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Gepubliceerd in: Quality of Life Research 3/2021

16-10-2020

Feasibility and validity of EQ-5D-5L proxy by nurses in measuring health-related quality of life of nursing home residents

Auteurs: Hui Jin Toh, Philip Yap, Shiou Liang Wee, Gerald Koh, Nan Luo

Gepubliceerd in: Quality of Life Research | Uitgave 3/2021

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Abstract

Objective

Our study examined the feasibility and validity of the EQ-5D-5L proxy questionnaire in measuring health-related quality of life (HRQoL) of nursing home residents.

Methods

Twenty-four nurses and 229 residents from 3 nursing homes in Singapore participated in this cross-sectional study. Nurses assessed residents under their care with the EQ-5D-5L proxy questionnaire. Two experienced mappers conducted Dementia Care Mapping (DCM) within 1 month in a subsample of the residents. Feasibility was evaluated according to percentage of unanswered EQ-5D-5L items and proportion of nurses who failed to respond to all items. Convergent validity was assessed by examining the correlation between EQ-5D-5L measures and DCM scores. Known-groups validity was assessed by comparing differences in EQ-5D-5L scores for residents with varying communication abilities and physical functions.

Results

The nurses’ mean age was 35.4 years while the residents’ was 73.4 years. Most residents were female (51.3%) and had the ability to communicate (81.3%). For 6 of the 229 residents (2.6%), not all items in the EQ-5D-5L were completed. The EQ-5D-5L index score correlated positively and moderately with the DCM’s well/ill-being score (r = 0.433, n = 90, P < 0.01). Residents who were able to communicate effectively or had better physical function were assessed to have less severe health problems and better EQ-5D-5L scores.

Conclusion

The EQ-5D-5L proxy questionnaire has adequate feasibility and validity when used by nurses to assess the HRQoL of nursing home residents. As it is brief and can be conveniently administered, it can be deployed on a larger scale to assess HRQoL of nursing home residents.

