Vinayrskaya I.V., Tchernikov V.V., Terletskaya R.N., Soboleva K.A.
Contacts: Rimma Terletskaya, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Abstract.
Study purpose: to develop Russian version of a standardized
international questionnaire HUI (Health Utilities Index) on the base
of corresponding international requirements to linguistic
ratification and the instrument’s validation.
Methods
and data.
427 children from the first health group and 233 children from the
second health group were recruited for the study. Mean age of
patients was 10.8±4.6 years. Criterial validity of the HUI
questionnaire was estimated by comparing patients’ replies with
different health status; convergent validity – by comparing of HUI
attributes with PedsQL questionnaire scales; confidence – by
calculating Cronbach’s alpha and by analysis of correlations
between questions of HUI classification.
Results.
First and second health groups had substantial differences over every
HUI questionnaire attribute (p <0.001). Average number of reduced
attributes essentially differed depending upon patients’ health
status: the worse health status the higher number of limited
attributes is (p <0.05). The authors found valid correlations
between scales evaluating similar notions in HUI and PedsQL
questionnaires. Confidence evaluation of Cronbach’s alpha in
systems HUI3 and HUI2 equaled 0.79 and 0.8 respectively. Valid
correlations were found between questions evaluating similar
attributes (vision, hearing, speech and cognitive ability).
Estimation and validity and confidence conducted in children with
different health status allowed to evaluate all attributes of HUI2
and HUI3systems. Results showed satisfactory psychometric properties
of the new language version of the questionnaire.
Conclusions.
The suggested Russian version of the HUI international questionnaire
is a validated instrument for developing utility coefficients for
different chronic conditions in children; creating a national
catalogue of such coefficients; and conducting clinical and economic
studies.
Keywords:
children; life quality; HUI questionnaire; utility coefficient;
clinical and economic analysis; QALY; validation.
References
-
Annemans L. Ekonomika zdravookhraneniya dlya neekonomistov. Vvedenie v
kontseptsii, metody i trudnosti ekonomicheskoy otsenki v
zdravookhranenii [Healthcare economics for non-economists. Introduction
to the concept, methods and difficulties of economic assessment in
healthcare]. Moscow: N'yudiamed; 2010. 120 p. (In Russian)
-
Baranov A.A., Al'bitskiy V.Yu., Vinyarskaya I.V. Izuchenie kachestva
zhizni v pediatrii [A study of life quality in pediatrics]. Moscow:
Pediatr"; 2010. 272 p. (In Russian)
-
Vorob'ev P.A., Avksent'eva M.V., Borisenko O.V., Vorob'ev A.I., Vyalkov
A.I., Luk'yantseva D.V., et al. Kliniko-ekonomicheskiy analiz [Clinical
and economical analysis]. Moscow: N'yudiamed; 2008. 778 p. (In Russian)
-
Denisova R.V., Alekseeva E.I., Al'bitskiy V.Yu., Vinyarskaya I.V.,
Valieva S.I., Bzarova T.M., et al. Dinamika kachestva zhizni na fone
lecheniya infliksimabom detey 2–4 let, stradayushchikh yuvenil'nym
revmatoidnym artritom [Dynamics of life quality during infliximab
treating children of 2-4- years affected by juvenile rheumatoid
arthritis]. Voprosy sovremennoy pediatrii 2008; 7 (6): 30–38. (In Russian)
-
Denisova R.V., Alekseeva E.I., Al'bitskiy V.Yu., Vinyarskaya I.V.,
Valieva S.I., Bzarova T.M., et al. Nadezhnost', validnost' i
chuvstvitel'nost' russkikh versiy oprosnikov PedsQL Generic Core Scale i
PedsQL Rheumatology Module [Reliability, validity, and sensitivity of
Russian versions of PedsQL Generic Core Scale and PedsQL Rheumatology
Module questionnaires]. Voprosy sovremennoy pediatrii 2009; 8 (1): 30–41. (In Russian)
-
Yagudina R.I., Kulikov A.Yu., Litvinenko M.M. QALY: istoriya,
metodologiya i budushchee metoda [QALY: the history, methodology and
future of the method]. Farmakoekonomika 2010; 1: 7-11. (In Russian)
-
Barr R.D., Chalmers D., De Pauw S., Furlong W., Weitzman S., Feeny D.
