Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting
Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L....
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| creator | Lung, Tom Howard, Kirsten Etherton-Beer, Christopher Sim, Moira Lewin, Gill Arendts, Glenn |
| description | Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L. To date, there have been no studies using the Health Utilities Index Mark III (HUI3). The purpose of this study was to compare the level of agreement and sensitivity to change of the EQ-5D-3L and HUI3 in a nursing home population.
EQ-5D-3L and HUI3 scores were measured as part of a cluster randomised controlled trial of nurse led care coordination in a nursing home population in Perth, Western Australia at baseline and 6-month follow up.
Both measures were completed for 199 residents at baseline and 177 at 6-month follow-up. Mean baseline utility scores for EQ-5D-3L (0.45; 95% CI 0.41-0.49) and HUI3 (0.15; 95% CI 0.10-0.20) were significantly different (Wilcoxon signed rank test, p |
| doi_str_mv | 10.1371/journal.pone.0172796 |
| format | Article |
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EQ-5D-3L and HUI3 scores were measured as part of a cluster randomised controlled trial of nurse led care coordination in a nursing home population in Perth, Western Australia at baseline and 6-month follow up.
Both measures were completed for 199 residents at baseline and 177 at 6-month follow-up. Mean baseline utility scores for EQ-5D-3L (0.45; 95% CI 0.41-0.49) and HUI3 (0.15; 95% CI 0.10-0.20) were significantly different (Wilcoxon signed rank test, p<0.01) and agreement was poor to moderate between absolute scores from each instrument (intra-class correlation coefficient = 0.63). The EQ-5D-3L appeared more sensitive to change over the 6-month period.
Our findings show that the EQ-5D-3L and HUI3 estimate different utility scores among nursing home residents. These differences should be taken into account, particularly when considering the implications of the cost-effectiveness of particular interventions and we conclude that the HUI3 is no better suited to measuring health-related quality of life in a nursing home population when compared to the EQ-5D-3L.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0172796</identifier><identifier>PMID: 28234983</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Agreements ; Analysis ; Australia ; Biology and Life Sciences ; Cognitive Dysfunction - economics ; Cognitive Dysfunction - therapy ; Consent ; Correlation coefficient ; Correlation coefficients ; Decision making ; Dementia ; Diabetes ; Ethics ; Female ; Health aspects ; Health sciences ; Health Status ; Health Status Indicators ; Howard, Christopher ; Humans ; Male ; Management ; Medicine and Health Sciences ; Nursing ; Nursing home patients ; Nursing homes ; Nursing Homes - economics ; Nursing Homes - standards ; Older people ; People and Places ; Population ; Public health ; Quality assessment ; Quality of Life ; Questionnaires ; Research and Analysis Methods ; Social Sciences ; Statistical methods ; Studies ; Surveys and Questionnaires ; Utilities ; Walking - economics</subject><ispartof>PloS one, 2017-02, Vol.12 (2), p.e0172796-e0172796</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Lung et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Lung et al 2017 Lung et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-84f0c29addffac6eed037ab90bd41781f75af921b531fe77f11878f3be7c8e9d3</citedby><cites>FETCH-LOGICAL-c725t-84f0c29addffac6eed037ab90bd41781f75af921b531fe77f11878f3be7c8e9d3</cites><orcidid>0000-0001-9978-6311</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325524/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325524/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2104,2930,23873,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28234983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Luo, Nan</contributor><creatorcontrib>Lung, Tom</creatorcontrib><creatorcontrib>Howard, Kirsten</creatorcontrib><creatorcontrib>Etherton-Beer, Christopher</creatorcontrib><creatorcontrib>Sim, Moira</creatorcontrib><creatorcontrib>Lewin, Gill</creatorcontrib><creatorcontrib>Arendts, Glenn</creatorcontrib><title>Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L. To date, there have been no studies using the Health Utilities Index Mark III (HUI3). The purpose of this study was to compare the level of agreement and sensitivity to change of the EQ-5D-3L and HUI3 in a nursing home population.
EQ-5D-3L and HUI3 scores were measured as part of a cluster randomised controlled trial of nurse led care coordination in a nursing home population in Perth, Western Australia at baseline and 6-month follow up.
Both measures were completed for 199 residents at baseline and 177 at 6-month follow-up. Mean baseline utility scores for EQ-5D-3L (0.45; 95% CI 0.41-0.49) and HUI3 (0.15; 95% CI 0.10-0.20) were significantly different (Wilcoxon signed rank test, p<0.01) and agreement was poor to moderate between absolute scores from each instrument (intra-class correlation coefficient = 0.63). The EQ-5D-3L appeared more sensitive to change over the 6-month period.