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Literatuur
1.
go back to reference Kane, R. A., Kling, K. C., Bershadsky, B., Kane, R. L., Giles, K., Degenholtz, H. B., et al. (2003). Quality of life measures for nursing home residents. Journal of Gerontology: Series A, Biological Sciences and Medical Sciences, 58, 240–248. Kane, R. A., Kling, K. C., Bershadsky, B., Kane, R. L., Giles, K., Degenholtz, H. B., et al. (2003). Quality of life measures for nursing home residents. Journal of Gerontology: Series A, Biological Sciences and Medical Sciences, 58, 240–248.
2.
go back to reference de Wit, M., & Hajos, T. (2003). Health-related quality of life: Encyclopedia of behavioral medicine. New York: Springer. de Wit, M., & Hajos, T. (2003). Health-related quality of life: Encyclopedia of behavioral medicine. New York: Springer.
3.
go back to reference Bryan, S., Hardyman, W., Bentham, P., Buckley, A., & Laight, A. (2005). Proxy completion of EQ-5D in patients with dementia. Quality of Life Research, 14, 107–118. CrossRef Bryan, S., Hardyman, W., Bentham, P., Buckley, A., & Laight, A. (2005). Proxy completion of EQ-5D in patients with dementia. Quality of Life Research, 14, 107–118. CrossRef
4.
go back to reference Coucill, W., Bryan, S., Bentham, P., Buckley, A., & Laight, A. (2001). EQ-5D in patients with dementia—An investigation of inter-rater agreement. Medical Care, 39, 760–771. CrossRef Coucill, W., Bryan, S., Bentham, P., Buckley, A., & Laight, A. (2001). EQ-5D in patients with dementia—An investigation of inter-rater agreement. Medical Care, 39, 760–771. CrossRef
5.
go back to reference McHorney, C. A., & Tarlov, A. R. (2005). Individual-patient monitoring in clinical practice: Are available health status surveys adequate? Quality of Life Research, 4, 293–307. CrossRef McHorney, C. A., & Tarlov, A. R. (2005). Individual-patient monitoring in clinical practice: Are available health status surveys adequate? Quality of Life Research, 4, 293–307. CrossRef
6.
go back to reference Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220. CrossRef Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220. CrossRef
7.
go back to reference Lung, T., Howard, K., Etherton-Beer, C., Sim, M., Lewin, G., & Arendts, G. (2017). Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting. PLoS ONE, 12(2), e0172796. CrossRef Lung, T., Howard, K., Etherton-Beer, C., Sim, M., Lewin, G., & Arendts, G. (2017). Comparison of the HUI3 and the EQ-5D-3L in a nursing home setting. PLoS ONE, 12(2), e0172796. CrossRef
8.
go back to reference Mokkink, L. B., Terwee, C. B., Knol, D. L., Stratford, P. W., Alonso, J., Patrick, D. L., et al. (2010). The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: A clarification of its content. BMC Medical Research Methodology, 10, 22. CrossRef Mokkink, L. B., Terwee, C. B., Knol, D. L., Stratford, P. W., Alonso, J., Patrick, D. L., et al. (2010). The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: A clarification of its content. BMC Medical Research Methodology, 10, 22. CrossRef
9.
go back to reference Elderly and Continuing Care Division. (2002). A guidebook on nursing homes. Ministry of Health (Singapore). Elderly and Continuing Care Division. (2002). A guidebook on nursing homes. Ministry of Health (Singapore).
10.
go back to reference Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. CrossRef Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., et al. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. CrossRef
11.
go back to reference Luo, N., Wang, P., Thumboo, J., Lim, Y. W., & Vrijhoef, H. J. (2014). Valuation of EQ-5D-3L health states in Singapore: Modeling of time trade-off values for 80 empirically observed health states. Pharmacoeconomics, 32, 495–507. CrossRef Luo, N., Wang, P., Thumboo, J., Lim, Y. W., & Vrijhoef, H. J. (2014). Valuation of EQ-5D-3L health states in Singapore: Modeling of time trade-off values for 80 empirically observed health states. Pharmacoeconomics, 32, 495–507. CrossRef
12.
go back to reference Wang, P., Yap, P., Koh, G., Chong, J. A., Davies, L. J., Dalakoti, M., et al. (2016). Quality of life and related factors of nursing home residents in Singapore. Health and Quality of Life Outcomes, 14, 112. CrossRef Wang, P., Yap, P., Koh, G., Chong, J. A., Davies, L. J., Dalakoti, M., et al. (2016). Quality of life and related factors of nursing home residents in Singapore. Health and Quality of Life Outcomes, 14, 112. CrossRef
13.
go back to reference Devine, A., Taylor, S. J. C., Spencer, A., Diaz-Ordaz, K., Eldridge, S., & Underwood, M. (2014). The agreement between proxy and self-completed EQ-5D for care home residents was better for index scores than individual domains. Journal of Clinical Epidemiology, 67, 1035–1043. CrossRef Devine, A., Taylor, S. J. C., Spencer, A., Diaz-Ordaz, K., Eldridge, S., & Underwood, M. (2014). The agreement between proxy and self-completed EQ-5D for care home residents was better for index scores than individual domains. Journal of Clinical Epidemiology, 67, 1035–1043. CrossRef
14.
go back to reference Surr, C. A., Griffiths, A. W., & Kelley, R. (2018). Implementing dementia care mapping as a practice development tool in dementia care services: A systematic review. Clinical Interventions in Aging, 13, 165–177. CrossRef Surr, C. A., Griffiths, A. W., & Kelley, R. (2018). Implementing dementia care mapping as a practice development tool in dementia care services: A systematic review. Clinical Interventions in Aging, 13, 165–177. CrossRef
