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01-12-2013

Development of a paper-and-pencil semi-adaptive questionnaire for 5 domains of health-related quality of life (PAT-5D-QOL)

Auteurs: Jacek A. Kopec, Eric C. Sayre, Aileen M. Davis, Elizabeth M. Badley, Michal Abrahamowicz, Jacques Pouchot, Lesley Sherlock, John M. Esdaile

Gepubliceerd in: Quality of Life Research | Uitgave 10/2013

Abstract

Objectives

To develop a paper-and-pencil semi-adaptive test for 5 domains of health-related quality of life (PAT-5D-QOL) based on item response theory (IRT).

Methods

The questionnaire uses items from previously developed item banks for 5 domains: (1) walking, (2) handling objects, (3) daily activities, (4) pain or discomfort, and (5) feelings. For each domain, respondents are initially classified into 4 functional levels. Depending on the level, they are instructed to respond to a different set of 5 additional questions. IRT scores for each domain and overall health utility scores are obtained using a simple spreadsheet. The questions were selected using psychometric and conceptual criteria. The format of the questionnaire was developed through focus groups and cognitive interviews. Feasibility was tested in two population surveys. A simulation study was conducted to compare PAT-5D-QOL with a computerized adaptive test (CAT-5D-QOL) and a fixed questionnaire, developed from the same item banks, in terms of accuracy, bias, precision, and ceiling and floor effects.

Results

Close to 90 % of the participants in feasibility studies followed the skip instructions properly. In a simulation study, scores on PAT-5D-QOL for all domains tended to be more accurate, more precise, less biased, and less affected by a ceiling effect than scores on a fixed IRT-based questionnaire of the same length. PAT-5D-QOL was slightly inferior to a fully adaptive instrument.

Conclusions

PAT-5D-QOL is a novel, semi-adaptive, IRT-based measure of health-related quality of life with a broad range of potential applications.

vorige artikel An assessment of validity and responsiveness of generic measures of health-related quality of life in hearing impairment

volgende artikel Validation of the Chinese version of the Summated Xerostomia Inventory (SXI)

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Titel: Development of a paper-and-pencil semi-adaptive questionnaire for 5 domains of health-related quality of life (PAT-5D-QOL)
Auteurs: Jacek A. Kopec
Eric C. Sayre
Aileen M. Davis
Elizabeth M. Badley
Michal Abrahamowicz
Jacques Pouchot
Lesley Sherlock
John M. Esdaile
Publicatiedatum: 01-12-2013
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 10/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-013-0419-4

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Abstract

Objectives

Methods

Results

Conclusions

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