Jingzhi Fan, Zhuxin Mao, Xinyi Song, Fanni Rencz, Zhihao Yang, Nan Luo, Pei Wang
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引用次数: 0
Abstract
Purpose: EQ-5D might not fully capture certain aspects of health-related quality of life (HRQoL) important to the Chinese population. The study aimed to identify and develop culturally relevant additional items (bolt-ons) for the EQ-5D-5L in China.
Methods: This study represents the qualitative phase of a larger mixed-methods project. Based on existing systematic reviews and qualitative work, we developed seven candidate items (sleep, tiredness/lack of strength, appetite, climate adaptation, emotional control, social adaptation and social support), which were commonly used in Chinese HRQoL description and measurement, or reflected Chinese unique understanding of HRQoL. Eleven HRQoL or clinical experts, 15 healthy and 12 chronically ill individuals participated in semi-structured interviews to assess the relevance, comprehensiveness and comprehensibility of each item. Data were analyzed thematically.
Results relevance: Sleep, tiredness/lack of strength, appetite, and social adaptation were mostly regarded as relevant to HRQoL. Most lay respondents acknowledged climate adaptation (x = 17) and emotional control (x = 18) were important, differing from expert opinions; social support was considered partially or not related to HRQoL by 20 respondents.
Comprehensibility: Suggestions were made regarding dimension headings and addition of illustrative explanations/descriptions, leading to iterative refinements in the item wording.
Comprehensiveness: No additional bolt-ons were proposed by more than two respondents.
Conclusion: Sleep, tiredness/lack of strength, appetite, climate adaptation, emotional control, and social adaptation are potentially useful EQ-5D-5L both-ons for the Chinese population, but not social support. This study contributed to finalizing the bolt-on items and their wording that will be psychometrically tested in the next quantitative phase of the project.
期刊介绍：
Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences.
Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership.
This is an official journal of the International Society of Quality of Life Research.
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