Sims T L, Garber A M, Miller D E, Mahlow P T, Bravata D M, Goldstein M K
Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, USA.
AMIA Annu Symp Proc. 2005;2005:694-8.
Assessing impact of functional dependency on quality of life (QOL) among older adults can provide an in-depth understanding of health preferences. Utilities as a measure of preferences are necessary in conducting cost-effectiveness evaluations of healthcare interventions designed to improve overall QOL. We describe further development of a multimedia utility elicitation instrument that is highly portable and easily accessible. An earlier version, FLAIR1, introduced features designed for older adult, computer inexperienced users. FLAIR2 includes modifications such as migration to a web-based platform, consistency checks, audio/visual updates, and more response methods. As compared with FLAIR1, more FLAIR2 respondents (n=318) preferred using the computer and found the computer program to be enjoyable, easy to use, and easily understood. There were also fewer inconsistencies among FLAIR2 respondents. FLAIR2 enhancements have increased portability, minimized invariance and inconsistency, and produced a more user friendly design.
评估功能依赖对老年人生活质量(QOL)的影响有助于深入了解健康偏好。在对旨在改善整体生活质量的医疗干预措施进行成本效益评估时,效用作为偏好的一种衡量标准是必要的。我们描述了一种高度便携且易于使用的多媒体效用诱导工具的进一步开发情况。早期版本FLAIR1引入了为老年、无计算机经验用户设计的功能。FLAIR2进行了一些修改,如迁移到基于网络的平台、一致性检查、音频/视频更新以及更多的响应方法。与FLAIR1相比,更多的FLAIR2受访者(n = 318)更喜欢使用计算机,并认为计算机程序有趣、易于使用且易于理解。FLAIR2受访者之间的不一致情况也更少。FLAIR2的改进提高了便携性,最大限度地减少了不变性和不一致性,并产生了更用户友好的设计。