15.
go back to reference Griffiths, A. W., Kelley, R., Garrod, L., Perfect, D., Robinson, O., Shoesmith, E., et al. (2019). Barriers and facilitators to implementing dementia care mapping in care homes: Results from the DCM TM EPIC trial process evaluation. BMC Geriatrics, 19, 37. CrossRef Griffiths, A. W., Kelley, R., Garrod, L., Perfect, D., Robinson, O., Shoesmith, E., et al. (2019). Barriers and facilitators to implementing dementia care mapping in care homes: Results from the DCM TM EPIC trial process evaluation. BMC Geriatrics, 19, 37. CrossRef
16.
go back to reference Smith, S. C., Hendriks, A. A. J., Regan, J., & Black, N. (2018). A novel method of proxy reporting questionnaire based measures of health-related quality of life of people with dementia in residential care: A psychometric evaluation. Patient Related Outcome Measures, 9, 221–230. CrossRef Smith, S. C., Hendriks, A. A. J., Regan, J., & Black, N. (2018). A novel method of proxy reporting questionnaire based measures of health-related quality of life of people with dementia in residential care: A psychometric evaluation. Patient Related Outcome Measures, 9, 221–230. CrossRef
17.
go back to reference Fossey, J., Lee, L., & Ballard, C. (2002). Dementia care mapping as a research tool for measuring quality of life in care settings: Psychometric properties. International Journal of Geriatric Psychiatry, 17, 1064–1070. CrossRef Fossey, J., Lee, L., & Ballard, C. (2002). Dementia care mapping as a research tool for measuring quality of life in care settings: Psychometric properties. International Journal of Geriatric Psychiatry, 17, 1064–1070. CrossRef
18.
go back to reference Juniper, E. F., Guyatt, G. H., & Jaeschke, R. (1995). How to develop and validate a new quality of life instrument: Quality of life and pharmacoeconomics in clinical trials. Philadelphia: Lippincott-Raven Publishers. Juniper, E. F., Guyatt, G. H., & Jaeschke, R. (1995). How to develop and validate a new quality of life instrument: Quality of life and pharmacoeconomics in clinical trials. Philadelphia: Lippincott-Raven Publishers.
19.
go back to reference Felgoise, S. H., Zaccheo, V., Duff, J., & Simmons, Z. (2016). Verbal communication impacts quality of life in patients with amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 17, 179–183. CrossRef Felgoise, S. H., Zaccheo, V., Duff, J., & Simmons, Z. (2016). Verbal communication impacts quality of life in patients with amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 17, 179–183. CrossRef
20.
go back to reference Wolfs, C. A. G., Dirksen, C. D., Kessels, A., Willems, D. C. M., Verhey, F. R. J., & Severens, J. L. (2007). Performance of the EQ-5D and the EQ-5D+C in elderly patients with cognitive impairments. Health and Quality of Life Outcomes, 5, 33. CrossRef Wolfs, C. A. G., Dirksen, C. D., Kessels, A., Willems, D. C. M., Verhey, F. R. J., & Severens, J. L. (2007). Performance of the EQ-5D and the EQ-5D+C in elderly patients with cognitive impairments. Health and Quality of Life Outcomes, 5, 33. CrossRef
21.
go back to reference Dichter, M. N., Wolschon, E. M., Schwab, C. G. G., Meyer, G., & Köpke, S. (2018). Item distribution and inter-rater reliability of the German version of the quality of life in Alzheimer’s disease scale (QoL-AD) proxy for people with dementia living in nursing homes. BMC Geriatrics, 18, 145. CrossRef Dichter, M. N., Wolschon, E. M., Schwab, C. G. G., Meyer, G., & Köpke, S. (2018). Item distribution and inter-rater reliability of the German version of the quality of life in Alzheimer’s disease scale (QoL-AD) proxy for people with dementia living in nursing homes. BMC Geriatrics, 18, 145. CrossRef
22.
go back to reference Hoe, J., Katona, C., Roch, B., & Livingston, G. (2005). Use of the QOL-AD for measuring quality of life in people with severe dementia—The LASER-AD study. Age and Ageing, 34, 130–135. CrossRef Hoe, J., Katona, C., Roch, B., & Livingston, G. (2005). Use of the QOL-AD for measuring quality of life in people with severe dementia—The LASER-AD study. Age and Ageing, 34, 130–135. CrossRef
23.
go back to reference Halek, M., Holle, D., & Bartholomeyczik, S. (2017). Development and evaluation of the content validity, practicability and feasibility of the innovative dementia-oriented assessment system for challenging behaviour in residents with dementia. BMC Health Services Research, 17, 554. CrossRef Halek, M., Holle, D., & Bartholomeyczik, S. (2017). Development and evaluation of the content validity, practicability and feasibility of the innovative dementia-oriented assessment system for challenging behaviour in residents with dementia. BMC Health Services Research, 17, 554. CrossRef
24.
go back to reference Resnick, B., Galik, E., Kolanowski, A., Van Haitsma, K., Boltz, M., Ellis, J., et al. (2018). Reliability and validity testing of the quality of life in late-stage dementia scale. American Journal of Alzheimers Disorders and Other Dementia, 33, 277–283. CrossRef Resnick, B., Galik, E., Kolanowski, A., Van Haitsma, K., Boltz, M., Ellis, J., et al. (2018). Reliability and validity testing of the quality of life in late-stage dementia scale. American Journal of Alzheimers Disorders and Other Dementia, 33, 277–283. CrossRef
25.
