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Quality of Life Research
Published in: Quality of Life Research 10/2013

Open Access 01-12-2013

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

Authors: Yaling Yang, Louise Longworth, John Brazier

Published in: Quality of Life Research | Issue 10/2013

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Abstract

Purpose

This review examines psychometric performance of three widely used generic preference-based measures, that is, EuroQol 5 dimensions (EQ-5D), Health Utility Index 3 (HUI3) and Short-form 6 dimensions (SF-6D) in patients with hearing impairments.

Methods

A systematic search was undertaken to identify studies of patients with hearing impairments where health state utility values were measured and reported. Data were extracted and analysed to assess the reliability, validity (known group differences and convergent validity) and responsiveness of the measures across hearing impairments.

Results

Fourteen studies (18 papers) were included in the review. HUI3 was the most commonly used utility measures in hearing impairment. In all six studies, the HUI3 detected difference between groups defined by the severity of impairment, and four out of five studies detected statistically significant changes as a result of intervention. The only study available suggested that EQ-5D only had weak ability to discriminate difference between severity groups, and in four out of five studies, EQ-5D failed to detected changes. Only one study involved the SF-6D; thus, the information is too limited to conclude on its performance. Also evidence for the reliability of these measures was not found.

Conclusion

Overall, the validity and responsiveness of the HUI3 in hearing impairment was good. The responsiveness of EQ-5D was relatively poor and weak validity was suggested by limited evidence. The evidence on SF-6D was too limited to make any judgment. More head-to-head comparisons of these and other preference measures of health are required.
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Metadata
Title
An assessment of validity and responsiveness of generic measures of health-related quality of life in hearing impairment
Authors
Yaling Yang
Louise Longworth
John Brazier
Publication date
01-12-2013
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 10/2013
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0417-6

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