caa a22 4500 606178694 CHVBK 20210128100758.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s11136-014-0897-z doi (NATIONALLICENCE)springer-10.1007/s11136-014-0897-z Do health preferences contradict ordering of EQ-5D labels? [Elektronische Daten] [Benjamin Craig, A. Pickard, Kim Rand-Hendriksen] Purpose: The aim of this study was to test whether the ordering of item labels in EQ-5D instruments disagrees with the preferences of US adults. Methods: A preference inversion occurs when "worse” health along a scale or score is preferred. As a sub-study of the 2013 United States Measurement and Valuation of Health Study, we tested for 33 EQ-5D preference inversions using paired comparisons with unique samples of 50 or more US adults, aged 18 or older. Specifically, we tested whether health preferences contradicted ordering of EQ-5D labels. Results: The EQ-5D-3L and EQ-5D-Y item labels had no significant preference inversions. The EQ-5D-5L version had preference inversions between Levels 4 and 5. For example, 30 out of 59 respondents (51%) preferred being "extremely” over "severely anxious or depressed,” contrary to the ordering of labels for that item. Conclusions: Preference inversions between Levels 4 and 5 on the EQ-5D-5L were tested and confirmed; therefore, valuation studies may find that Levels 4 and 5 have the same value. To mitigate such inversions, labels could be revised or a 4-level version could be considered. Springer International Publishing Switzerland, 2014 EQ-5D nationallicence QALY nationallicence Health preferences nationallicence Psychometrics nationallicence Item response nationallicence Scales nationallicence Craig Benjamin Health Outcomes and Behavior, Moffitt Cancer Center, University of South Florida, 12902 Magnolia Drive, MRC-CANCONT, 33612-9416, Tampa, FL, USA aut Pickard A. Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA aut Rand-Hendriksen Kim Department of Health Management and Health Economics, University of Oslo, Oslo, Norway aut Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1759-1765 0962-9343 24:7<1759 2015 24 11136 https://doi.org/10.1007/s11136-014-0897-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0897-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Craig Benjamin Health Outcomes and Behavior, Moffitt Cancer Center, University of South Florida, 12902 Magnolia Drive, MRC-CANCONT, 33612-9416, Tampa, FL, USA aut NATIONALLICENCE 700 1- Pickard A. Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA aut NATIONALLICENCE 700 1- Rand-Hendriksen Kim Department of Health Management and Health Economics, University of Oslo, Oslo, Norway aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1759-1765 0962-9343 24:7<1759 2015 24 11136