Development and Validation of Standardized Quality of Life Measures for Persons with IDD

Round 1

Reviewer 1 Report

Table 1: I am finding important missing information in the description of the domains. Please refer to the shared indicators published in literature to base your domains descriptions (E.G.: in the description of SI it is missing the aspect of performing the same role, having an active role, as the other community members; RI: it is missing having access to the same opportunities as well. etc...).

line 318 Literature usually refers to a not fixed number of rounds for the Delphi, rounds terminate when agreements is found.

paragraph 3.4.3 There is a need to provide more references to support what is stated. Specially lines 452, 453, 454, 456.

line 89 and 90 need a formal English polishing

458 Typo

Author Response

Dear Reviewer 1

Attached is the rebuttal letter. Thank you very much for your thoughtful review of our work, and for each one of your comments.

Without any further,

The authors

Author Response File: Author Response.docx

Reviewer 2 Report

This paper expanded the previously established individual quality of life measurement UNCRPD with flexible change agent so that the model is more fluid to fit in different cultural/group environment, such as in Spain. The adjusted tool is design to access QoL in multiple social levels including the microsystem, the mesosystem and the macrosystem. I believe this study is a great step in transition from a theory to clinical practice in generating questions that are adapted accordingly. I only have one question/suggestion below:

In step 2 to identify specific QoL indicators, the authors suggesting using certain well-known academic databases to find out culture/group specific ones. I wonder if it is helpful adding on databases in local languages (such as in Spanish) to be even more locally specific.

Author Response

Dear Reviewer 2

Attached is the rebuttal letter. Thank you very much for your thoughtful review of our work, and for each one of your comments.

Without any further,

The authors

Author Response File: Author Response.docx