일반적 선호기반 건강관련 삶의 질 도구인Child Health-6 Dimension (CH-6D)의 타당성 연구
A Validation Study of Child Health-6 Dimension (CH-6D), a Generic Preference-Based Health-Related Quality of Life Measure
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Purpose: This study aimed to identify the validity of CH-6D, a generic preference-based health-related quality of life measure for children and adolescents. Methods: A group of children were recruited from 3 elementary schools and 3 community child- centers in Cheonan (n=112). Adolescents were recruited nationwide from the panel of high school students provided by Macromilembrain (n=229). The elementary school students completed the survey through self-administration and the high school students completed it on-line through their smart phone. Two kinds of construct validity were tested. First, convergent validity was tested by correlating the CH-6D score with Health Utilities Index (HUI) Mark 2 which was also a utility measure for children and adolescents. Second, known-group validity was tested by testing differences in the CH-6D scores by subjective health status and use of medical services. Results: The correlation between CH-6D and HUI Mark 2 was statistically significant in both elementary and high school students. The Pearson correlation coefficients for the elementary and high school samples were .52 (p<0.0001) and .66 (p<.0001), respectively. Results of a one-way ANOVA showed that better the subjective health status, the higher was the CH-6D score. The results of the t-tests showed that the CH-6D score was significantly lower in those who had used medical service in the previous two weeks than in those who had not used it for both elementary and high school samples. Conclusion: CH-6D was found to have convergent validity and known-group validity for both elementary and high school students. This shows the potential validity of CH-6D for clinical and economic research in children and adolescents.
Abstract
Purpose: This study aimed to identify the validity of CH-6D, a generic preference-based health-related quality of life measure for children and adolescents. Methods: A group of children were recruited from 3 elementary schools and 3 community child- centers in Cheonan (n=112). Adolescents were recruited nationwide from the panel of high school students provided by Macromilembrain (n=229). The elementary school students completed the survey through self-administration and the high school students completed it on-line through their smart phone. Two kinds of construct validity were tested. First, convergent validity was tested by correlating the CH-6D score with Health Utilities Index (HUI) Mark 2 which was also a utility measure for children and adolescents. Second, known-group validity was tested by testing differences in the CH-6D scores by subjective health status and use of medical services. Results: The correlation between CH-6D and HUI Mark 2 was statistically significant in both elementary and high school students. The Pearson correlation coefficients for the elementary and high school samples were .52 (p<0.0001) and .66 (p<.0001), respectively. Results of a one-way ANOVA showed that better the subjective health status, the higher was the CH-6D score. The results of the t-tests showed that the CH-6D score was significantly lower in those who had used medical service in the previous two weeks than in those who had not used it for both elementary and high school samples. Conclusion: CH-6D was found to have convergent validity and known-group validity for both elementary and high school students. This shows the potential validity of CH-6D for clinical and economic research in children and adolescents.
참고문헌 (25)
- Brazier J, "Measuring and valuing health benefits for economic evaluation" (2007), Oxford University Press
- Canaway AG, "Measuring preference-based quality of life in children aged 6-7 years: a comparison of the performance of the CHU-9D and EQ-5D-Y-the WAVES Pilot Study", Qual Life Res, 22, pp.173~183 (2013)[DOI]
- Chen G, "Assessing the health-related quality of life of Australian adolescents: An empirical comparison of the Child Health Utility 9D and EQ-5D-Y instruments", Value in Health, 18, pp.432~438 (2015)[DOI]
- 조수익, "소아청소년 아토피피부염 환자의 삶의 질", 대한피부과학회지, 49(05), pp.415~421 (2011), 대한피부과학회
- Choi E-S, "Psychometric test of the PedsQLTM 4.0 generic core scale in korean adolescents", J Nursing Query, 14(1), pp.166~182 (2005)
- Seul Ki Choi, "Anxiety and Depression among North Korean Young Defectors in South Korea and Their Association with Health-Related Quality of Life", Yonsei Medical Journal, 52(3), pp.502~509 (2011), 연세대학교의과대학
- Frew EJ, "Is utility based quality of life associated with overweight in children? Evidence from the UK WAVES randomized controlled study", BMC Pediatrics, 15, pp.211~ (2015)[DOI]
- Fryback DG, "US norms for six generic healthrelated quality-of-life indexes from the National Health Measurement study", Med Care, 45(12), pp.1162~1170 (2007)[DOI]
- 3)15-Item Questionnaire for Self-administered, Self-assessed "One week" Health Status Assessment", "HUI23S1KR.15Q Health Utilities Index Mark 2 and Mark3(HUI2", pp.2002, Furlong WJ
- 한겨레, "Time Trade-Off를 이용한 아동의 일반적 건강상태기술체계인 CH-6D의 가치평가", 보건경제와 정책연구, 21(4), pp.97~116 (2015), 한국보건경제정책학회
- 한송희, "한국어판 소아당뇨환자의 삶의 질 측정 도구 (PedsQLTM 3.0)의 신뢰도 및 타당도", 한국모자보건학회지, 17(2), pp.241~255 (2013), 한국모자보건학회[DOI]
- 홍성도, "The KIDSCREEN-52 Quality of Life Measure for Children and Adolescents (KIDSCREEN-52-HRQOL): Reliability and Validity of the Korean Version", Journal of Korean Medical Science, 22(3), pp.446~452 (2007), 대한의학회
- Huang I-C, "Addressing ceiling effects in health status measures: a comparison of techniques applied to measures for people with HIV disease", Health Serv Res, 43(1), pp.327~339 (2008)
- 강은정, "경제성평가를 위한 아동의 일반적 건강기술체계의 개발", 보건경제와 정책연구, 20(4), pp.145~163 (2014), 한국보건경제정책학회
- 김형인, "12주 OROS-Methylphenidate 약물 치료 후 ADHD 아동의 삶의 질 변화", Journal of the Korean Academy of Child and Adolescent Psychiatry, 23(3), pp.103~108 (2012), 대한소아청소년 정신의학회
- Kwon H-J, "Relation between functional ability and health-related quality of life of children with juvenile rheumatoid arthritis", J Phy Ther Sci, 27, pp.837~840 (2015)[DOI]
- Landgraf JM, "The CHQ User's Manual" (1996), New England Medical Center
- Lee BJ, "Composite Well-being Index 2013" (2016), Save the Children
- 이정원, "소아청소년 암환자의 삶의 질", Child Health Nursing Research, 19(1), pp.21~28 (2013), 한국아동간호학회[DOI]
- Ratcliffe J, "An assessment of the construct validity of the CHU9D in the Australian adolescent general population", Qual Life Res, 21, pp.717~725 (2012)[DOI]
- Schipper H, "Quality of Life and Pharmacoeconomics in Clinical Trials", pp.11~23 (1996), Lippincott-Raven Publishers
- Stevens K, "Valuation of the Child Health Utility 9D Index", Pharmacoeconomics, 30(8), pp.729~747 (2012)[DOI]
- Stevens K, "Measuring and valuing health benefits for economic evaluation in adolescence: an assessment of the practicality and validity of the child health utility 9D in the Australian adolescent population", Value Health, 15(8), pp.1092~1099 (2012)[DOI]
- Stevens K, "Developing a descriptive system for a new preference-based measure of health-related quality of life for children", Qual Life Res, 18(8), pp.1105~1113 (2009)[DOI]
- 유다선, "수용전념치료(ACT)가 제1형 당뇨 청소년의 당뇨 스트레스, 자기관리, 삶의 질 및 수용행동에 미치는 효과", 한국심리학회지: 건강, 19(3), pp.637~654 (2014), 한국건강심리학회[DOI]