Comprehensively Measuring Health-Related Subjective Well-Being- Dimensionality Analysis for Improved Outcome Assessment in Health Economics

Mar 1, 2016, 00:00
10.1016/j.jval.2015.11.010
https://www.valueinhealthjournal.com/article/S1098-3015(15)05130-X/fulltext
Title : Comprehensively Measuring Health-Related Subjective Well-Being- Dimensionality Analysis for Improved Outcome Assessment in Health Economics
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(15)05130-X&doi=10.1016/j.jval.2015.11.010
First page : 167
Section Title : Economic Evaluation
Open access? : Yes
Section Order : 6

Background

Allocation of inevitably limited financial resources for health care requires assessment of an intervention’s effectiveness. Interventions likely affect quality of life (QOL) more broadly than is measurable with commonly used health-related QOL utility scales. In line with the World Health Organization’s definition of health, a recent Delphi procedure showed that assessment needs to put more emphasis on mental and social dimensions.

Objective

To identify the core dimensions of health-related subjective well-being (HR-SWB) for a new, more comprehensive outcome measure.

Methods

We formulated items for each domain of an initial Delphi-based set of 21 domains of HR-SWB. We tested these items in a large sample (N = 1143) and used dimensionality analyses to find a smaller number of latent factors.

Results

Exploratory factor analysis suggested a five-factor model, which explained 65% of the total variance. Factors related to physical independence, positive affect, negative affect, autonomy, and personal growth. Correlations between the factors ranged from 0.19 to 0.59. A closer inspection of the factors revealed an overlap between the newly identified core dimensions of HR-SWB and the validation scales, but the dimensions of HR-SWB also seemed to reflect additional aspects. This shows that the dimensions of HR-SWB we identified go beyond the existing health-related QOL instruments.

Conclusions

We identified a set of five key dimensions to be included in a new, comprehensive measure of HR-SWB that reliably captures these dimensions and fills in the gaps of the existent measures used in economic evaluations.

Categories :
  • Methodological & Statistical Research
  • Patient-Centered Research
  • Patient-reported Outcomes & Quality of Life Outcomes
  • PRO & Related Methods
Tags :
  • factor analysis
  • quality of life
Regions :
  • Africa
  • Eastern and Central Europe
  • Middle East
  • Western Europe
ViH Article Tags :