使用EQ健康与幸福量表（EQ-HWB）及其简版EQ-5D-5L以及成人ICECAP能力量表（ICECAP-A）对爱尔兰健康与幸福指标的比较研究

A Comparative Study of Health and Well-Being Measures in Ireland Using EQ Health and Well-Being (EQ-HWB) and its Short Version, EQ-5D-5L, and ICEpop Capability Measure for Adults (ICECAP-A).

作者信息

Kinchin Irina, Engel Lidia, Rencz Fanni

机构信息

Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, Dublin, Ireland.

Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Australia.

出版信息

Value Health. 2025 May 2. doi: 10.1016/j.jval.2025.04.2160.

DOI:10.1016/j.jval.2025.04.2160

PMID:40320237

Abstract

OBJECTIVES

The EQ Health and Wellbeing (EQ-HWB) is a new experimental measure of health and well-being, having been validated in an increasing number of countries and languages. This study aims to examine the psychometric properties of the EQ-HWB and its short version (EQ-HWB-S) in Ireland and compare them with the EQ-5D-5L and ICEpop Capability Measure for Adults (ICECAP-A).

METHODS

A secondary analysis of cross-sectional data from a 2023 Irish general population survey (n = 1220). The survey included the EQ-HWB, EQ-5D-5L, ICECAP-A, and socioeconomic and health-related questions. EQ-HWB-S responses were derived from the EQ-HWB. The UK or Irish value sets were used for each measure to compute index values. Ceiling effects, convergent, divergent validity, and known-group validity were assessed and exploratory factor analysis was conducted.

RESULTS

Mean index values were 0.755, 0.760 to 0.830, and 0.807 for the EQ-HWB-S, EQ-5D-5L, and ICECAP-A, respectively. Ceiling effects were 3%, 7%, 23%, and 15% for EQ-HWB, EQ-HWB-S, EQ-5D-5L, and ICECAP-A. EQ-HWB-S index values correlated strongly with EQ-5D-5L (r = 0.740-0.759) and ICECAP-A (r = 0.604) index values. All measures demonstrated good known-group validity for health-related variables, with EQ-5D-5L performing best overall. Factor analysis identified 5 factors: psychosocial health, pain and discomfort, sensory and physical functioning, capability well-being, and positive psychological states. Feeling settled and secure was the only ICECAP-A item that loaded onto the same factor (psychosocial health) as any of the EQ-HWB items.

CONCLUSIONS

To our knowledge, this is the first study to compare the measurement performance of EQ-HWB and EQ-HWB-S with ICECAP-A. The EQ-HWB and EQ-HWB-S showed good psychometric performance in an Irish population sample. Limited overlap was observed between EQ-HWB and ICECAP-A well-being concepts.

摘要

目的

健康与幸福指数（EQ-HWB）是一种新的健康与幸福实验性测量工具，已在越来越多的国家和语言中得到验证。本研究旨在检验EQ-HWB及其简版（EQ-HWB-S）在爱尔兰的心理测量特性，并将其与EQ-5D-5L和成人ICECAP能力量表（ICECAP-A）进行比较。

方法

对2023年爱尔兰普通人群调查的横断面数据进行二次分析（n = 1220）。该调查包括EQ-HWB、EQ-5D-5L、ICECAP-A以及社会经济和健康相关问题。EQ-HWB-S的回答源自EQ-HWB。每项测量使用英国或爱尔兰价值集来计算指数值。评估了天花板效应、收敛效度、区分效度和已知群体效度，并进行了探索性因素分析。

结果

EQ-HWB-S、EQ-5D-5L和ICECAP-A的平均指数值分别为0.755、0.760至0.830和0.807。EQ-HWB、EQ-HWB-S、EQ-5D-5L和ICECAP-A的天花板效应分别为3%、7%、23%和15%。EQ-HWB-S指数值与EQ-5D-5L（r = 0.740 - 0.759）和ICECAP-A（r = 0.604）指数值高度相关。所有测量对与健康相关的变量均显示出良好的已知群体效度，总体而言EQ-5D-5L表现最佳。因素分析确定了5个因素：心理社会健康、疼痛与不适、感官和身体功能、能力幸福感以及积极心理状态。感觉安定和有安全感是ICECAP-A中唯一与EQ-HWB的任何项目加载到同一因素（心理社会健康）上的项目。