Assessment of Quality of Life 8-Dimension (AQoL-8D): translation, validation, and application in two Dutch trials in patients with epilepsy and schizophrenia

Hoi Yau Chan*, Ben F.M. Wijnen, Mickaël Hiligsmann, Filip Smit, Loes A.M. Leenen, Marian H.J.M. Majoie, Silvia M.A.A. Evers

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: To translate and linguistically validate the Assessment of Quality of Life 8-dimensions (AQoL-8D) for use in the Netherlands and to compare the psychometric properties of AQoL-8D with the EuroQol 5-dimensions 5-levels (EQ-5D-5L) in two patient samples. Methods: AQoL-8D was translated from English into Dutch. The translated AQoL-8D was then administered alongside the EQ-5D-5L at baseline and follow-up of two Dutch randomized controlled trials among patients with epilepsy and schizophrenia. These data were subjected to a post-hoc analysis assessing the psychometric properties of AQol-8D vis-à-vis EQ-5D-5L in terms of known-groups construct validity, responsiveness, and floor/ceiling effects. Results: In total, 103 epilepsy patients and 99 schizophrenia patients were included in this study. In both datasets, the two instruments discriminated between known-groups, but in schizophrenia, AQoL-8D showed higher responsiveness than EQ-5D-5L, while both instruments showed equal responsiveness in epilepsy. Ceiling effects were only found for EQ-5D-5L in both epilepsy (26.6%) and schizophrenia (6.1%). Conclusion: Our results have shown that, among other things, AQoL-8D presents better ability to discriminate between known-groups and shows no ceiling effect. Based on our results, we would recommend the use of AQoL-8D in addition to EQ-5D-5L in trials assessing patient’s quality of life in patients with epilepsy or schizophrenia.

Original languageEnglish
Pages (from-to)795-803
Number of pages9
JournalExpert Review of Pharmacoeconomics and Outcomes Research
Volume22
Issue number5
Early online date26 Sept 2021
DOIs
Publication statusPublished - 2022

Bibliographical note

Funding Information:
One Peer Reviewer has received manuscript or speaker’s fees from Astellas, Dainippon Sumitomo Pharma, Eisai, Eli Lilly, Elsevier Japan, Janssen Pharmaceuticals, Kyowa Yakuhin, Lundbeck, Meiji Seika Pharma, Mitsubishi Tanabe Pharma, Merck Sharp and Dohme, Nihon Medi-Physics, Novartis, Otsuka Pharmaceutical, Shionogi, Shire, Tsumura, Wiley Japan, and Yoshitomi Yakuhin, and research grants from Eisai, Mochida Pharmaceutical, Meiji Seika Pharma, and Shionogi. Peer reviewers in this manuscript have no other relevant financial relationships or otherwise to disclose.

Funding Information:
The ZMILE study was funded by the Netherlands Organization for Health Research and Development (ZonMw) [grant application number 836011018]. The SOFIA study was also funded by ZonMW [grant application number 837001401]. Trial registration numbers: NCT03217955; https://clinicaltrials.gov/ct2/show/NCT03217955 and NTR4484; https://www.trialregister.nl/trial/189. We would like to thank Reina de Kinderen for her role in the translation of the AQoL-8D to the Dutch version and Angelo Lezzi (Monash University) from the AQoL-group for his support, which facilitated the translation.

Publisher Copyright:
© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding

One Peer Reviewer has received manuscript or speaker’s fees from Astellas, Dainippon Sumitomo Pharma, Eisai, Eli Lilly, Elsevier Japan, Janssen Pharmaceuticals, Kyowa Yakuhin, Lundbeck, Meiji Seika Pharma, Mitsubishi Tanabe Pharma, Merck Sharp and Dohme, Nihon Medi-Physics, Novartis, Otsuka Pharmaceutical, Shionogi, Shire, Tsumura, Wiley Japan, and Yoshitomi Yakuhin, and research grants from Eisai, Mochida Pharmaceutical, Meiji Seika Pharma, and Shionogi. Peer reviewers in this manuscript have no other relevant financial relationships or otherwise to disclose. The ZMILE study was funded by the Netherlands Organization for Health Research and Development (ZonMw) [grant application number 836011018]. The SOFIA study was also funded by ZonMW [grant application number 837001401]. Trial registration numbers: NCT03217955; https://clinicaltrials.gov/ct2/show/NCT03217955 and NTR4484; https://www.trialregister.nl/trial/189. We would like to thank Reina de Kinderen for her role in the translation of the AQoL-8D to the Dutch version and Angelo Lezzi (Monash University) from the AQoL-group for his support, which facilitated the translation.

FundersFunder number
AQoL-group
Dutch version and Angelo Lezzi
Mochida Pharmaceutical
Yoshitomi Yakuhin
Eli Lilly and Company
Astellas Pharma US
Novartis
Janssen Pharmaceuticals
Nihon Medi-Physics
Monash University
ZonMwNTR4484, NCT03217955, 836011018, 837001401
ZonMw
Dainippon Sumitomo Pharma
Eisai
Meiji Seika Pharma
Shire
Shionogi
Otsuka Pharmaceutical

    Keywords

    • AQoL-8D
    • EuroQoL-5D
    • quality of life
    • responsiveness
    • utility
    • Validity

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