Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/108623 https://doi.org/10.1186/s12955-016-0491-x |
Resumo: | Background: Some studies have reported a ceiling effect in EQ-5D-3L, especially in healthy and/or young individuals. Recently, two further levels have been included in its measurement model (EQ-5D-5L). The purposes of this study were (1) to assess the properties of the EQ-5D-5L in comparison with the standard EQ-5D-3L in a sample of young adults, (2) to foreground the importance of collecting qualitative data to confirm, validate or refine the EQ-5D questionnaire items and (3) to raise questions pertaining to the wording in these questionnaire items. Methods: The data used came from a sample of respondents aged 30 or under (n = 624). They completed both versions of the EQ-5D, which were compared in terms of feasibility, level of inconsistency and ceiling effect. Agreement between the instruments was assessed using correlation coefficients and Bland-Altman plots. Known-groups validity of the EQ-5D-5L was also assessed using non-parametric tests. The discriminative properties were compared using receiver operating characteristic curves. Finally, four interviews were conducted for retrospective reports to elicit respondents’ understanding and perceptions of the format, instructions, items, and responses. Results: Quantitative results show a ceiling effect reduction of 25.3 % and a high level agreement between both indices. Known-groups validity was confirmed for the EQ-5D-5L. Explorative interviews indicated ambiguity and low degree of certainty in regards to conceptualizing differences between levels moderate-slight across three dimensions. Conclusions: The EQ-5D-5L performed better than the EQ-5D-3L. However, the explorative interviews demonstrated several limitations in the EQ-5D questionnaire wording and high context-dependent answers point to lack of illnesses’ experience amongst young adults. |
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Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adultsCeiling effectEQ-5D-3LEQ-5D-5LExplorative qualitative interviewsHealth-related quality of lifeYoung individualsAdultData AccuracyFemaleHumansMaleOutcome Assessment, Health CarePortugalPsychometricsReproducibility of ResultsRetrospective StudiesSurveys and QuestionnairesYoung AdultHealth Status IndicatorsQuality of LifeBackground: Some studies have reported a ceiling effect in EQ-5D-3L, especially in healthy and/or young individuals. Recently, two further levels have been included in its measurement model (EQ-5D-5L). The purposes of this study were (1) to assess the properties of the EQ-5D-5L in comparison with the standard EQ-5D-3L in a sample of young adults, (2) to foreground the importance of collecting qualitative data to confirm, validate or refine the EQ-5D questionnaire items and (3) to raise questions pertaining to the wording in these questionnaire items. Methods: The data used came from a sample of respondents aged 30 or under (n = 624). They completed both versions of the EQ-5D, which were compared in terms of feasibility, level of inconsistency and ceiling effect. Agreement between the instruments was assessed using correlation coefficients and Bland-Altman plots. Known-groups validity of the EQ-5D-5L was also assessed using non-parametric tests. The discriminative properties were compared using receiver operating characteristic curves. Finally, four interviews were conducted for retrospective reports to elicit respondents’ understanding and perceptions of the format, instructions, items, and responses. Results: Quantitative results show a ceiling effect reduction of 25.3 % and a high level agreement between both indices. Known-groups validity was confirmed for the EQ-5D-5L. Explorative interviews indicated ambiguity and low degree of certainty in regards to conceptualizing differences between levels moderate-slight across three dimensions. Conclusions: The EQ-5D-5L performed better than the EQ-5D-3L. However, the explorative interviews demonstrated several limitations in the EQ-5D questionnaire wording and high context-dependent answers point to lack of illnesses’ experience amongst young adults.Springer Nature2016-06-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/108623http://hdl.handle.net/10316/108623https://doi.org/10.1186/s12955-016-0491-xeng1477-7525Ferreira, Lara N.Ferreira, Pedro LopesRibeiro, Filipa P.Pereira, Luís Nobreinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-05T11:41:27Zoai:estudogeral.uc.pt:10316/108623Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:24:54.750284Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
title |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
spellingShingle |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults Ferreira, Lara N. Ceiling effect EQ-5D-3L EQ-5D-5L Explorative qualitative interviews Health-related quality of life Young individuals Adult Data Accuracy Female Humans Male Outcome Assessment, Health Care Portugal Psychometrics Reproducibility of Results Retrospective Studies Surveys and Questionnaires Young Adult Health Status Indicators Quality of Life |
title_short |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
title_full |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
title_fullStr |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
title_full_unstemmed |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
title_sort |
Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults |
author |
Ferreira, Lara N. |
author_facet |
Ferreira, Lara N. Ferreira, Pedro Lopes Ribeiro, Filipa P. Pereira, Luís Nobre |
author_role |
author |
author2 |
Ferreira, Pedro Lopes Ribeiro, Filipa P. Pereira, Luís Nobre |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Lara N. Ferreira, Pedro Lopes Ribeiro, Filipa P. Pereira, Luís Nobre |
dc.subject.por.fl_str_mv |
Ceiling effect EQ-5D-3L EQ-5D-5L Explorative qualitative interviews Health-related quality of life Young individuals Adult Data Accuracy Female Humans Male Outcome Assessment, Health Care Portugal Psychometrics Reproducibility of Results Retrospective Studies Surveys and Questionnaires Young Adult Health Status Indicators Quality of Life |
topic |
Ceiling effect EQ-5D-3L EQ-5D-5L Explorative qualitative interviews Health-related quality of life Young individuals Adult Data Accuracy Female Humans Male Outcome Assessment, Health Care Portugal Psychometrics Reproducibility of Results Retrospective Studies Surveys and Questionnaires Young Adult Health Status Indicators Quality of Life |
description |
Background: Some studies have reported a ceiling effect in EQ-5D-3L, especially in healthy and/or young individuals. Recently, two further levels have been included in its measurement model (EQ-5D-5L). The purposes of this study were (1) to assess the properties of the EQ-5D-5L in comparison with the standard EQ-5D-3L in a sample of young adults, (2) to foreground the importance of collecting qualitative data to confirm, validate or refine the EQ-5D questionnaire items and (3) to raise questions pertaining to the wording in these questionnaire items. Methods: The data used came from a sample of respondents aged 30 or under (n = 624). They completed both versions of the EQ-5D, which were compared in terms of feasibility, level of inconsistency and ceiling effect. Agreement between the instruments was assessed using correlation coefficients and Bland-Altman plots. Known-groups validity of the EQ-5D-5L was also assessed using non-parametric tests. The discriminative properties were compared using receiver operating characteristic curves. Finally, four interviews were conducted for retrospective reports to elicit respondents’ understanding and perceptions of the format, instructions, items, and responses. Results: Quantitative results show a ceiling effect reduction of 25.3 % and a high level agreement between both indices. Known-groups validity was confirmed for the EQ-5D-5L. Explorative interviews indicated ambiguity and low degree of certainty in regards to conceptualizing differences between levels moderate-slight across three dimensions. Conclusions: The EQ-5D-5L performed better than the EQ-5D-3L. However, the explorative interviews demonstrated several limitations in the EQ-5D questionnaire wording and high context-dependent answers point to lack of illnesses’ experience amongst young adults. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/108623 http://hdl.handle.net/10316/108623 https://doi.org/10.1186/s12955-016-0491-x |
url |
http://hdl.handle.net/10316/108623 https://doi.org/10.1186/s12955-016-0491-x |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1477-7525 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Springer Nature |
publisher.none.fl_str_mv |
Springer Nature |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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