Perceptions of the General Public About Health-related Quality of Life and the EQ-5D Questionnaire: A Qualitative Study in Korea
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Objectives: The aim of this qualitative study was to investigate how members of the general public in Korea interpret the concept of health, and which dimensions of health are most important to them. We also explored their perceptions of the EuroQoL 5-Dimension (EQ-5D), including the EuroQoL visual analogue scale (EQ-VAS). Methods: We conducted face-to-face, in-depth interviews with 20 individuals from the general population, using a semi-structured interview guide. Content analysis was performed with verbatim transcripts and field notes to identify codes and categorize them according to their similarities and associations. Results: In total, 734 different codes were derived and classified into 4 categories. Participants cited the importance of both the mental and physical aspects of health, although they emphasized that the physical aspects appeared to play a larger role in their conceptualization of health. Participants noted that the EQ-5D has the advantage of being composed of 5 dimensions that are simple and contain both physical and mental areas necessary to describe health. However, some of them mentioned the need to add more dimensions of mental health and social health. Participants showed great satisfaction with the visually well-presented EQ-VAS. However, participants opined that the EQ-VAS scores might not be comparable across respondents because of different ways of responding to the scale. Conclusions: While physical health is a fundamental aspect of health, mental and social aspects are also important to Koreans. The content of the EQ-5D broadly matched the attributes of health considered important by Koreans.
Abstract
Objectives: The aim of this qualitative study was to investigate how members of the general public in Korea interpret the concept of health, and which dimensions of health are most important to them. We also explored their perceptions of the EuroQoL 5-Dimension (EQ-5D), including the EuroQoL visual analogue scale (EQ-VAS). Methods: We conducted face-to-face, in-depth interviews with 20 individuals from the general population, using a semi-structured interview guide. Content analysis was performed with verbatim transcripts and field notes to identify codes and categorize them according to their similarities and associations. Results: In total, 734 different codes were derived and classified into 4 categories. Participants cited the importance of both the mental and physical aspects of health, although they emphasized that the physical aspects appeared to play a larger role in their conceptualization of health. Participants noted that the EQ-5D has the advantage of being composed of 5 dimensions that are simple and contain both physical and mental areas necessary to describe health. However, some of them mentioned the need to add more dimensions of mental health and social health. Participants showed great satisfaction with the visually well-presented EQ-VAS. However, participants opined that the EQ-VAS scores might not be comparable across respondents because of different ways of responding to the scale. Conclusions: While physical health is a fundamental aspect of health, mental and social aspects are also important to Koreans. The content of the EQ-5D broadly matched the attributes of health considered important by Koreans.
참고문헌 (33)
- Snyder CF, "Use of patient-reported outcomes in clinical practice", Lancet, 374(9687), pp.369~370 (2009)
- Ock M, "Estimating quality-adjusted life-year loss due to noncommunicable diseases in Korean adults through to the year 2040", Value Health, 18(1), pp.61~66 (2015)
- Jia H, "State quality-adjusted life expectancy for U.S. adults from 1993 to 2008", Qual Life Res, 20(6), pp.853~863 (2011)
- Trask PC, "Other paradigms : health-related quality of life as a measure in cancer treatment : its importance and relevance", Cancer J, 15(5), pp.435~440 (2009)
- "WHO definition of health"[URL]