The Health Utilities Index (HUI) system for assessing health-related
quality of life in clinical studies. J. Clin. Oncol. 2000; 18 (18): 3280–3287.
-
Blackburn R., Donnelly J.P., Logan C., Renwick S.J. Convergent and
discriminative validity of interview and questionnaire measures of
personality disorder in mentally disordered offenders: a
multitrait-multimethod analysis using confirmatory factor analysis. J. Pers. Disord. 2004; 18 (2): 129–150.
-
Bush J.W., Chen M.M., Patrick D.L. Health status index in
cost-effectiveness analysis of PKU programme. NY: Hospital Research and
Educational Trust; 1973. P. 172-208.
-
Cadman D., Goldsmith C. Construction of social value or utility-based
health indices: the usefulness of factorial experimental design plans. J. Chronic Dis. 1986; 39: 643–651.
-
Cronbach L.J. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16: 297–334.
-
Curtis L.J., Dooley M.D., Lipman E.L., Feeny D.H. The role of permanent
income and family structure in the determination of child health in
Canada. Health Econ. 2001; 10 (4): 287–302.
-
Deyo R.A., Diehr P., Patrick D.L. Reproducibility and responsiveness of
health status measures - Statistics and strategies for evaluation. Control Clin. Trials 1991; 12: 142–158.
-
Drummond M.F., Sculpher M.J., Torrance G.W., O`Brien B.J. Stoddart.G.L.
Methods for the economic evaluation of health care programmes. Oxford:
Oxford University Press; 2005: 2-22.
-
Feeny D., Furlong W., Boyle M., Torrance G.W. Multi- attribute health status classification systems — Health Utility Index. Pharmacoeconomics 1995; 7 (6): 490–502.
-
Feeny D., Furlong W., Torrance G.W., Goldsmith C.H., Zhu Z., DePauw S.
et al. Multiattribute and single-attribute utility functions for the
health utilities index mark 3 system. Med. Care 2002; 40 (2): 113–128.
-
Grutters J.P., Joore M.A., van der Horst F., Verschuure H., Dreschler
W.A., Anteunis L.J. Choosing between measures: comparison of EQ-5D, HUI2
and HUI3 in persons with hearing complaints. Quality Life Res. 2007; 16 (8): 1439–1449.
-
Horsman J., Furlong W., Feeny D., Torrance G. The Health Utilities
Index (HUI): concepts, measurement properties and applications. Health and Quality of Life Outcomes 2003; 1(54): 1–13.
-
Hunt S.M., Alonso J., Bucquet D., Niero M., Wiklund I., McKenna S.
Cross-cultural adaptation of health measures. European Group for Health
Management and Quality of Life Assessment. Health Policy 1991; 19(1): 33–44.
-
Raat H., Bonsel G.J., Hoogeveen W.C., Essink-Bot M.L. Dutch HUI Group.
Feasibility and reliability of a mailed questionnaire to obtain visual
analogue scale valuations for health states defined by the Health
Utilities Index Mark 3. Med. Care 2004; 42 (1): 13–18.
-
Torrance G.W. Measurement of health status utilities for economic appraisal. J. Health Economics 1986; 5: 1-30.
-
Torrance G.W., Boyle M.H., Horwood S.P. Application of multi-attribute theory to measure social preferences for health states. Operat. Res. 1982; 30 (6): 1043–1069.
-
Torrance G.W., Furlong W., Feeny D., Boyle M.H. Multi-attribute preference functions. Health Utilities Index. PharmacoEconomics 1995; 7 (6): 503–520.
-
Williams A. Calculating the global burden of disease: time for a strategic reappraisal? Health Economics 1999; 8: 1-8.
Views: 15486
|