Author:
Barton Garry R.,Hodgekins Jo,Mugford Miranda,Jones Peter B.,Croudace Tim,Fowler David
Abstract
BackgroundThe UK National Institute for Health and Clinical Excellence (NICE) has
recommended that cost-effectiveness analysis includes the EQ–5D; however,
this is often not implemented in the area of mental health.AimsTo assess the appropriateness of using the EQ–5D to measure improvements
in mental health.MethodSeventy-seven participants with psychosis were rated according to the
EQ–5D and seven measures of mental health at both pre- and
post-intervention. To assess construct validity we compared the
(pre-intervention) mean EQ–5D scores for those with milder and more
severe scores, according to each of the seven measures. To assess
responsiveness we estimated the mean EQ–5D change score for those who
improved (post-intervention), according to each of the measures.ResultsThe mean EQ–5D score was more favourable for both those with milder
scores (mean difference: 0.044 to 0.301) and for those who improved
post-intervention (mean change: 0.029 to 0.117).ConclusionsThis suggests the EQ–5D should be considered for use in future
cost-effectiveness studies in the area of mental health.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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