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Rasch analysis of the EQ-5D-3L and the EQ-5D-5L in persons with back and neck pain receiving physiotherapy in a primary care context

Wahlberg, Martina ; Zingmark, Magnus LU orcid ; Stenberg, Gunilla and Munkholm, Michaela (2019) In European Journal of Physiotherapy
Abstract

Aim: The purpose of this study was to investigate the psychometric properties of the EQ-5D-3L and the EQ-5D-5L in patients with back and neck pain. Materials and methods: Participants from two independent clinical survey studies was included in this study. In total 164 participants were answering either the EQ-5D-3L or the EQ-5D-5L after their visit to a physiotherapist in primary care for back and neck pain. Rasch analysis was performed to measure the psychometric properties of the two instruments. Main findings: Overall, the EQ-5D-5L showed preliminary evidence of good psychometric properties. The items in both the EQ-5D-5L and the EQ-5D-3L showed acceptable goodness-of-fit indicating unidimensionality for both instruments measuring... (More)

Aim: The purpose of this study was to investigate the psychometric properties of the EQ-5D-3L and the EQ-5D-5L in patients with back and neck pain. Materials and methods: Participants from two independent clinical survey studies was included in this study. In total 164 participants were answering either the EQ-5D-3L or the EQ-5D-5L after their visit to a physiotherapist in primary care for back and neck pain. Rasch analysis was performed to measure the psychometric properties of the two instruments. Main findings: Overall, the EQ-5D-5L showed preliminary evidence of good psychometric properties. The items in both the EQ-5D-5L and the EQ-5D-3L showed acceptable goodness-of-fit indicating unidimensionality for both instruments measuring the concept health-related quality of life. All test persons fit the model, but the person separation reliability and person separation index were only barely acceptable for the EQ-5D-5L. Conclusions: The results indicate that the EQ-5D-5L should be the preferred option when evaluating health-related quality of life with the EQ-5D, especially for patients with back and neck pain.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
EQ-5D, health-related quality of life, instrument development, primary health care, psychometric analysis
in
European Journal of Physiotherapy
pages
7 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85074042912
ISSN
2167-9169
DOI
10.1080/21679169.2019.1646801
language
English
LU publication?
no
id
612bd1ad-237d-4da6-880f-eb8a43ed620c
date added to LUP
2020-11-26 14:11:46
date last changed
2022-04-26 22:05:16
@article{612bd1ad-237d-4da6-880f-eb8a43ed620c,
  abstract     = {{<p>Aim: The purpose of this study was to investigate the psychometric properties of the EQ-5D-3L and the EQ-5D-5L in patients with back and neck pain. Materials and methods: Participants from two independent clinical survey studies was included in this study. In total 164 participants were answering either the EQ-5D-3L or the EQ-5D-5L after their visit to a physiotherapist in primary care for back and neck pain. Rasch analysis was performed to measure the psychometric properties of the two instruments. Main findings: Overall, the EQ-5D-5L showed preliminary evidence of good psychometric properties. The items in both the EQ-5D-5L and the EQ-5D-3L showed acceptable goodness-of-fit indicating unidimensionality for both instruments measuring the concept health-related quality of life. All test persons fit the model, but the person separation reliability and person separation index were only barely acceptable for the EQ-5D-5L. Conclusions: The results indicate that the EQ-5D-5L should be the preferred option when evaluating health-related quality of life with the EQ-5D, especially for patients with back and neck pain.</p>}},
  author       = {{Wahlberg, Martina and Zingmark, Magnus and Stenberg, Gunilla and Munkholm, Michaela}},
  issn         = {{2167-9169}},
  keywords     = {{EQ-5D; health-related quality of life; instrument development; primary health care; psychometric analysis}},
  language     = {{eng}},
  publisher    = {{Informa Healthcare}},
  series       = {{European Journal of Physiotherapy}},
  title        = {{Rasch analysis of the EQ-5D-3L and the EQ-5D-5L in persons with back and neck pain receiving physiotherapy in a primary care context}},
  url          = {{http://dx.doi.org/10.1080/21679169.2019.1646801}},
  doi          = {{10.1080/21679169.2019.1646801}},
  year         = {{2019}},
}