This commentary consists of edited remarks made by the author upon receipt of the 2025 International Society for Quality of Life Research President’s Award. The field of health measurement/quality-of-life research is viewed as a house in which we have grown up and now live. We sometimes need to rework our foundation to maintain our field’s structural integrity—that is, the shared intellectual foundations that support our thinking in a changing world. To complement structural integrity, we need moral integrity—a shared commitment to working in ways that strengthen our science and our humanity. Monitoring and sustaining these two aspects of integrity are the responsibility of everyone.
Kevin Weinfurt (2026) studied this question.