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Pàgina inicial > Articles > Articles publicats > Measurement properties of the online EuroQol-5D-youth instrument in children and adolescents with type 1 diabetes mellitus : |
Data: | 2019 |
Resum: | Background: The lack of continuity between health-related quality of life (HRQoL) instruments designed for children and adults hinders change analysis with a life course approach. To resolve this gap, EuroQol (EQ) developed the EQ-5D-Youth (EQ-5D-Y), derived from the EQ-5D for adults. Few studies have assessed the metric properties of EQ-5D-Y in children with specific chronic conditions, and none have done so for children with type I diabetes mellitus (T1DM). Objective: This study aimed to evaluate the acceptability, validity, reliability, and responsiveness of the EQ-5D-Y in children and adolescents with T1DM, when administered online. Methods: Participants with T1DM were consecutively recruited from July to December 2014, from a list of potential candidates aged 8-19 years, who attended outpatient pediatric endocrinology units. Before every quarterly routine visit, participants received an email/telephone reminder to complete the online version of two generic HRQoL questionnaires: EQ-5D-Y and KIDSCREEN-27. The EQ-5D-Y measures five dimensions, from which an equally weighted summary score was constructed (range: 0-100). Completion rate and distribution statistics were calculated. Construct validity was evaluated through known group comparisons based on general health, acute diabetic decompensations, mental health, family function, and a multitrait, multimethod matrix between EQ-5D-Y and KIDSCREEN by using Spearman correlations. Construct validity hypotheses were stated a priori. Reliability was assessed with the intraclass correlation coefficient and responsiveness by testing changes over time and calculating the effect size. Reliability and responsiveness were tested among the stable and improved subsamples defined by a KIDSCREEN-10 index change of <4. 5 points or ≥4. 5 points, respectively, from the first to the fourth visit. Results: Of the 136 participants, 119 (87. 5%) responded to the EQ-5D-Y at the last visit. The dimensions that showed higher percentages of participants with problems were "having pain/discomfort" (34. 6%) and "worried/sad/unhappy" (28. 7%). The mean (SD) of the EQ-5D-Y summary score was 8. 5 (10. 9), with ceiling and floor effects of 50. 7% and 0%, respectively. Statistically significant HRQoL differences between groups defined by their general health (excellent/very good and good/regular/bad) and mental health (Strengths and Difficulties Questionnaire score ≤15 and. |
Ajuts: | Instituto de Salud Carlos III PI12-01296 Instituto de Salud Carlos III FI16-00071 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR452 |
Nota: | Montse Ferrer, MPH, PhD, MD Health Services Research Group Hospital del Mar Medical Research Institute Doctor Aiguader, 88 Office 144 Barcelona, 08003 Spain Phone: 34 933160763 Email: mferrer@imim.es |
Drets: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
Llengua: | Anglès |
Document: | Article ; recerca ; Versió publicada |
Matèria: | EQ-5D-Y ; EuroQol ; Health-related quality of life ; Type 1 diabetes ; Validity |
Publicat a: | Journal of medical Internet research, Vol. 21 Núm. 11 (2019) , p. e14947, ISSN 1438-8871 |
14 p, 127.3 KB |