A qualitative study exploring content validity and feasibility of frequently used generic health-related quality of life measures in older people with hip fracture: The patients' perspective

Rohr, Magdalena and Brandstetter, Susanne and Plomer, Anna-Sophie and Loss, Julika and Kretschmer, Rainer and Apfelbacher, Christian (2021) A qualitative study exploring content validity and feasibility of frequently used generic health-related quality of life measures in older people with hip fracture: The patients' perspective. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 52 (2). pp. 134-141. ISSN 0020-1383, 1879-0267

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Abstract

Objective: To evaluate hip fracture patients'yiews on content validity and feasibility of four commonly used generic measures of health-related quality of life (HRQOL). Methods: We interviewed 32 elderly hip fracture patients without relevant cognitive impairment (mean age=81 years). Using think-aloud and verbal probing techniques, patients completed the EQ-5D descriptive system, Nottingham Health Profile (NHP), Short-Form 12 Health Questionnaire (SF-12) and WHO Quality of Life-BREF (WHOQOL-BREF). Results: Patients were mostly not able to self-complete the questionnaires. Content validity was most constrained by problems in comprehensibility (e.g. vaguely phrased). Some items, for instance, were considered irrelevant if the example was inappropriate. Patients named e.g. problems with vision as important for their HRQOL, but none of the instruments included related items. Conclusion: Although patients reported problems with all instruments, we suggest the EQ-5D or SF-12, as these appear to have the fewest limitations in content validity and feasibility from the patient's perspective. (C) 2020 Published by Elsevier Ltd.

Item Type: Article
Uncontrolled Keywords: ; HRQOL; Proximal femoral fracture; Qualitative interviews; Think aloud; Content validity; Feasibility
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Aug 2022 08:42
Last Modified: 08 Aug 2022 08:42
URI: https://pred.uni-regensburg.de/id/eprint/46083

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