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Open AccessArticle

EQ-5D-3L for Assessing Quality of Life in Older Nursing Home Residents with Cognitive Impairment

1
Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, 46007 Valencia, Spain
2
Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain
3
Department of Physiotherapy, Universitat de València, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
Life 2020, 10(7), 100; https://doi.org/10.3390/life10070100
Received: 27 May 2020 / Revised: 25 June 2020 / Accepted: 27 June 2020 / Published: 30 June 2020
(This article belongs to the Special Issue Mental Health Issues and Quality of Life in Older Individuals)
Background: Quality of life (QoL) is recognized as an important patient-reported outcome measure. Assessing QoL in older people with cognitive impairment is a challenge due to discrepancies in the collection of data via proxies versus self-report. This study aimed to assess the psychometric properties of the self-reported EQ-5D (including the EQ index and EQ visual analog scale (VAS)) in nursing homes residents with cognitive impairment and to analyze its validity based on scales included in the comprehensive geriatric assessment. Methods: Cross-sectional, multicenter study analyzing the feasibility, acceptability, reliability, and validity of the EQ-5D based on 251 self-administered questionnaires in a sample of nursing home residents with cognitive impairment. Reference scales were those from the comprehensive geriatric assessment, equivalent to the five dimensions of the EuroQol. Results: The EQ index was 0.31 (0.37) and the EQ VAS was 35.96 (29.86), showing adequate acceptability and feasibility. Cronbach’s alpha was 0.723. The EQ index and EQ VAS, as outcome variables for multiple linear regression models including CGA titration scales, showed better validity for the EQ index than the EQ VAS. Conclusions: As a self-administered generic scale, the EQ-5D-3L could be a good tool for QoL assessment in nursing home residents with cognitive impairment. View Full-Text
Keywords: cognitive function; nursing home residents; quality of life; EQ5D; measurement properties cognitive function; nursing home residents; quality of life; EQ5D; measurement properties
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Pérez-Ros, P.; Martínez-Arnau, F.M. EQ-5D-3L for Assessing Quality of Life in Older Nursing Home Residents with Cognitive Impairment. Life 2020, 10, 100.

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