scholarly journals Filling the psycho-social gap in the EQ-5D: the empirical support for four bolt-on dimensions

2020 ◽  
Vol 29 (11) ◽  
pp. 3119-3129
Author(s):  
Gang Chen ◽  
Jan Abel Olsen

Abstract Purpose The EQ-5D is the most widely applied generic preference-based measure (GPBM) of health-related quality of life (HRQoL). Much concern has been raised that its descriptive system is lacking psycho-social dimensions. A recent paper in this journal provided theoretical support for four dimensions to fill this gap. The current paper aims to provide empirical support for these suggested bolt-on dimensions to the EQ-5D. Methods We use data from the comprehensive Multi-Instrument-Comparison (MIC) study. The four proposed bolt-on dimensions (Vitality, Sleep, Social Relationships, and Community Connectedness) were selected from the Assessment of Quality of Life (AQoL)-8D. We investigate the relative importance of these four dimensions as compared to the five EQ-5D-5L dimensions on explaining HRQoL (measured by a visual analogue scale; N = 7846) or global life satisfaction (measured by the Satisfaction With Life Scale; N = 8005), using the Shorrocks-Shapely decomposition analysis. Robustness analyses on Vitality was conducted using data from the United States National Health Measurement Study (NHMS) (N = 3812). Results All five EQ-5D-5L dimensions and four bolt-on dimensions significantly explained the variance of HRQoL. Among them, Vitality was found to be the most important dimension with regard to the HRQoL (relative contribution based on the Shorrocks-Shapely decomposition of R2: 23.0%), followed by Usual Activities (15.1%). Self-Care was the least important dimension (relative contribution: 5.4%). As a comparison, when explaining global life satisfaction, Social Relationships was the most important dimension (relative contribution: 24.0%), followed by Anxiety/Depression (23.2%), while Self-Care remained the least important (relative contribution: 1.6%). The importance of the Vitality dimension in explaining HRQoL was supported in the robustness analysis using the NHMS data (relative contribution: 23.7%). Conclusions We provide empirical support for complementing the current EQ-5D-5L descriptive system with a coherent set of four bolt-on dimensions that will fill its psycho-social gap. Such an extended health state classification system would in particular be relevant for programme evaluations within the expanding fields of mental health and community care.

Author(s):  
Yawei Wang ◽  
Francis A. McGuire ◽  
Bin Zhou

The purpose of this study was to examine the influence of past travel experience (i.e., number of trips and number of days away from home in last year), and on mature travelers’ quality of life (i.e., self-perceived health and global life satisfaction). A total number of 217 respondents (50+) in a southern state were used in this study. Path analysis (PROC CALIS in SAS) was performed to test the proposed model. An estimation of the proposed theoretical model revealed that the model fit the data. However, the model should be further examined and applied with caution.


Author(s):  
Yuki Yoshida ◽  
Hirotaka Matsuda ◽  
Kensuke Fukushi ◽  
Kazuhiko Takeuchi ◽  
Ryugo Watanabe

AbstractCommunities in socio-ecological production landscapes and seascapes are aging and depopulating. While longstanding interdependence of humans and nature in such areas holds crucial hints for sustainable development, they continue to be undervalued by existing economic frameworks. We suspect omission of non-material nature’s contributions to people (NCPs) as a possible reason for this undervaluation and focus on the intangible aspects of human–nature relationships: people’s direct and emotional attachment to their land and interrelationships between close-knit human communities and a thriving natural environment. Field observations on Sado Island, Japan, and literature reviews informed our hypothesis that perceived nature, conceptual human–nature relationships, place attachment, and social relationships contribute to subjective wellbeing. Structural equation modeling of island-wide questionnaire responses confirmed our hypothesis. Nature contributes to wellbeing by enhancing place attachment and social relationships; ecocentrism contributes to greater values of perceived nature. Free-response comments elucidated how local foods and close interpersonal relationships enhance residents’ happiness and good quality of life, as well as how aging and depopulation impact their sense of loneliness. These results lend empirical support to the understanding of human–nature interdependency in socio-ecological production landscapes and seascapes. In assessing their value to local residents and society at large, greater consideration should be given to intangible aspects of human–nature relationships and quality of life.


2020 ◽  
Author(s):  
Hubert Kotarski

Abstract Background: The assessment of quality of life and life satisfaction of Rzeszow residents aged 18-75 using a WHOQOL-BREF questionnaire which consists of 26 questions and analyses 4 basic domains of quality of life: physical, psychological, social relationships, functional environment of the respondent and a global quality of life and self-assessment of one’s health.Methods: The survey was conducted on a representative sample of 618 adult residents of Rzeszow (Poland; population: 195 031). Respondents were randomly selected through systematic random sampling with latent layer division from the population register shared by Rzeszow Municipal Office.Results: Good scale score reliability for the entire tool was confirmed in the study population: the Cronbach's α compatibility coefficient for sub-tests (four domains) between 0.746-0.848, and for the entire test - 0.921. The results indicate that gender does not differentiate the quality of life of Rzeszow residents. However, the quality of life is affected by age, education, financial situation, and body mass index.Conclusions: I found that the WHOQOL-BREF questionnaire is an interesting research tool when analysing the quality of life and may be useful in comparative studies of the quality of life of the residents of cities/towns, counties or regions.


2014 ◽  
pp. 995-1006
Author(s):  
Yawei Wang ◽  
Francis A. McGuire ◽  
Bin Zhou

The purpose of this study was to examine the influence of past travel experience (i.e., number of trips and number of days away from home in last year), and on mature travelers' quality of life (i.e., self-perceived health and global life satisfaction). A total number of 217 respondents (50+) in a southern state were used in this study. Path analysis (PROC CALIS in SAS) was performed to test the proposed model. An estimation of the proposed theoretical model revealed that the model fit the data. However, the model should be further examined and applied with caution.


Author(s):  
Yawei Wang ◽  
Francis A. McGuire ◽  
Bin Zhou

The purpose of this study was to examine the influence of past travel experience (i.e., number of trips and number of days away from home in last year), and on mature travelers’ quality of life (i.e., self-perceived health and global life satisfaction). A total number of 217 respondents (50+) in a southern state were used in this study. Path analysis (PROC CALIS in SAS) was performed to test the proposed model. An estimation of the proposed theoretical model revealed that the model fit the data. However, the model should be further examined and applied with caution.


2017 ◽  
Vol 14 (2) ◽  
pp. 1
Author(s):  
Sina Saeedy ◽  
Mojtaba Amiri ◽  
Mohammad Mahdi Zolfagharzadeh ◽  
Mohammad Rahim Eyvazi

Quality of life and satisfaction with life as tightly interconnected concepts have become of much importance in the urbanism era. No doubt, it is one of the most important goals of every human society to enhance a citizen’s quality of life and to increase their satisfaction with life. However, there are many signs which demonstrate the low level of life satisfaction of Iranian citizens especially among the youth. Thus, considering the temporal concept of life satisfaction, this research aims to make a futures study in this field. Therefore, using a mixed model and employing research methods from futures studies, life satisfaction among the students of the University of Tehran were measured and their views on this subject investigated. Both quantitative and qualitative data were analysed together in order to test the hypotheses and to address the research questions on the youth discontentment with quality of life. Findings showed that the level of life satisfaction among students is relatively low and their image of the future is not positive and not optimistic. These views were elicited and discussed in the social, economic, political, environmental and technological perspectives. Keywords:  futures studies, quality of life, satisfaction with life, youth


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