The document summarizes research analyzing EQ-5D-5L health-related quality of life data collected from 1,906 patients receiving community rehabilitation. Therapists and nurses assessed patients and entered data into electronic records. Descriptive statistics and item response analysis were conducted to evaluate frequencies of difficulties across mobility, self-care, usual activities, pain, and anxiety/depression. Results show the highest percentages of patients reporting severe problems with usual activities and moderate percentages for mobility and pain. Comparing patient groups with diabetes found similar rates of severe problems. The analyses provide information to evaluate difficulties, examine response category use, and start discussions on how findings may influence clinical work or examine therapy-related changes in scores.

1. RESULTS
despite its seemingly – “too coarse”
appearance, the EQ5D-5L appears
to be a clinically useful tool with
potential for future work with
health economists to help us elucidate
cost effectiveness of community rehab
EQ-5D measurement of health related quality of life is recommended by many and is included
in the NHS PROMs programme. This part of the research was conducted to develop a short report illustrating
findings from a sample of patients seen in community rehabilitation.
OBJECTIVE
• Assesments completed by therapists and nurses
• Findings entered into electronic patient record
• Data retrieved by analysis team
• Descriptive statistics using SPSS
• Differences in PROMS in various patient groups
• Item response characteristics using RUMM2030
METHODS
A Bateman PhD MCSP
Oliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, Cambridgeshire UK
www.ozc.nhs.uk
Euroquol EQ5D-5L in Community Rehabilitation
CONCLUSIONS
Analyses provides information:
o To evaluate the relative frequency of difficulties
o To examine how patients use the response categories
o To start a dialogue about how findings may influence
clinical work
o To examine potential change in scores related to
therapy
No clear
analysis
strategy
provided
by DoH
or CSP
Community rehab pts
n =1906
% severe probs
Mobility 24.6%
Self-care 12.2%
Usual activities 38.8%
Pain 17.0%
Anx/Dep 7.8%
Do we spend 6-
6 - 8% of our
time/resources
supporting
anx/dep?
Some q’s
show
disordered
thresholds
Diabetes
N= 582
% severe probs
Mobility 18.4
Self-care 6.7%
Usual
activities15.1%
Pain 14.7%
Anx/Dep 6.1%
15
A nuanced analysis
is needed for
repeated
measures.
Note that some
people in rehab
deteriorate:
(change values <0)
This is expected
because of e.g.,
increased insight,
or because
they have a Health
condition that is
indeed fluctuating
Change scores in Health
Utility Index after rehab
Keep in touch: twitter @ozcboss
frequencies of
problems in different
patient groups help
indicate face validity