Department of Geriatrics, Radboud University Nijmegen Medical Centre Nijmegen, Renier Postlaan 4, Nijmegen 6525GC, The Netherlands.
Health Qual Life Outcomes. 2013 Apr 8;11:57. doi: 10.1186/1477-7525-11-57.
Various healthcare and social services may impact not only health, but wellbeing as well. Such effects may be more fully captured by capability-wellbeing instruments than with Health-related Quality of Life (HrQol) instruments. The aim of this study is to validate the ICEpop (Investigating Choice Experiments for the Preferences of Older People) CAPability measure for Older people (ICECAP-O) capability wellbeing instrument in a population of post-hospitalized older people admitted to a hospital 3 months earlier.
296 post-hospitalized older people in the Netherlands were interviewed 3 months after admission between September 2010 and January 2011. We investigated the convergent validity of the ICECAP-O and overall wellbeing measures (Cantril's ladder and Social Production Function: Instrument for Level of Well-being (SPF-IL)), as well as with various health measures (EQ5D, Katz-15 Instrumental Activities of Daily Living (IADL) scale, Geriatric Depression Scale (GDS) and the Medical Outcomes Study Short form (SF-20) social functioning dimension). Additionally, we assessed discriminant validity by comparing several relevant subgroups in our sample (based on age, depression, IADL dependency, living situation, etc.). We also investigated the relationship between overall wellbeing and the ICECAP-O, controlling for HrQol and background characteristics.
This study suggests that the ICECAP-O has good convergent validity with wellbeing measures as well as health measures and discriminates between various groups of post-hospitalized older people. Wellbeing measured by both Cantril's ladder and SPF-IL is associated with the ICECAP-O in a multivariate analysis controlling for HRQoL as well.
The ICECAP-O seems to be a valid instrument of capability-wellbeing in older, post-hospitalized people, showing good convergent validity with health and wellbeing instruments, and is able to discriminate between elderly with various health profiles. The ICECAP-O measure seems to capture both health and wellbeing. Therefore it is a promising instrument for assessing the outcomes of health and social services aimed at older people.
各种医疗保健和社会服务不仅会影响健康，还会影响幸福感。与健康相关的生活质量（HRQoL）工具相比，这些影响可能更全面地被能力-幸福感工具所捕捉。本研究的目的是在 3 个月前住院的老年人群中验证用于老年人的 ICEpop（Investigating Choice Experiments for the Preferences of Older People）能力衡量工具（ICECAP-O）能力-幸福感工具。
2010 年 9 月至 2011 年 1 月期间，我们对 296 名荷兰住院后老年人进行了调查，这些老年人在入院 3 个月后接受了访谈。我们研究了 ICECAP-O 与整体幸福感衡量标准（坎特里尔阶梯和社会生产函数：幸福感衡量标准（SPF-IL））以及各种健康衡量标准（EQ5D、Katz-15 日常生活活动量表、老年抑郁量表（GDS）和医疗结果研究短表（SF-20）社会功能维度）之间的趋同有效性。此外，我们通过比较样本中的几个相关亚组（基于年龄、抑郁、IADL 依赖性、生活状况等）来评估判别有效性。我们还调查了在控制 HRQoL 和背景特征的情况下，整体幸福感与 ICECAP-O 之间的关系。
本研究表明，ICECAP-O 与幸福感衡量标准以及健康衡量标准具有良好的趋同有效性，并能区分住院后老年人的不同群体。在控制 HRQoL 的多变量分析中，使用坎特里尔阶梯和 SPF-IL 测量的幸福感与 ICECAP-O 相关。
ICECAP-O 似乎是一种有效的老年住院后人群能力-幸福感衡量标准，与健康和幸福感衡量标准具有良好的趋同有效性，并能够区分具有不同健康状况的老年人。ICECAP-O 衡量标准似乎同时捕捉了健康和幸福感。因此，它是评估旨在老年人的健康和社会服务结果的有前途的工具。
