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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
Umea Univ, Sweden.
Hlth and Social Care Adm, Sweden; Umea Univ, Sweden.
Umea Univ, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Article in journal (Refereed) Epub ahead of print
Abstract [en]

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.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2019.
Keywords [en]
EQ-5D; psychometric analysis; instrument development; health-related quality of life; primary health care
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-161628DOI: 10.1080/21679169.2019.1646801ISI: 000490517900001OAI: oai:DiVA.org:liu-161628DiVA, id: diva2:1367883
Available from: 2019-11-05 Created: 2019-11-05 Last updated: 2019-12-13

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