Health literacy and logical inconsistencies in valuations of hypothetical health states: results from the Canadian EQ-5D-5L valuation study.

Objectives: To examine the association of health literacy with logical inconsistencies in time trade-off valuations of hypothetical health states described by the EQ-5D-5L classification system.Methods: Data from the EQ-5D-5L Canadian Valuation study were used. Health literacy was assessed using the...

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Publicado en:Quality of Life Research Vol. 26; no. 6; pp. 1483 - 1493
Autores principales: Al Sayah, Fatima, Johnson, Jeffrey, Ohinmaa, Arto, Xie, Feng, Bansback, Nick, Johnson, Jeffrey A
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Health literacy and logical inconsistencies in valuations of hypothetical health states: results from the Canadian EQ-5D-5L valuation study.
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          Al Sayah, Fatima
          Johnson, Jeffrey
          Ohinmaa, Arto
          Xie, Feng
          Bansback, Nick
          Johnson, Jeffrey A
        affil: School of Public Health , University of Alberta , Edmonton Canada
      sug:
        subj:
          Quality of Life Psychosocial Factors
          Information Literacy Methods
          Aged
          Health Status
          Adolescence
          Female
          Middle Age
          Male
          Aged, 80 and Over
          Validation Studies
          Young Adult
          Canada
          Adult
          Funding Source
          Human
          Aged: 65+ years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To examine the association of health literacy with logical inconsistencies in time trade-off valuations of hypothetical health states described by the EQ-5D-5L classification system.Methods: Data from the EQ-5D-5L Canadian Valuation study were used. Health literacy was assessed using the Brief Health Literacy Screen. A health state valuation was considered logically inconsistent if a respondent gave the same or lower value for a very mild health state compared to the value given to 55555, or gave the same or lower value for a very mild health state compared to value assigned to the majority of the health states that are dominated by the very mild health state.Results: Average age of respondents (N = 1209) was 48 (SD = 17) years, 45% were male, 7% reported inadequate health literacy, and 11% had a logical inconsistency. In adjusted analysis, participants with inadequate health literacy were 2.2 (95%CI: 1.2, 4.0; p = 0.014) times more likely to provide an inconsistent valuation compared to those with adequate health literacy. More specifically, those who had problems in "understanding written information" and "reading health information" were more likely to have a logical inconsistency compared to those who did not. However, lacking "confidence in completing medical forms" was not associated with logical inconsistencies.Conclusions: Health literacy was associated with logical inconsistencies in valuations of hypothetical health states described by the EQ-5D-5L classification system. Valuations studies should consider assessing health literacy, and explore better ways to introduce the valuation tasks or use simpler approaches of health preferences elicitation for individuals with inadequate health literacy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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