Mode of Administration Is Important in US National Estimates of Health-Related Quality of Life

Janel Hanmer · Ron D. Hays · Dennis G. Fryback

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Health Systems, Economic Evaluations, Quality of Life Survey Methodology and Nonresponse Health and Medical Studies

Abstract

BACKGROUND: It is unknown if different national surveys that vary in mode of administration yield similar national averages for health-related quality of life (HRQoL). PURPOSE: Examine HRQoL scores from 4 surveys representative of the noninstitutionalized US adult population for patterns related to age, gender, and mode of administration. METHODS: We use data from the Joint Canada/United States Survey of Health (JCUSH; telephone survey), 2002 Medical Expenditure Panel Survey (MEPS; mail survey), National Health Measurement Study (NHMS; telephone survey), and US Valuation of the EuroQol EQ-5D Health States Survey (USVEQ; self-administered with interviewer present). We compare estimates from the EQ-5D, Visual Analog Scale, Health Utilities Index Mark 3, and general self-rated health stratified by age and gender. Scores were also regressed on age and gender within each survey and in a pooled analysis. RESULTS: We used 4939 subjects from JCUSH, 23,006 from MEPS, 3844 from NHMS, and 3878 from USVEQ. The majority of age and gender strata had instrument completion rates above 85%. Age- and gender-stratified estimates of HRQoL scores tended to be consistent when mode of administration (self- or interviewer-administered) was the same. Telephone administration yielded more positive HRQoL estimates than self-administration in older age groups. Older age groups and females reported lower HRQoL than younger age groups and males regardless of mode of administration. CONCLUSIONS: When choosing survey-collected HRQoL scores for comparative purposes, analysts need to take mode of administration into account.

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References

1996Cost-Effectiveness in Health and Medicine 2001EQ-SD: a measure of health status from the EuroQol Group 1997Modeling Valuations for EuroQol Health States 2005Mode of questionnaire administration can have serious effects on data quality 2002Multiattribute and Single-Attribute Utility Functions for the Health Utilities Index Mark 3 System 2005US Valuation of the EQ-5D Health States 2006Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey 1994Comparisons of the Costs and Quality of Norms for the SF-36 Health Survey Collected by Mail Versus Telephone Interview: Results From a National Survey

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