VALIDATION OF THE CAT-HEALTH SYSTEM- THE FIRST COMPUTER-ADAPTIVE TESTING SYSTEM IN SPAIN FOR EVALUATING THE HEALTH RELATED QUALITY OF LIFE OF ILL OR HEALTHY GENERAL POPULATION SUBJECTS
Author(s)
Pablo Rebollo, MD, PhD, Scientific Director1, Eduardo García-Cueto, PhD, Professor2, Jesus Cuervo, PhD, Project Manager1, Pilar C. Zardain, PhD, Project Manager1, Ignacio Martínez, PhD, Project Manager1, José Muñiz, PhD, Professor, Head of Department21BAP Health Outcomes Research, Oviedo, Asturias, Spain; 2 Oviedo University, Oviedo, Spain
OBJECTIVES: A new Computer Adaptive Testing (CAT-Health) for evaluating the generic Health-Related Quality of Life-HRQoL was recently developed in our country. The purpose of the present work was to validate the CAT-Health in a sample of subjects from general population. METHODS: Subjects aged over 18 years who underwent to 7 Primary Health Centers during data collection period and gave previous consent to participate were included in the study. Data were collected by using a computer (Tablet PC or Touch Screen). Patients completed the CAT-Health (between 5 and 15 items; score normalized to 50+-10 distribution and higher score indicating better HRQoL) and the MOS SF-12 questionnaire (Physical-PCS and Mental-MCS scores). Data about age, sex and presence of any chronic pathology were also self-completed by the patient. Feasibility, concept and convergent validity were assessed. RESULTS: Median age of 396 included subjects was 46.3 (Pc25-75=34.3-61.2) and 67.2% were female. A total of 36.9% of subjects declared not having any pathology, 33.8% suffered 1, 16.4% 2 and 12.9% 3 or more pathologies, being joint pain the most frequent illness (31.6%). Mean CAT-Health score was 48.03 (S.D=9.03) ranging between 23.78 and 93.05; median time of response was 81 seconds (Pc25-75=59-118) ranging from 66 to 107 seconds according to age; median number of items presented to subjects was 8 (Pc25-75= 6-10) and did not vary according to age. Mean PCS score was 46.8 (10.1) and mean MCS score was 46.9 (10.9). Correlations of CAT-Health score with age was -0.351; with number of pathologies, -0.548; with PCS, 0.547 and with MCS, 0.346 (all with p<0.01). CAT-Health score discriminated accurately between subjects with or without any chronic pathology considered and between subjects with 1, 2, and 3 or more pathologies. CONCLUSION: CAT-Health is a practical and valid system for measuring generic HRQoL in general population of our country.
Conference/Value in Health Info
2007-10, ISPOR Europe 2007, Dublin, Ireland
Value in Health, Vol. 10, No. 6 (November/December 2007)
Code
PMC27
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Multiple Diseases