- Bakas T, "Systematic review of health-related quality of life models", Health Qual Life Outcomes, 10, pp.134~ (2012)
- Revicki DA, "A history of health-related quality of life outcomes in psychiatry", Dialogues Clin Neurosci, 16(2), pp.127~135 (2014)
- Emery MP, "Patient-reported outcome and quality of life instruments database(PROQOLID) : frequently asked questions", Health Qual Life Outcomes, 3, pp.12~ (2005)
- Chen TH, "A systematic review : how to choose appropriate health-related quality of life(HRQoL)measures in routine general practice", J Zhejiang Univ Sci B, 6(9), pp.936~940 (2005)
- "About EQ-5D"[URL]
- Kim TH, "Psychometric properties of the EQ-5D-5L in the general population of South Korea", Qual Life Res, 22(8), pp.2245~2253 (2013)
- Hinz A, "The quality of life questionnaire EQ-5D-5L : psychometric properties and normative values for the general German population", Qual Life Res, 23(2), pp.443~447 (2014)
- Kim SH, "Comparing the psychometric properties of the EQ-5D-3L and EQ-5D-5L in cancer patients in Korea", Qual Life Res, 21(6), pp.1065~1073 (2012)
- Kangwanrattanakul K, "Exploration of a cultural-adaptation of the EQ-5D for Thai population: a “bolt-on” experiment", Qual Life Res, 28(5), pp.1207~1215 (2019)
- Kangwanrattanakul K, "Adding two culture-specific ‘bolt-on’ dimensions on the Thai version of EQ-5D-5L : an exploratory study in patients with diabetes", Expert Rev Pharmacoecon Outcomes Res, 19(3), pp.321~329 (2019)
- Tong A, "Consolidated criteria for reporting qualitative research(COREQ) : a 32-item checklist for interviews and focus groups", Int J Qual Health Care, 19(6), pp.349~357 (2007)
- Hsieh HF, "Three approaches to qualitative content analysis", Qual Health Res, 15(9), pp.1277~1288 (2005)
- Guba EG, "Effective evaluation", pp.75~91 (1981), Jossey-Bass
- Jeon GS, "Widowhood and depressive symptoms among Korean elders : the role of social ties", J Gerontol B Psychol Sci Soc Sci, 68(6), pp.963~973 (2013)
- Silverstein M, "Intergenerational transfers and living arrangements of older people in rural China : consequences for psychological well-being", J Gerontol B Psychol Sci Soc Sci, 61(5), pp.S256~S266 (2006)
- Wang JJ, "Stress, loneliness, and depression in Taiwanese rural community-dwelling elders", Int J Nurs Stud, 38(3), pp.339~347 (2001)
- Lee GL, "Assessing the content validity of the EQ-5D questionnaire among Asians in Singapore : a qualitative study", Ann Acad Med Singap, 49(5), pp.294~305 (2020)
- Gurková E, "Issues in the definitions of HRQoL", J Nurs Soc Stud Public Health Rehabil, 3(4), pp.190~197 (2011)
- Jormfeldt H., "Supporting positive dimensions of health, challenges in mental health care", Int J Qual Stud Health Well-being, 6(2), pp.7126~ (2011)
- Kweon S, "Data resource profile : the Korea National Health and Nutrition Examination Survey(KNHANES)", Int J Epidemiol, 43(1), pp.69~77 (2014)
- Yang Wha Kang, "Korea Community Health Survey Data Profiles", Osong Public Health and Research Perspectives, 6(3), pp.211~217 (2015), 질병관리청
- Gandhi M, "A vision ‘bolt-on’ increases the responsiveness of EQ-5D : preliminary evidence from a study of cataract surgery", Eur J Health Econ, 21(4), pp.501~511 (2020)
- Geraerds AJ, "The added value of the EQ-5D with a cognition dimension in injury patients with and without traumatic brain injury", Qual Life Res, 28(7), pp.1931~1939 (2019)
- Yang Y, "An exploratory study to test the impact on three"bolt-on"items to the EQ-5D", Value Health, 18(1), pp.52~60 (2015)
- Tan RL, "How do respondents interpret and view the EQ-VAS? A qualitative study of three Asian populations", Patient, 14(2), pp.283~293 (2021)
- Mallinson S, "Listening to respondents : a qualitative assessment of the Short-Form 36 Health Status Questionnaire", Soc Sci Med, 54(1), pp.11~21 (2002)
- Skjerning H, "Health-related quality of life in children and adolescents with celiac disease : patient-driven data from focus group interviews", Qual Life Res, 23(6), pp.1883~1894 (2014)
- Bullinger M, "Assessing the quality of life of health-referred children and adolescents with short stature : development and psychometric testing of the QoLISSY instrument", Health Qual Life Outcomes, 11, pp.76~ (2013)