A cohort study found the RAND-12 and Health Utilities Index Mark 3 demonstrated construct validity in high-risk primary care patients
Abstract
Objective
The Short Form 12 (SF-12) is widely used in primary care settings. The RAND-12 Health Status Inventory (HSI) and the Health Utilities Index Mark 3 (HUI3) have not been as widely used in such settings. The objective of this study was to examine the construct validity of the RAND-12 and HUI3 in the context of high-risk primary care patients.
Study design and setting
The SF-12, HUI2, and HUI3 were administered to a cohort of high-risk primary care patients. RAND-12 summary scores for physical and mental health were generated. Single-attribute utility scores for each dimension of health status and overall health in HUI3 were computed. A priori hypotheses were specified.
Results
In general, the relationships among RAND-12 and HUI3 scores were consistent with construct validity. Twelve of 24 a priori predictions were confirmed. However, predictions about the correlations between the number of medical conditions and the number of medications and the measures of health-related quality of life were, in general, not confirmed.
Conclusions
The RAND-12 and HUI3 seem to be useful among primary care patients with diverse chronic conditions. Further investigation is warranted.
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David Feeny has proprietary interest in Health Utilities Incorporated, which distributes copyrighted Health Utilities Index materials.Financial support for the study of primary healthcare teams was provided by a grant from the Health Transition Fund Alberta Health and Wellness. Financial support for the analyses presented in this paper was provided by a grant from the Merck Company Foundation to the Institute of Health Economics. The HTF, Merck Company Foundation, and IHE played no role in the design, interpretation, or analysis of the project reported here and have not reviewed or approved of this manuscript.
PII: S0895-4356(04)00233-1
doi:10.1016/j.jclinepi.2004.08.005
© 2005 Elsevier Inc. All rights reserved.
