EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence : reliability, validity and responsiveness
Haywood, Kirstie L., Garratt, Andrew M., Lall, Ranjit (Statistician), Smith, Jan Fereday and Lamb, S. E. (Sallie E.). (2008) EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence : reliability, validity and responsiveness. Quality of Life Research, Volume 17 (Number 3). pp. 475-483. ISSN 0962-9343Full text not available from this repository.
Official URL: http://dx.doi.org/10.1007/s11136-008-9311-z
Objectives To evaluate the measurement properties of the EuroQoL EQ-5D and two condition-specific patient-reported outcome measures-the Symptom Severity Index (SSI) and the Urinary Incontinence-Specific Quality of Life instrument (I-QoL)-in women with urinary incontinence.
Methods A questionnaire comprising all instruments was completed by women taking part in a clinical trial of physiotherapy for urinary incontinence. Follow-up questionnaires were at 6 weeks and 5 months. Data quality, internal consistency reliability, validity and responsiveness were assessed.
Results One hundred and seventy-four patients taking part in the clinical trial completed the questionnaire. Instruments had low levels of missing data. The EQ-5D had a large ceiling effect and poor responsiveness. The SSI had poor validity and responsiveness. The I-QoL had levels of reliability that supported application in group assessment, and in some cases, individual assessment, and good evidence of validity. The I-QoL was the most responsive instrument at both 6 weeks and 5 months.
Conclusion The I-QoL was the best performing instrument and is recommended as a continence-specific measure of quality of life in a clinical trial setting. The SSI and EQ-5D are not recommended. Alternative generic instruments, which support economic evaluation, require further evaluation in trials of female urinary incontinence.
|Item Type:||Journal Article|
|Subjects:||H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
|Divisions:||Faculty of Social Sciences > School of Health and Social Studies
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Urinary incontinence -- Treatment, Clinical trials, Women -- Diseases -- Treatment, Women's health services|
|Journal or Publication Title:||Quality of Life Research|
|Official Date:||April 2008|
|Number of Pages:||9|
|Page Range:||pp. 475-483|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||Physiotherapy Research Foundation (Australian Physiotherapy Association)|
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