EQ Health and Wellbeing (EQ-HWB): A Psychometric Assessment Across 6 Conditions and the General Population in the United Kingdom.

IF 6 2区医学 Q1 ECONOMICS

Value in Health Pub Date : 2025-08-12 DOI:10.1016/j.jval.2025.07.028

Anju Devianee Keetharuth, Clara Mukuria, Tessa Peasgood, Allan Wailoo

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引用次数: 0

Abstract

Objectives: The EQ Health and Wellbeing (EQ-HWB) tools have been developed to measure and value outcomes of both health and social care interventions, including those of carers, in a manner suitable for use in economic evaluation. The aim of this article is to add to the body of psychometric evidence for the performance of EQ-HWB, and its shorter version EQ-HWB-9, by assessing construct validity and reliability.

Methods: A sample of patients (n = 767) across 6 broadly defined health conditions and a sample of the general population (n = 302) completed the EQ-HWB measures alongside other measures. Convergent validity was assessed using Spearman and Pearson correlations. Known-group validity was investigated by using several self-reported variables and disease specific questions for the patient sample. Test-retest reliability was assessed by intraclass correlation coefficients and the kappa statistic.

Results: Convergent validity between EQ-HWB items and related items from EQ-5D-5L, SWEMWBS, and ICECAP-A was highest in the patient sample. At the scale level, the highest correlations of EQ-HWB summative score and other measures were observed with both PHQ-8 and GAD-7 followed by EQ-5D-5L and ICECAP-A. The EQ-HWB measures showed ability to detect differences in the defined known groups. Comparing across measures, the EQ-HWB measures had the highest standardized effect sizes for groups defined by emotional problems. The EQ-HWB measures were found to be reliable with test-retest reliability being >0.8 for both groups.

Conclusions: The results show that the EQ-HWB measures have promising psychometric properties across both the patient and general populations.

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情商健康与幸福（EQ- hwb）：一项针对英国六种情况和普通人群的心理测量评估。

目标：EQ健康和福祉（EQ- hwbtm）工具已经开发出来，以一种适合用于经济评估的方式衡量和评估健康和社会护理干预措施的结果，包括护理人员的干预措施。本文的目的是通过对EQ-HWB-25及其精简版EQ-HWB-9的结构效度和信度进行评估，以增加心理测量学的证据。方法：六种健康状况的患者样本（n = 767）和一般人群样本（n = 302）完成了EQ-HWB测量和其他测量。采用Spearman和Pearson相关评估收敛效度。已知组效度是通过使用几个自我报告的变量和患者样本的疾病特异性问题来调查的。用类内相关系数和kappa统计量评价重测信度。结果：EQ-HWB项目与EQ-5D-5L、SWEMWBS和ICECAP-A相关项目的收敛效度在患者样本中最高。在量表水平上，EQ-HWB-25综合评分与其他指标的相关性以PHQ-8和GAD-7最高，其次是EQ-5D-5L和ICECAP-A。EQ-HWB测量显示能够检测到定义的已知组的差异。与其他测量方法相比，EQ-HWB测量方法对由情绪问题定义的群体具有最高的标准化效应量。EQ-HWB测量被发现是可靠的，两组的重测信度均为bb0.8。结论：结果表明EQ-HWB测量在患者和一般人群中都有很好的心理测量特性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Value in Health 医学-卫生保健

CiteScore

6.90

自引率

6.70%

发文量

3064

审稿时长

3-8 weeks

期刊介绍： Value in Health contains original research articles for pharmacoeconomics, health economics, and outcomes research (clinical, economic, and patient-reported outcomes/preference-based research), as well as conceptual and health policy articles that provide valuable information for health care decision-makers as well as the research community. As the official journal of ISPOR, Value in Health provides a forum for researchers, as well as health care decision-makers to translate outcomes research into health care decisions.