了解EQ-5D-5L,PROMIS-29和PROPr之间的测量关系
Brendan J Mulhern1, Tianxin Pan2, Richard Norman3
1Centre for Health Economics Research and Evaluation, University of Technology Sydney, Ultimo, Australia. Brendan.Mulhern@uts.edu.au.
概括
EQ-5D-5L和PROMIS仪器在测量健康结果方面表现一致,尽管PROMIS涵盖了睡眠和疲劳等额外的概念. 价值设置差异影响健康结果评估,指导仪器选择.
科学领域:
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
- 卫生经济学 卫生经济学
背景情况:
- 像EQ-5D-5L和患者报告结果测量信息系统 (PROMIS) 这样的通用患者报告结果措施 (PROMs) 对于评估健康至关重要.
- 了解这些仪器之间的测量特征和关系对于证据解释至关重要.
研究的目的:
- 评估EQ-5D-5L描述系统及其值集以及PROMIS-29和PROPr (PROMIS值集) 之间的测量关系.
- 为了比较这些广泛使用的健康结果工具产生的证据的一致性和局限性.
主要方法:
- 在澳大利亚进行了一项横截面在线调查,共有794名参与者.
- 方法包括描述性分析,协议评估和在项目,领域和价值组级别的构造有效性测试.
主要成果:
- 在各种仪器中发现类似尺寸之间存在很高的相关性 (>0.50).
- PROMIS-29捕获了EQ-5D中没有的健康概念,例如睡眠和疲劳.
- EQ-5D-5L和PROPr都检测到健康状况和疼痛水平,PROPr在区分自我报告的健康状况方面表现出更高的精度.
结论:
- EQ-5D-5L,PROMIS-29和PROPr在健康结果测量方面表现出一些一致性.
- 价值组特征的差异归因于测量范围和估值方法.
- 这些发现有助于为特定的健康结果评估环境选择合适的工具.
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