دورية أكاديمية
أعرض في EDS

A comparative review of generic quality-of-life instruments.

التفاصيل البيبلوغرافية
العنوان: A comparative review of generic quality-of-life instruments.
المؤلفون: Coons SJ; Center for Health Outcomes and PharmacoEconomic Research, College of Pharmacy, University of Arizona, Tucson, USA. coons@pharmacy.arizona.edu, Rao S, Keininger DL, Hays RD
المصدر: PharmacoEconomics [Pharmacoeconomics] 2000 Jan; Vol. 17 (1), pp. 13-35.
نوع المنشور: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review
اللغة: English
بيانات الدورية: Publisher: Adis, Springer International Country of Publication: New Zealand NLM ID: 9212404 Publication Model: Print Cited Medium: Print ISSN: 1170-7690 (Print) Linking ISSN: 11707690 NLM ISO Abbreviation: Pharmacoeconomics
أسماء مطبوعة: Publication: Auckland : Adis, Springer International
Original Publication: Auckland ; Philadelphia : Adis International, c1992-
مواضيع طبية MeSH: Activities of Daily Living* , Health Status* , Quality of Life*, Health Surveys ; Humans ; Reproducibility of Results ; Sickness Impact Profile
مستخلص: The assessment of health-related quality of life (HR-QOL) is an essential element of healthcare evaluation. Hundreds of generic and specific HR-QOL instruments have been developed. Generic HR-QOL instruments are designed to be applicable across a wide range of populations and interventions. Specific HR-QOL measures are designed to be relevant to particular interventions or in certain subpopulations (e.g. individuals with rheumatoid arthritis). This review examines 7 generic HR-QOL instruments: (i) the Medical Outcomes Study 36-Item Short Form (SF-36) health survey; (ii) the Nottingham Health Profile (NHP); (iii) the Sickness Impact Profile (SIP); (iv) the Dartmouth Primary care Cooperative Information Project (COOP) Charts; (v) the Quality of Well-Being (QWB) Scale; (vi) the Health Utilities Index (HUI); and (vii) the EuroQol Instrument (EQ-5D). These instruments were selected because they are commonly used and/or cited in the English language literature. The 6 characteristics of an instrument addressed by this review are: (i) conceptual and measurement model; (ii) reliability; (iii) validity; (iv) respondent and administrative burden; (v) alternative forms; and (vi) cultural and language adaptations. Of the instruments reviewed, the SF-36 health survey is the most commonly used HR-QOL measure. It was developed as a short-form measure of functioning and well-being in the Medical Outcomes Study. The Dartmouth COOP Charts were designed to be used in everyday clinical practice to provide immediate feedback to clinicians about the health status of their patients. The NHP was developed to reflect lay rather than professional perceptions of health. The SIP was constructed as a measure of sickness in relation to impact on behaviour. The QWB, HUI and EQ-5D are preference-based measures designed to summarise HR-QOL in a single number ranging from 0 to 1. We found that there are no uniformly 'worst' or 'best' performing instruments. The decision to use one over another, to use a combination of 2 or more, to use a profile and/or a preference-based measure or to use a generic measure along with a targeted measure will be driven by the purpose of the measurement. In addition, the choice will depend on a variety of factors including the characteristics of the population (e.g. age, health status, language/culture) and the environment in which the measurement is undertaken (e.g. clinical trial, routine physician visit). We provide our summary of the level of evidence in the literature regarding each instrument's characteristics based on the review criteria. The potential user of these instruments should base their instrument selection decision on the characteristics that are most relevant to their particular HR-QOL measurement needs.
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تواريخ الأحداث: Date Created: 20000405 Date Completed: 20000322 Latest Revision: 20220330
رمز التحديث: 20221213
DOI: 10.2165/00019053-200017010-00002
PMID: 10747763
قاعدة البيانات: MEDLINE
الوصف
تدمد:1170-7690
DOI:10.2165/00019053-200017010-00002