Our findings show that the EQ-5D-3L and HUI3 estimate different utility scores among nursing home residents. These differences should be taken into account, particularly when considering the implications of the cost-effectiveness of particular interventions and we conclude that the HUI3 is no better suited to measuring health-related quality of life in a nursing home population when compared to the EQ-5D-3L.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Agreements</subject><subject>Analysis</subject><subject>Australia</subject><subject>Biology and Life Sciences</subject><subject>Cognitive Dysfunction - economics</subject><subject>Cognitive Dysfunction - therapy</subject><subject>Consent</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Decision making</subject><subject>Dementia</subject><subject>Diabetes</subject><subject>Ethics</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health sciences</subject><subject>Health Status</subject><subject>Health Status Indicators</subject><subject>Howard, Christopher</subject><subject>Humans</subject><subject>Male</subject><subject>Management</subject><subject>Medicine and Health Sciences</subject><subject>Nursing</subject><subject>Nursing home patients</subject><subject>Nursing homes</subject><subject>Nursing Homes - economics</subject><subject>Nursing Homes - standards</subject><subject>Older people</subject><subject>People and Places</subject><subject>Population</subject><subject>Public health</subject><subject>Quality assessment</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Research and Analysis Methods</subject><subject>Social Sciences</subject><subject>Statistical methods</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Utilities</subject><subject>Walking - economics</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk02P0zAQhiMEYpeFf4AgEhKCQ4o_Y_uCVJWFrVRpxcdytRzHbl0ldokTBP8et82uGrSHlQ_22M-8Hs94suwlBDOIGfywDUPnVTPbBW9mADLERPkoO4cCo6JEAD8-WZ9lz2LcAkAxL8un2RniCBPB8Xk2X4R2pzoXg8-DzfuNya9uljhXvj4Yl18L-qnAq9z5XOV-6KLz63wTWpNH0_fJeJ49saqJ5sU4X2Q3ny9_LK6K1fWX5WK-KjRDtC84sUAjoeraWqVLY2qAmaoEqGoCGYeWUWUFghXF0BrGLISccYsrwzQ3osYX2euj7q4JUY6vjzJRULASIZKI5ZGog9rKXeda1f2VQTl52AjdWqqud7oxsiyJwpoKIAgknCNBFDS2rG1VYwNrnbQ-jrcNVWtqbXzfqWYiOj3xbiPX4bekGFF6CObdKNCFX4OJvWxd1KZplDdhOMTNOBElBA9BEWUUHtA3_6H3J2Kk1iq91XkbUoh6LyrnhCNKAGE4UbN7qDRq0zqdfpV1aX_i8H7ikJje_OnXaohRLr9_ezh7_XPKvj1hN0Y1_SaGZuhd8HEKkiOouxBjZ-xdPSCQ-6a4zYbcN4UcmyK5vTqt5Z3TbRfgf9DKA7g</recordid><startdate>20170224</startdate><enddate>20170224</enddate><creator>Lung, Tom</creator><creator>Howard, Kirsten</creator><creator>Etherton-Beer, Christopher</creator><creator>Sim, Moira</creator><creator>Lewin, Gill</creator><creator>Arendts, Glenn</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9978-6311</orcidid></search><sort><creationdate>20170224</creationdate><title>Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting</title><author>Lung, Tom ; Howard, Kirsten ; Etherton-Beer, Christopher ; Sim, Moira ; Lewin, Gill ; Arendts, Glenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c725t-84f0c29addffac6eed037ab90bd41781f75af921b531fe77f11878f3be7c8e9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Agreements</topic><topic>Analysis</topic><topic>Australia</topic><topic>Biology and Life Sciences</topic><topic>Cognitive Dysfunction - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lung, Tom</au><au>Howard, Kirsten</au><au>Etherton-Beer, Christopher</au><au>Sim, Moira</au><au>Lewin, Gill</au><au>Arendts, Glenn</au><au>Luo, Nan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-02-24</date><risdate>2017</risdate><volume>12</volume><issue>2</issue><spage>e0172796</spage><epage>e0172796</epage><pages>e0172796-e0172796</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L. To date, there have been no studies using the Health Utilities Index Mark III (HUI3). The purpose of this study was to compare the level of agreement and sensitivity to change of the EQ-5D-3L and HUI3 in a nursing home population.
EQ-5D-3L and HUI3 scores were measured as part of a cluster randomised controlled trial of nurse led care coordination in a nursing home population in Perth, Western Australia at baseline and 6-month follow up.
Both measures were completed for 199 residents at baseline and 177 at 6-month follow-up. Mean baseline utility scores for EQ-5D-3L (0.45; 95% CI 0.41-0.49) and HUI3 (0.15; 95% CI 0.10-0.20) were significantly different (Wilcoxon signed rank test, p<0.01) and agreement was poor to moderate between absolute scores from each instrument (intra-class correlation coefficient = 0.63). The EQ-5D-3L appeared more sensitive to change over the 6-month period.
Our findings show that the EQ-5D-3L and HUI3 estimate different utility scores among nursing home residents. These differences should be taken into account, particularly when considering the implications of the cost-effectiveness of particular interventions and we conclude that the HUI3 is no better suited to measuring health-related quality of life in a nursing home population when compared to the EQ-5D-3L.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28234983</pmid><doi>10.1371/journal.pone.0172796</doi><tpages>e0172796</tpages><orcidid>https://orcid.org/0000-0001-9978-6311</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Aged Aged, 80 and over Agreements Analysis Australia Biology and Life Sciences Cognitive Dysfunction - economics Cognitive Dysfunction - therapy Consent Correlation coefficient Correlation coefficients Decision making Dementia Diabetes Ethics Female Health aspects Health sciences Health Status Health Status Indicators Howard, Christopher Humans Male Management Medicine and Health Sciences Nursing Nursing home patients Nursing homes Nursing Homes - economics Nursing Homes - standards Older people People and Places Population Public health Quality assessment Quality of Life Questionnaires Research and Analysis Methods Social Sciences Statistical methods Studies Surveys and Questionnaires Utilities Walking - economics |
| title | Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting |
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