Developing a New Version of the SF-6D Health State Classification System From the SF-36v2: SF-6Dv2.


Journal

Medical care
ISSN: 1537-1948
Titre abrégé: Med Care
Pays: United States
ID NLM: 0230027

Informations de publication

Date de publication:
06 2020
Historique:
entrez: 16 5 2020
pubmed: 16 5 2020
medline: 11 7 2020
Statut: ppublish

Résumé

The objective of this study was to develop the classification system for version of the SF-6D (SF-6Dv2) from the SF-36v2. SF-6Dv2 is an improved version of SF-6D, one of the most widely used generic measures of health for the calculation of quality-adjusted life years. A 3-step process was undertaken to generate a new classification system: (1) factor analysis to establish dimensionality; (2) Rasch analysis to understand item performance; and (3) tests of differential item function. To evaluate robustness, Rasch analyses were performed in multiple subsets of 2 large cross-sectional datasets from recently discharged hospital patients and online patient samples. On the basis of factor analysis, other psychometric evidence, cross-cultural considerations, and amenability to valuation, the 6-dimension classification used in SF-6D was maintained. SF-6Dv2 resulted in the following modifications to SF-6D: a simpler classification of physical function with clearer separation between levels; a more detailed 5-level description of role limitations; using negative wording to describe vitality; and using pain severity rather than pain interference. The SF-6Dv2 classification system describes more distinct levels of health than SF-6D, changes the descriptions used for a number of dimensions and provides clearer wording for health state valuation. The second stage of the study has developed a utility value set using discrete choice methods so that the measure can be used in health technology assessment. Further work should investigate the psychometric characteristics of the new instrument.

Identifiants

pubmed: 32412942
doi: 10.1097/MLR.0000000000001325
pii: 00005650-202006000-00009
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

557-565

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Auteurs

John E Brazier (JE)

School of Health and Related Research, University of Sheffield, Sheffield, UK.

Brendan J Mulhern (BJ)

School of Health and Related Research, University of Sheffield, Sheffield, UK.
Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia.

Jakob B Bjorner (JB)

School of Health and Related Research, University of Sheffield, Sheffield, UK.
OptumInsight, Lincoln, RI.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Barbara Gandek (B)

John Ware Research Group, Watertown.
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.

Donna Rowen (D)

School of Health and Related Research, University of Sheffield, Sheffield, UK.

Jordi Alonso (J)

Health Services Research Group, IMIM-Institut Hospital del Mar d´Investigacions Mèdiques.
Pompeu Fabra University (UPF).
CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.

Gemma Vilagut (G)

Health Services Research Group, IMIM-Institut Hospital del Mar d´Investigacions Mèdiques.
CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.

John E Ware (JE)

John Ware Research Group, Watertown.
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.

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