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Table 4 Known-group validity (7 studies)

From: Assessing the psychometric performance of EQ-5D-5L in dementia: a systematic review

Study references (author, year)

Index or dimensions or both assessed

Groups defined by

Significant differences

Effect size

Mean differences across groups in direction consistent with clinical expectation

Yes/No

Easton, 2018a [14]

Both

Cognition impairment [PAS-Cog score]

Yes

Small

No. PwD (self-report) with more impairment have higher EQ-5D-5L score

  

Functional impairment in terms of dependence [MBI score]

Yes

Small to moderate

Yes as impairment increases, EQ-5D-5L score decreases

  

Dementia status: with a diagnosis vs. without a diagnosis

No

Small

No. People with dementia have higher EQ-5D-5L score

Handels, 2018b [23]

Index

Unmet need [no unmet need, 1 or 2 unmet needs, and 3 or more unmet needs]

Yes

Smallc

Yes. People with more unmet needs have lower EQ-5D-5L score

Ratcliffe, 2017a [36]

Index

Cognitive impairment [MMSE]

Yes

Small

Yes. Those with more severe levels of cognitive impairment have lower EQ-5D-5L score

  

Depression [CSDD score]

Yes

Small

Yes. Those with more severe depression have lower EQ-5D-5L score

  

Self-care [MBI dependence score]

Yes

Small

Yes. Those with more impairment have lower EQ-5D-5L score

  

Pain [PainAd score]

Yes

Small

Yes. As pain increases EQ-5D-5L score decreases

Sopina, 2019b [34]

Both

Facilitated family case conferencing (similar to care planning) versus with usual care

No

Small

Yes. Those participants with exposure to the case conference had higher EQ-5D-5L scores

Toh, 2020a [21]

Both

Physical function and communication ability [RAF—Resident Assessment Form]

Yes

Small

Yes. Those with less impairment had higher EQ-5D-5L scores

Umegaki, 2020b [30]

Both

People with and without sarcopenia

Yes

Small

Yes. Those with sarcopenia had lower EQ-5D-5L scores

van de Rijt, 2020b [37]

Index

People with and without dementia

No

Small

No difference between the two groups

  1. CSDD The cornell scale for depression in dementia, MBI modified barthel index, MMSE mini-mental state examination, PainAd pain assessment in advanced dementia scale, PAS-Cog cognitive impairment scale of the psychogeriatric assessment scale, RAF resident assessment form
  2. aHypotheses were explicitly stated by authors
  3. bHypotheses were implicitly stated by authors
  4. cAs reported by authors—exact figures not provided