Mao, Z, Ahmed, S orcid.org/0000-0003-4212-0388, Graham, C et al. (1 more author) (2021) The unfolding method to explore health-related quality of life constructs in a Chinese general population. Value in Health, 24 (6). pp. 846-854. ISSN 1098-3015
Abstract
Objectives:
Health-related quality of life (HRQOL) is a complicated concept that can be measured using multiple health items. Although HRQOL is closely associated with people’s subjective assessment of their own health, a limited number of studies have investigated which health items are considered most important and relevant by the general population. Even fewer empirical studies have investigated how HRQOL is understood in non-Western populations. This study used multidimensional unfolding analysis in a Chinese general population to explore the constructs of HRQOL.
Methods:
A scoping review of Chinese generic HRQOL measures and a series of qualitative interviews produced a list of 42 potentially important health items in a Chinese cultural setting; 110 Chinese participants in face-to-face interviews ranked the health items from most important to least important. Responses were coded into a rectangular 110 × 42 matrix, and multidimensional unfolding was conducted to analyze participants’ preferences for health items.
Results:
It was found that demographic characteristics and one’s health condition affected views of HRQOL. Meanwhile, 3 health items were considered to be most important across the whole sample: sleep quality, body constitution, and spiritual appearance.
Conclusion:
This study used a novel approach to explore how people coming from a Chinese cultural setting may perceive HRQOL and which aspects of HRQOL are most important to them. The study shows that multidimensional unfolding is a feasible approach to assess preferences in a general population. Future studies using this approach are recommended to further explore the constructs of HRQOL in other general populations.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 ISPOR-The Professional Society for Health Economics and Outcomes Research. Published by Elsevier Inc. This is an author produced version of an article published in Value in Health. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | China; HRQOL; multidimensional scaling; ranking data; subjective health status; unfolding |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 08 Dec 2020 15:11 |
Last Modified: | 24 Oct 2024 13:34 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.jval.2020.12.014 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:168766 |
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