爱尔兰使用EQ-HWB、EQ-HWB- s、EQ-5D-5L和ICECAP-A对健康和福祉措施的比较研究

IF 6 2区医学 Q1 ECONOMICS

Value in Health Pub Date : 2025-08-01 DOI:10.1016/j.jval.2025.04.2160

Irina Kinchin PhD , Lidia Engel PhD , Fanni Rencz PhD

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引用次数: 0

摘要

目的：情商健康和幸福（EQ- hwb）是一种新的健康和幸福的实验测量，已经在越来越多的国家和语言中得到验证。本研究旨在检验爱尔兰EQ-HWB及其简短版本（EQ-HWB- s）的心理测量特性，并将其与EQ-5D-5L和ICECAP-A进行比较。方法：对2023年爱尔兰普通人口调查（n=1220）的横断面数据进行二次分析。该调查包括EQ-HWB、EQ-5D-5L、ICECAP-A以及社会经济和健康相关问题。EQ-HWB- s反应来源于EQ-HWB。每项测量都使用英国或爱尔兰的数值集来计算指数值。评估天花板效应、收敛效度、发散效度、已知组效度，并进行探索性因子分析。结果：EQ-HWB-S、EQ-5D-5L、ICECAP-A的平均指数分别为0.755、0.760-0.830、0.807。EQ-HWB、EQ-HWB- s、EQ-5D-5L和ICECAP-A的上限效应分别为3%、7%、23%和15%。EQ-HWB-S指标值与EQ-5D-5L （r=0.740-0.759）、ICECAP-A （r=0.604）指标值相关性强。所有测量都显示出与健康相关的变量具有良好的已知组效度，EQ-5D-5L总体表现最佳。因素分析确定了五个因素：心理社会健康、疼痛和不适、感觉和身体功能、能力健康和积极的心理状态。稳定性是唯一一个ICECAP-A项目与EQ-HWB项目加载相同因素（心理社会健康）的项目。结论：本研究首次比较了EQ-HWB、EQ-HWB- s与ICECAP-A的测量性能。EQ-HWB和EQ-HWB- s在爱尔兰人口样本中表现出良好的心理测量性能。EQ-HWB和ICECAP-A健康概念之间存在有限的重叠。

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A Comparative Study of Health and Well-Being Measures in Ireland Using EQ Health and Wellbeing (EQ-HWB) and its Short Version, EQ-5D-5L, and ICEpop Capability Measure for Adults (ICECAP-A)

Objectives

The EQ Health and Wellbeing (EQ-HWB) is a new experimental measure of health and well-being, having been validated in an increasing number of countries and languages. This study aims to examine the psychometric properties of the EQ-HWB and its short version (EQ-HWB-S) in Ireland and compare them with the EQ-5D-5L and ICEpop Capability Measure for Adults (ICECAP-A).

Methods

A secondary analysis of cross-sectional data from a 2023 Irish general population survey (n = 1220). The survey included the EQ-HWB, EQ-5D-5L, ICECAP-A, and socioeconomic and health-related questions. EQ-HWB-S responses were derived from the EQ-HWB. The UK or Irish value sets were used for each measure to compute index values. Ceiling effects, convergent, divergent validity, and known-group validity were assessed and exploratory factor analysis was conducted.

Results

Mean index values were 0.755, 0.760 to 0.830, and 0.807 for the EQ-HWB-S, EQ-5D-5L, and ICECAP-A, respectively. Ceiling effects were 3%, 7%, 23%, and 15% for EQ-HWB, EQ-HWB-S, EQ-5D-5L, and ICECAP-A. EQ-HWB-S index values correlated strongly with EQ-5D-5L (r = 0.740-0.759) and ICECAP-A (r = 0.604) index values. All measures demonstrated good known-group validity for health-related variables, with EQ-5D-5L performing best overall. Factor analysis identified 5 factors: psychosocial health, pain and discomfort, sensory and physical functioning, capability well-being, and positive psychological states. Feeling settled and secure was the only ICECAP-A item that loaded onto the same factor (psychosocial health) as any of the EQ-HWB items.

Conclusions

To our knowledge, this is the first study to compare the measurement performance of EQ-HWB and EQ-HWB-S with ICECAP-A. The EQ-HWB and EQ-HWB-S showed good psychometric performance in an Irish population sample. Limited overlap was observed between EQ-HWB and ICECAP-A well-being concepts.

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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.