Kreimeier Simone, Greiner Wolfgang
Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 5 Gesundheitsökonomie und Gesundheitsmanagement, 33615 Bielefeld, Deutschland.
Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 5 Gesundheitsökonomie und Gesundheitsmanagement, 33615 Bielefeld, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2019 Aug;144-145:24-34. doi: 10.1016/j.zefq.2019.05.011. Epub 2019 Aug 1.
EQ-5D-Y-3L is a generic, youth-specific instrument to measure health-related quality of life (HRQoL). It contains five dimensions with three severity levels each. The aim of this study was to identify response levels to extend the German EQ-5D-Y version to four or five severity levels (4L or 5L) and to conduct a pilot test of both versions.
In phase 1, we reviewed existing youth-specific HRQoL instruments and conducted focus group interviews with healthy children and adolescents to identify potential new labels. In individual sorting and response scaling interviews, participants aged 8 to 15 years rated the severity of the identified labels. Based on the results, a 4L and a 5L version were developed. In phase 2, the feasibility of those versions was tested in cognitive interviews with healthy children and adolescents as well as those with a health condition.
In phase 1, 12 to 16 labels were identified for each dimension. These were rated by 64 children and adolescents in the sorting and response scaling interviews. The included labels covered different severity levels of health impairments. In phase 2, 88% of the 33 children and adolescents preferred the 5L version as it was easier for them to report on their own health in more detail.
Involving the target group of children and adolescents, a German EQ-5D-Y version with five severity levels was developed (EQ-5D-Y-5L) that can be used in children and adolescents aged 8 to 15 years. However, the psychometric properties of the instrument need further investigation. In addition, value sets need to be to developed before the questionnaire is suitable for all fields of application.
EQ-5D-Y-3L是一种通用的、针对青少年的工具，用于测量健康相关生活质量（HRQoL）。它包含五个维度，每个维度有三个严重程度级别。本研究的目的是确定反应水平，以将德国EQ-5D-Y版本扩展到四个或五个严重程度级别（4L或5L），并对两个版本进行预试验。
在第1阶段，我们回顾了现有的针对青少年的HRQoL工具，并对健康儿童和青少年进行了焦点小组访谈，以确定潜在的新标签。在个体分类和反应量表访谈中，8至15岁的参与者对所确定标签的严重程度进行评分。根据结果，开发了4L和5L版本。在第2阶段，在对健康儿童和青少年以及有健康状况的儿童和青少年进行的认知访谈中测试了这些版本的可行性。
在第1阶段，每个维度确定了12至16个标签。在分类和反应量表访谈中，64名儿童和青少年对这些标签进行了评分。纳入的标签涵盖了不同严重程度的健康损害。在第2阶段，33名儿童和青少年中有88%更喜欢5L版本，因为对他们来说更容易更详细地报告自己的健康状况。
通过让儿童和青少年这一目标群体参与，开发了一个具有五个严重程度级别的德国EQ-5D-Y版本（EQ-5D-Y-5L），可用于8至15岁的儿童和青少年。然而，该工具的心理测量特性需要进一步研究。此外，在问卷适用于所有应用领域之前，需要制定价值集。
