长新冠后遗症住院 COVID-19 康复者的西班牙语版欧洲生命质量五维量表的心理测量学特性。

Psychometric properties of the Spanish version of the EuroQol-5D-5L in previously hospitalized COVID-19 survivors with long COVID.

机构信息

Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos (URJC), Avenida de Atenas s/n, Alcorcón, 28922, Madrid, Spain.

Consejería de Salud Pública, Comunidad de Madrid, Madrid, Spain.

出版信息

Sci Rep. 2022 Jul 23;12(1):12605. doi: 10.1038/s41598-022-17033-1.

Abstract

The EuroQol 5-dimensions 5-levels (EQ-5D-5L) is a generic patient-reported outcome measures (PROM) used for evaluating health-related quality of life (HRQoL). No data on its psychometric properties in COVID-19 survivors is available. We aimed to describe internal consistency, test-retest reliability, and construct validity of the EQ-5D-5L in people with long-COVID. Ninety-three (n = 93) individuals previously hospitalized due to COVID-19 with post-COVID symptoms completed the EQ-5D-5L questionnaire twice one year after hospital discharge in a three-week interval. Internal consistency (Cronbach alpha and Omega value), test-retest reliability (kappa and ICC) and construct validity (factor analysis), and floor/ceiling effects were calculated. No ceiling effect was observed in any dimension whereas the floor effect ranged from 53.76 to 94.62%. The overall Cronbach's α value was 0.75 (95%CI 0.64-0.83) and the Omega ω value was 0.77 (95%CI 0.66-0.84), showing good internal consistency of the questionnaire. Further, Cronbach's alpha values the of each dimension ranged from 0.63 to 0.77 whereas those for Omega values ranged from 0.70 to 0.79. The test-retest reliability of the total score was excellent (ICC 0.86, 95%CI 0.798-0.911). The agreement percentage ranged from 85.13 to 96.77%; but kappa coefficients ranged from fair (κ: 0.37) to good (κ: 0.61). The factor analysis showed factor loadings from 0.585 to 0.813 supporting good construct validity. The EQ-5D-5L has good psychometric properties to be used as a PROM to assess HRQoL in hospitalized COVID-19 survivors with long-COVID.

摘要

EQ-5D-5L 量表是一种通用的患者报告结局测量(PROM),用于评估与健康相关的生活质量(HRQoL)。目前尚无关于其在 COVID-19 幸存者中的心理测量特性的数据。我们旨在描述长 COVID 患者中 EQ-5D-5L 的内部一致性、重测信度和结构效度。93 名(n=93)因 COVID-19 住院且有 COVID 后症状的个体在出院后一年的三周间隔内两次完成 EQ-5D-5L 问卷。计算了内部一致性(Cronbach α 和 Omega 值)、重测信度(kappa 和 ICC)和结构效度(因子分析)以及地板/天花板效应。在任何维度都没有观察到天花板效应,而地板效应范围从 53.76 到 94.62%。总体 Cronbach's α 值为 0.75(95%CI 0.64-0.83),Omega ω 值为 0.77(95%CI 0.66-0.84),表明问卷具有良好的内部一致性。此外,Cronbach's α 值的每个维度范围从 0.63 到 0.77,而 Omega 值的范围从 0.70 到 0.79。总分的重测信度极好(ICC 0.86,95%CI 0.798-0.911)。一致性百分比范围从 85.13%到 96.77%;但 kappa 系数范围从适度(κ:0.37)到良好(κ:0.61)。因子分析显示因子负荷从 0.585 到 0.813,支持良好的结构效度。EQ-5D-5L 具有良好的心理测量特性,可作为一种 PROM 用于评估患有长 COVID 的 COVID-19 住院幸存者的 HRQoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/690e/9308812/3e1e9add13c6/41598_2022_17033_Fig1_HTML.jpg

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