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中国患者、照顾者和普通公众中老年人(WOOP)和 EQ-5D-5L 幸福感的头对头比较。

A head-to-head comparison of well-being of older people (WOOP) and EQ-5D-5L in patients, carers and general public in China.

机构信息

Department of Clinical Medicine, Guizhou Medical University, Guiyang, China.

Centre for Health Economics Research and Modelling Infectious Diseases, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerpe, Belgium.

出版信息

Sci Rep. 2023 Apr 17;13(1):6270. doi: 10.1038/s41598-023-33248-2.

Abstract

Recently, well-being of older people measure (WOOP) was developed and validated in a Dutch population. Although WOOP was developed targeting the older people, it has the potential for use in a wider population. In this study, we aimed to examine the relationship between WOOP and EQ-5D-5L and compared their psychometric properties in a sample of patients, carers and healthy general public covering a wider age group. We conducted a cross-sectional study in Guizhou Province, China between July and August 2022. Data was collected using paper and pencil. We analysed and reported the acceptability, item response distribution, the Spearman correlation coefficients of all items, the Exploratory Factor Analysis (EFA) of all items, the known-group validity and the convergent validity of EQ-5D-5L utility and WOOP utility. A total of 322 participants completed the survey with 105 patients, 101 carers and 116 healthy general public. 9% of participants had at least one missing response. Three items of WOOP did not have any level 5 responses and EQ-5D-5L had more level 1 responses. The correlations were low between EQ-5D-5L and WOOP items and the three-factor EFA showed these two instruments had only one shared factor and the other two factors were only related to WOOP items. Younger people had lower missing response rate and a different response distribution for three items. WOOP measures a broader construct beyond health while EQ-5D-5L is a more sensitive instrument when health is considered alone. There is a potential of using WOOP in a wider population.

摘要

最近,在荷兰人群中开发和验证了老年人幸福感衡量法(WOOP)。尽管 WOOP 是针对老年人开发的,但它有可能在更广泛的人群中使用。在这项研究中,我们旨在研究 WOOP 与 EQ-5D-5L 之间的关系,并在涵盖更广泛年龄组的患者、照顾者和健康普通人群样本中比较它们的心理测量特性。我们于 2022 年 7 月至 8 月在中国贵州省进行了一项横断面研究。数据是通过纸笔收集的。我们分析并报告了可接受性、项目反应分布、所有项目的 Spearman 相关系数、所有项目的探索性因素分析(EFA)、EQ-5D-5L 效用和 WOOP 效用的已知组有效性和收敛有效性。共有 322 名参与者完成了调查,其中包括 105 名患者、101 名照顾者和 116 名健康普通公众。9%的参与者至少有一个缺失的反应。WOOP 的三个项目没有任何 5 级反应,EQ-5D-5L 有更多的 1 级反应。EQ-5D-5L 和 WOOP 项目之间的相关性较低,三因素 EFA 表明这两个仪器只有一个共同因素,另外两个因素仅与 WOOP 项目有关。年轻人的缺失反应率较低,三个项目的反应分布也不同。WOOP 衡量的是健康以外的更广泛的结构,而 EQ-5D-5L 则是一种更敏感的工具,当只考虑健康时。WOOP 有可能在更广泛的人群中使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045d/10110531/d910a5537c1f/41598_2023_33248_Fig1_HTML.jpg

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