Pilar Pérez-Ros1,2,3, Rafael Vila-Candel1,4,5, Salvador Martin-Utrilla1,2,6, Francisco M Martínez-Arnau3,7. 1. Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain. 2. GRICPAL Research Group, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain. 3. Frailty and Cognitive Impairment Research Group (FROG), Universitat de València, Valencia, Spain. 4. Department of Obstetrics and Gynecology, Hospital Universitario de la Ribera, FISABIO, Valencia, Spain. 5. Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Valencia, Spain. 6. Palliative Care Unit, Valencia Institute of Oncology, Valencia, Spain. 7. Department of Physiotherapy, Universitat de València, Valencia, Spain.
Abstract
BACKGROUND: Assessing quality of life (QoL) in older people with cognitive impairment is a challenge. There is no consensus on the best tool, but a short, user-friendly scale is advised. OBJECTIVE: This study aimed to assess the psychometric properties of the self-reported and generic EQ-5D (including the EQ index and EQ visual analog scale [VAS]) in community-dwelling older adults with cognitive impairment. METHODS: Cross-sectional study analyzing the feasibility, acceptability, reliability, and validity of the EQ-5D based on 188 self-administered questionnaires in a sample of community-dwelling older adults with Mini-Mental State Examination (MMSE) scores of 10 to 24 points. RESULTS: The EQ index was 0.69 (±0.27) and the EQ VAS was 63.8 (±28.54). Adequate measurement properties were found in acceptability and feasibility. Cronbach's alpha was 0.69. Good validity was observed in the correlation of each dimension of the EQ-5D with geriatric assessment scales. Higher validity was observed for the EQ index compared to the EQ VAS. CONCLUSION: The EQ-5D scale could be a good tool for assessing health-related QoL in community-dwelling older adults with cognitive impairment, though it is necessary to assess the dimensions and the EQ index.
BACKGROUND: Assessing quality of life (QoL) in older people with cognitive impairment is a challenge. There is no consensus on the best tool, but a short, user-friendly scale is advised. OBJECTIVE: This study aimed to assess the psychometric properties of the self-reported and generic EQ-5D (including the EQ index and EQ visual analog scale [VAS]) in community-dwelling older adults with cognitive impairment. METHODS: Cross-sectional study analyzing the feasibility, acceptability, reliability, and validity of the EQ-5D based on 188 self-administered questionnaires in a sample of community-dwelling older adults with Mini-Mental State Examination (MMSE) scores of 10 to 24 points. RESULTS: The EQ index was 0.69 (±0.27) and the EQ VAS was 63.8 (±28.54). Adequate measurement properties were found in acceptability and feasibility. Cronbach's alpha was 0.69. Good validity was observed in the correlation of each dimension of the EQ-5D with geriatric assessment scales. Higher validity was observed for the EQ index compared to the EQ VAS. CONCLUSION: The EQ-5D scale could be a good tool for assessing health-related QoL in community-dwelling older adults with cognitive impairment, though it is necessary to assess the dimensions and the EQ index.
Entities:
Keywords:
Cognitive impairment; community-dwelling; measurement; older people; quality of life
Authors: Stephen Eu Ruen Lim; Samantha Meredith; Samantha Agnew; Esther Clift; Kinda Ibrahim; Helen Roberts Journal: BMJ Open Date: 2022-02-01 Impact factor: 2.692