Development of a self-report measure of capability wellbeing for adults: the ICECAP-A

Development of a self-report measure of capability wellbeing for adults: the ICECAP-A
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DOI:
10.1007/s11136-011-9927-2
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发表时间:
2012-02-01
影响因子:
3.5
通讯作者:
Coast, Joanna
Coast, Joanna
中科院分区:
医学2区
文献类型:
--
作者:
Al-Janabi, Hareth;Flynn, Terry N.;Coast, Joanna

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健康和社会护理的好处不仅限于患者的健康,因此更广泛的福利措施可能有助于经济评估。本文报告了成人能力幸福感简单衡量标准(ICECAP-A)的开发。对英国36名成人进行了深入的、由信息员主导的访谈,以确定能力幸福感的属性。18个半结构化的,重复的采访进行了开发一个基于能力的描述系统的措施。有目的地选择举报人,以确保社会经济地位、年龄、性别、种族和健康状况的差异。访谈过程中,数据分析被归纳和反复进行,研究结果被用来形成在以后的访谈问题。五个过度的能力幸福感的属性被确定为测量:“稳定性”,“依恋”,“成就”,“自主性”和“享受”。一个项目,有四个响应类别,每个属性的ICECAP-A的描述性system.The ICECAP-A的能力措施代表了从传统的卫生经济学结果的措施,治疗健康状况的影响,更广泛的属性的能力福祉偏离。需要进一步的工作来评估和验证属性,并测试ICECAP-A对医疗干预的敏感性。
The benefits of health and social care are not confined to patient health alone and therefore broader measures of wellbeing may be useful for economic evaluation. This paper reports the development of a simple measure of capability wellbeing for adults (ICECAP-A).In-depth, informant-led, interviews to identify the attributes of capability wellbeing were conducted with 36 adults in the UK. Eighteen semi-structured, repeat interviews were carried out to develop a capability-based descriptive system for the measure. Informants were purposively selected to ensure variation in socio-economic status, age, sex, ethnicity and health. Data analysis was carried out inductively and iteratively alongside interviews, and findings were used to shape the questions in later interviews.Five over-arching attributes of capability wellbeing were identified for the measure: "stability", "attachment", "achievement", "autonomy" and "enjoyment". One item, with four response categories, was developed for each attribute for the ICECAP-A descriptive system.The ICECAP-A capability measure represents a departure from traditional health economics outcome measures, by treating health status as an influence over broader attributes of capability wellbeing. Further work is required to value and validate the attributes and test the sensitivity of the ICECAP-A to healthcare interventions.