ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2011
Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L).
98 registry-linked trialsAbstract readValidation Study
In one paragraph
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 98 registered trials, which are not on this map. Cited by 5,715 papers, 6 of them syntheses that pooled it.
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Authors and funding
8 authors.
M HerdmanInsight Consulting and Research, 08301 Mataró, Spain. michael.herdman@insightcr.com
C Gudex
A Lloyd
Mf Janssen
P Kind
D Parkin
G Bonsel
X Badia
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis article introduces the new 5-level EQ-5D (EQ-5D-5L) health status measure.
methodsEQ-5D currently measures health using three levels of severity in five dimensions. A EuroQol Group task force was established to find ways of improving the instrument's sensitivity and reducing ceiling effects by increasing the number of severity levels. The study was performed in the United Kingdom and Spain. Severity labels for 5 levels in each dimension were identified using response scaling. Focus groups were used to investigate the face and content validity of the new versions, including hypothetical health states generated from those versions.
resultsSelecting labels at approximately the 25th, 50th, and 75th centiles produced two alternative 5-level versions. Focus group work showed a slight preference for the wording 'slight-moderate-severe' problems, with anchors of 'no problems' and 'unable to do' in the EQ-5D functional dimensions. Similar wording was used in the Pain/Discomfort and Anxiety/Depression dimensions. Hypothetical health states were well understood though participants stressed the need for the internal coherence of health states.
conclusionsA 5-level version of the EQ-5D has been developed by the EuroQol Group. Further testing is required to determine whether the new version improves sensitivity and reduces ceiling effects.
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Health Status IndicatorsQuality of LifeActivities of Daily LivingAdultFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedMobility LimitationPain MeasurementPsychometricsReproducibility of ResultsSelf CareSpain
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Registered trials
NCT02374307ClinicalTrials.gov
NCT02591901ClinicalTrials.gov
NCT02693873ClinicalTrials.gov
NCT02745236ClinicalTrials.gov
NCT02863211ClinicalTrials.gov
NCT03068286ClinicalTrials.gov
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