Literature DB >> 18007167

Mode of administration is important in US national estimates of health-related quality of life.

Janel Hanmer1, Ron D Hays, Dennis G Fryback.   

Abstract

BACKGROUND: It is unknown if different national surveys that vary in mode of administration yield similar national averages for health-related quality of life (HRQoL).
PURPOSE: Examine HRQoL scores from 4 surveys representative of the noninstitutionalized US adult population for patterns related to age, gender, and mode of administration.
METHODS: We use data from the Joint Canada/United States Survey of Health (JCUSH; telephone survey), 2002 Medical Expenditure Panel Survey (MEPS; mail survey), National Health Measurement Study (NHMS; telephone survey), and US Valuation of the EuroQol EQ-5D Health States Survey (USVEQ; self-administered with interviewer present). We compare estimates from the EQ-5D, Visual Analog Scale, Health Utilities Index Mark 3, and general self-rated health stratified by age and gender. Scores were also regressed on age and gender within each survey and in a pooled analysis.
RESULTS: We used 4939 subjects from JCUSH, 23,006 from MEPS, 3844 from NHMS, and 3878 from USVEQ. The majority of age and gender strata had instrument completion rates above 85%. Age- and gender-stratified estimates of HRQoL scores tended to be consistent when mode of administration (self- or interviewer-administered) was the same. Telephone administration yielded more positive HRQoL estimates than self-administration in older age groups. Older age groups and females reported lower HRQoL than younger age groups and males regardless of mode of administration.
CONCLUSIONS: When choosing survey-collected HRQoL scores for comparative purposes, analysts need to take mode of administration into account.

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Mesh:

Year:  2007        PMID: 18007167     DOI: 10.1097/MLR.0b013e3181354828

Source DB:  PubMed          Journal:  Med Care        ISSN: 0025-7079            Impact factor:   2.983


  47 in total

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