Evidence map›Paper›PMID 32328996›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Does the EQ-5D usual activities dimension measure what it intends to measure? The relative importance of work, study, housework, family or leisure activities.

Thor Gamst-Klaussen, Admassu N Lamu

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
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  5. Psychosocial and mental impact of alopecia areata: Analysis of the Danish Skin Cohort.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
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  8. What is measured by the composite, single-item pain/discomfort dimension of the EQ-5D-5L? An exploratory analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
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  10. Does the global activity limitation indicator measure participation restriction? Data from the European Health and Social Integration Survey in Spain.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Thor Gamst-KlaussenDepartment of Psychology, UiT The Arctic University of Norway, 9037, Tromsø, Norway. thor.klaussen@uit.no.ORCID http://orcid.org/0000-0002-8497-8502
Admassu N LamuDepartment of Global Public Health and Primary Care, University of Bergen, 5020, Bergen, Norway.ORCID http://orcid.org/0000-0001-6638-421X

Funding

The Australian National Health and Medical Research Council 1006334
6 · The paper itself

Abstract

backgroundThe EQ-5D is the most widely used generic preference-based health-related quality of life measure. It comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The usual activities dimension asks respondents to evaluate the severity of problems in their usual activities, such as work, study, housework, family or leisure activities. The primary aim of this study is to investigate whether the EQ-5D (five-level) usual activities dimension captures those activities that it intends to capture. We further assess the relative importance of each of these activities for the usual activities dimension.

methodsData include 7933 respondents from six countries: Australia, Canada, Germany, Norway, the UK, and the US. Logistic regression and ordinary least square regression models investigate the relationship between the usual activities dimension and its main predictors (work/study, housework, family, and leisure activities). A Shapley value decomposition method was applied to measure the relative importance of each predictor.

resultsWork/study, housework, family, and leisure activities were all significant (p < 0.001) determinants of usual activities dimension. The respective marginal contribution (in %) of housework, leisure, work/study and family to UA dimension (as a share of goodness-of-fit) is 28.0, 26.2, 20.8 and 14.7 in the logistic regression model. This finding is consistent when linear regression is used as an alternative model.

conclusionsThe usual activities dimension in EQ-5D reflects the specific activities described to respondents. Therefore, the usual activities dimension measures what it really intends to measure.

Indexed as

FamilyFemaleHousehold WorkHumansLeisure ActivitiesMaleMiddle AgedQuality of LifeSelf CareSurveys and QuestionnairesTest Taking SkillsEQ-5DHRQoLRelative importanceShapley valueUsual activities

Identifiers

PMID32328996
PMCPMC7434786

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.