TESTING THE VALIDITY OF THE EUROQOL AND COMPARING IT WITH THE SF-36 HEALTH SURVEY QUESTIONNAIRE

TESTING THE VALIDITY OF THE EUROQOL AND COMPARING IT WITH THE SF-36 HEALTH SURVEY QUESTIONNAIRE
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DOI:
10.1007/bf00435221
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发表时间:
1993-06-01
影响因子:
3.5
通讯作者:
KIND, P
KIND, P
中科院分区:
医学2区
文献类型:
--
作者:
BRAZIER, J;JONES, N;KIND, P

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人们感兴趣的是,得出一个单一的健康指数衡量标准的有效性和敏感度的后果。本文介绍了最近设计用于得出单一指数的一般健康测量工具EuroQol(EQ)的测试结果,并与一种新的、有影响力的个人资料测量工具--简表36(SF-36)健康调查工具进行了比较。情商和SF-36健康调查的英语化版本都是为自我完成而设计的,都被包括在一项邮寄调查中,该调查从英国谢菲尔德的两个执业名单中随机抽取了1980名患者。情商问卷的回应率为83%,完成率超过95%。在区分具有预期健康差异的群体方面,发现了情商维度反应和导出的情商健康总分的结构效度的证据。在情商反应和情商总分以及英国SF-36档案得分之间发现了相当大的一致性。有大量证据表明,情商在上限(即感知的健康不良水平较低)和整个健康状况范围内不那么敏感。最近对情商的重组,可能会通过减少它们的偏斜度来帮助克服物理维度的一些问题。
There is an interest in the consequences of deriving a single index measure of health for validity and sensitivity. This paper presents the results of testing a recent example of a general health measure designed to derive a single index, the Euroqol (EQ), and presents a comparison with a new, influential profile measure, the Short Form 36 (SF-36) Health Survey Instrument. The EQ and an anglicised version of the SF-36 health survey, both designed for self-completion, were included in a postal survey of a random sample of 1980 patients from two practice lists in Sheffield, UK. The response rate for the EQ questionnaire was 83%, and the rate of completion over 95%. Evidence was found for the construct validity of the EQ dimension responses and the derived total EQ health score in terms of distinguishing between groups with expected health differences. Considerable agreement was found between EQ responses and the total EQ score, and the UK SF-36 profile scores. There was substantial evidence of EQ being less sensitive at the ceiling (i.e. low levels of perceived ill-health) and throughout the range of health states. A recent restructuring of the EQ, may help overcome some of the problems with the physical dimensions by reducing their skewness.