go back to reference Dichter, M. N., Dortmann, O., Halek, M., Meyer, G., Holle, D., Nordheim, J., et al. (2018). Scalability and internal consistency of the German version of the dementia-specific quality of life instrument QUALIDEM in nursing homes—A secondary data analysis. BMC Geriatrics, 18, 145. CrossRef Dichter, M. N., Dortmann, O., Halek, M., Meyer, G., Holle, D., Nordheim, J., et al. (2018). Scalability and internal consistency of the German version of the dementia-specific quality of life instrument QUALIDEM in nursing homes—A secondary data analysis. BMC Geriatrics, 18, 145. CrossRef
26.
go back to reference Alvarado-Bolaños, A., Cervantes-Arriaga, A., Rodríguez-Violante, M., Liorens-Arenas, R., Calderon-Fajardo, H., Millan-Cepeda, R., et al. (2015). Convergent validation of EQ-5D-5L in patients with Parkinson’s disease. Journal of the Neurological Sciences, 35, 53–57. CrossRef Alvarado-Bolaños, A., Cervantes-Arriaga, A., Rodríguez-Violante, M., Liorens-Arenas, R., Calderon-Fajardo, H., Millan-Cepeda, R., et al. (2015). Convergent validation of EQ-5D-5L in patients with Parkinson’s disease. Journal of the Neurological Sciences, 35, 53–57. CrossRef
27.
go back to reference Hinz, A., Kohlmann, T., Sto¨bel-Richter, Y., Zenger, M., & Brahler, E. (2014). The quality of life questionnaire EQ-5D-5L: Psychometric properties and normative values for the general German population. Quality of Life Research, 23, 443–447. CrossRef Hinz, A., Kohlmann, T., Sto¨bel-Richter, Y., Zenger, M., & Brahler, E. (2014). The quality of life questionnaire EQ-5D-5L: Psychometric properties and normative values for the general German population. Quality of Life Research, 23, 443–447. CrossRef
28.
go back to reference Parker, B., Petrou, S., Underwood, M., & Madan, J. (2017). Can care staff accurately assess health-related quality of life of care home residents? A secondary analysis of data from the OPERA trial. British Medical Journal Open, 7, e012779. Parker, B., Petrou, S., Underwood, M., & Madan, J. (2017). Can care staff accurately assess health-related quality of life of care home residents? A secondary analysis of data from the OPERA trial. British Medical Journal Open, 7, e012779.
29.
go back to reference Hounsome, N., Orrell, M., & Edwards, R. T. (2011). EQ-5D as a quality of life measure in people with dementia and their carers: Evidence and key issues. Value Health, 14, 390–399. CrossRef Hounsome, N., Orrell, M., & Edwards, R. T. (2011). EQ-5D as a quality of life measure in people with dementia and their carers: Evidence and key issues. Value Health, 14, 390–399. CrossRef
30.
go back to reference Kane, R. L., Kane, R. A., Bershadsky, B., Degenholtz, H., Kling, K., Totten, A., et al. (2005). Proxy sources for information on nursing home residents’ quality of life. Journal of Gerontology: Series B, 60(6), 318–325. CrossRef Kane, R. L., Kane, R. A., Bershadsky, B., Degenholtz, H., Kling, K., Totten, A., et al. (2005). Proxy sources for information on nursing home residents’ quality of life. Journal of Gerontology: Series B, 60(6), 318–325. CrossRef
31.
go back to reference Ankri, J. (2003). Use of the EQ-5D among patients suffering from dementia. Journal of Clinical Epidemiology, 56, 1055–1063. CrossRef Ankri, J. (2003). Use of the EQ-5D among patients suffering from dementia. Journal of Clinical Epidemiology, 56, 1055–1063. CrossRef
32.
go back to reference Robertson, S., Cooper, C., Hoe, J., Lord, K., Rapaport, P., Marston, L., et al. (2019). Comparing proxy rated quality of life of people living with dementia in care homes. Psychological Medicine, 29, 1–10. Robertson, S., Cooper, C., Hoe, J., Lord, K., Rapaport, P., Marston, L., et al. (2019). Comparing proxy rated quality of life of people living with dementia in care homes. Psychological Medicine, 29, 1–10.
33.
go back to reference Pickard, A. S., & Knight, S. J. (2015). Proxy evaluation of health-related quality of life: A conceptual framework for understanding multiple proxy perspectives. Medical Care, 43(5), 493–499. CrossRef Pickard, A. S., & Knight, S. J. (2015). Proxy evaluation of health-related quality of life: A conceptual framework for understanding multiple proxy perspectives. Medical Care, 43(5), 493–499. CrossRef
34.
go back to reference Proud, L., McLoughlin, C., & Kinghorn, P. (2019). ICECAP-O, the current state of play: A systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication. Quality of Life Research, 28(6), 1429–1439. CrossRef Proud, L., McLoughlin, C., & Kinghorn, P. (2019). ICECAP-O, the current state of play: A systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication. Quality of Life Research, 28(6), 1429–1439. CrossRef
35.
go back to reference Malley, J., Towers, A., Netten, A., Brazier, J., Forder, J., & Flynn, T. (2012). An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people. Health and Quality of Life Outcomes, 10, 21. CrossRef Malley, J., Towers, A., Netten, A., Brazier, J., Forder, J., & Flynn, T. (2012). An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people. Health and Quality of Life Outcomes, 10, 21. CrossRef
Metagegevens
Titel
Feasibility and validity of EQ-5D-5L proxy by nurses in measuring health-related quality of life of nursing home residents
Auteurs
Hui Jin Toh
Philip Yap
Shiou Liang Wee
Gerald Koh
Nan Luo
Publicatiedatum
16-10-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02673-5