantial proportion of the world population, has a significant detrimental impact on HRQoL. Although there are a number of glaucoma-specific questionnaires to measure HRQoL, none is preference-based which prevent them from being used in health economic evaluation. The proposed study is aimed to develop a preference-based instrument that is capable of capturing important effects specific to glaucoma and treatments on HRQoL and is scored based on the patients' preferences.Methods A sequential, exploratory mixed methods design will be used to guide the development and evaluation of the HRQoL instrument. The study consists of several stages to be implemented sequentially: item identification, item selection, validation and valuation. The instrument items will be identified and selected through a literature review and the conduct of a qualitative study. Validation will be conducted to establish psychometric properties of the instrument followed by a valuation exercise to derive utility scores for the health states described.Ethics and dissemination This study has been approved by the Trillium Health Partners Research Ethics Board (ID number 753). All personal information will be de-identified with the identification code kept in a secured location including the rest of the study data. Only qualified and study-related personnel will be allowed to access the data. The results of the study will be distributed widely through peer-reviewed journals, conferences and internal meetings.