Comparison of the measurement properties and consistency between the EQ-5D-3L and EQ-5D-Y-3L in adolescents aged 15-17 in China.

IF 3.2 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Health and Quality of Life Outcomes Pub Date : 2024-07-29 DOI:10.1186/s12955-024-02275-6

Jiefu Wang, Tianqi Hong, Haoran Fang, Chang Luo, Xiaoning He, Shitong Xie

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Abstract

Objective: To evaluate and compare the measurement properties and consistency between the Chinese versions of EQ-5D-3L and EQ-5D-Y-3L among Chinese adolescent populations aged 15-17 years.

Methods: Chinese adolescents aged 15-17 studying in high school were recruited through online survey. Social-demographic characteristics and self-reported EQ-5D-3L and EQ-5D-Y-3L responses were collected in the survey. The consistency of responses between the two measures was assessed using redistribution property, and the consistency of utility values was assessed by intraclass correlation coefficients (ICC). Convergent validity and known-group validity were examined using Spearman's rank correlation, F-test and effect sizes, respectively. Sensitivity was compared using relative efficiency (RE).

Results: 762 respondents (48.8% male; age 15-17 years;) were recruited. The EQ-5D-3L showed a more severe ceiling effect than EQ-5D-Y-3L (78.2% vs. 66.0%). Respondents reported higher proportions of having problems in four dimensions using the EQ-5D-Y-3L than using the EQ-5D-3L. The consistency of corresponding dimensions between the two measures was relatively good, while non-negligible proportions of inconsistency were observed in "pain/discomfort" (11.4%) and "anxiety/depression" (15.7%) dimensions. The ICC of the utility values between the EQ-5D-3L and EQ-5D-Y-3L was 0.852 (p < 0.001). The Spearman's rank correlation (range: 0.385-0.620) indicated an acceptable convergent validity between the correlative dimensions of the EQ-5D-3L and EQ-5D-Y-3L. The EQ-5D-Y-3L had a higher efficiency than the EQ-5D-3L at detecting differences across EQ VAS subgroups (ES = 1.793 for EQ-5D-3L, ES = 1.920 for EQ-5D-Y-3L). Mixed results were observed in sensitivity.

Conclusions: Both the EQ-5D-3L and EQ-5D-Y-3L are demonstrated to be valid and generally consistent for measuring HRQoL among adolescents aged 15-17 years in China. Respondents reported higher proportions of having problems using the EQ-5D-Y-3L than using the EQ-5D-3L. More research is warranted to compare the discriminant validity and test-retest reliability between the two measures.

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比较 EQ-5D-3L 和 EQ-5D-Y-3L 在中国 15-17 岁青少年中的测量特性和一致性。

目的评估并比较中文版 EQ-5D-3L 和 EQ-5D-Y-3L 在 15-17 岁中国青少年群体中的测量特性和一致性：方法：通过在线调查招募 15-17 岁的中国高中生。调查收集了青少年的社会人口学特征、EQ-5D-3L 和 EQ-5D-Y-3L 的自我报告。使用再分配属性评估了两种测量方法之间的一致性，并使用类内相关系数（ICC）评估了效用值的一致性。收敛有效性和已知组有效性分别采用斯皮尔曼秩相关、F 检验和效应大小进行检验。灵敏度采用相对效率（RE）进行比较：共招募了 762 名受访者（48.8% 为男性，年龄在 15-17 岁之间）。与 EQ-5D-Y-3L 相比，EQ-5D-3L 显示出更严重的上限效应（78.2% 对 66.0%）。使用 EQ-5D-Y-3L 的受访者报告在四个维度上存在问题的比例高于使用 EQ-5D-3L 的受访者。两种测量方法在相应维度上的一致性相对较好，但在 "疼痛/不适"（11.4%）和 "焦虑/抑郁"（15.7%）维度上存在不可忽略的不一致比例。EQ-5D-3L 和 EQ-5D-Y-3L 之间效用值的 ICC 为 0.852（p 结论：EQ-5D-3L 和 EQ-5D-Y-3L 之间的效用值 ICC 为 0.852：EQ-5D-3L和EQ-5D-Y-3L在测量中国15-17岁青少年的HRQoL方面被证明是有效和基本一致的。与 EQ-5D-3L 相比，受访者表示使用 EQ-5D-Y-3L 存在问题的比例更高。还需要进行更多的研究，以比较两种测量方法之间的判别效度和测试-再测可靠性。

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来源期刊

Health and Quality of Life Outcomes 医学-卫生保健

CiteScore

7.30

自引率

2.80%

发文量

154

审稿时长

3-8 weeks

期刊介绍： Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. It also considers approaches and studies on psychometric properties of HRQOL and patient reported outcome measures, including cultural validation of instruments if they provide information about the impact of interventions. The journal publishes study protocols and reviews summarising the present state of knowledge concerning a particular aspect of HRQOL and patient reported outcome measures. Reviews should generally follow systematic review methodology. Comments on articles and letters to the editor are welcome.