Expert Review of Pharmacoeconomics & Outcomes Research ( IF 1.8 ) Pub Date : 2021-09-26 , DOI: 10.1080/14737167.2021.1981861 Hoi Yau Chan 1 , Ben F M Wijnen 1, 2 , Mickaël Hiligsmann 1 , Filip Smit 3, 4 , Loes A M Leenen 1, 2 , Marian H J M Majoie 2, 5, 6, 7 , Silvia M A A Evers 1, 3
ABSTRACT
Background
To translate and linguistically validate the Assessment of Quality of Life 8-dimensions (AQoL-8D) for use in the Netherlands and to compare the psychometric properties of AQoL-8D with the EuroQol 5-dimensions 5-levels (EQ-5D-5L) in two patient samples.
Methods
AQoL-8D was translated from English into Dutch. The translated AQoL-8D was then administered alongside the EQ-5D-5L at baseline and follow-up of two Dutch randomized controlled trials among patients with epilepsy and schizophrenia. These data were subjected to a post-hoc analysis assessing the psychometric properties of AQol-8D vis-à-vis EQ-5D-5L in terms of known-groups construct validity, responsiveness, and floor/ceiling effects.
Results
In total, 103 epilepsy patients and 99 schizophrenia patients were included in this study. In both datasets, the two instruments discriminated between known-groups, but in schizophrenia, AQoL-8D showed higher responsiveness than EQ-5D-5L, while both instruments showed equal responsiveness in epilepsy. Ceiling effects were only found for EQ-5D-5L in both epilepsy (26.6%) and schizophrenia (6.1%).
Conclusion
Our results have shown that, among other things, AQoL-8D presents better ability to discriminate between known-groups and shows no ceiling effect. Based on our results, we would recommend the use of AQoL-8D in addition to EQ-5D-5L in trials assessing patient’s quality of life in patients with epilepsy or schizophrenia.
中文翻译:
生活质量 8 维 (AQoL-8D) 评估:在两项针对癫痫和精神分裂症患者的荷兰试验中的翻译、验证和应用
摘要
背景
翻译和语言验证 8 维生活质量评估 (AQoL-8D) 以供在荷兰使用,并将 AQoL-8D 的心理测量特性与 EuroQol 5 维 5 级 (EQ-5D-5L) 进行比较在两个患者样本中。
方法
AQoL-8D 从英语翻译成荷兰语。然后,翻译后的 AQoL-8D 在基线时与 EQ-5D-5L 一起使用,并在荷兰癫痫和精神分裂症患者中进行了两项随机对照试验的随访。对这些数据进行事后分析,评估 AQol-8D 与 EQ-5D-5L 在已知组结构有效性、响应性和地板/天花板效应方面的心理测量特性。
结果
本研究共纳入 103 名癫痫患者和 99 名精神分裂症患者。在这两个数据集中,这两种仪器在已知组之间进行了区分,但在精神分裂症中,AQoL-8D 显示出比 EQ-5D-5L 更高的响应性,而两种仪器在癫痫中显示出相同的响应性。仅在癫痫(26.6%)和精神分裂症(6.1%)中发现 EQ-5D-5L 的天花板效应。
结论
我们的结果表明,除其他外,AQoL-8D 具有更好的区分已知群体的能力,并且没有显示出天花板效应。根据我们的结果,我们建议在评估癫痫或精神分裂症患者生活质量的试验中,除了 EQ-5D-5L 外,还使用 AQoL-8D。