PMID- 21300304 OWN - NLM STAT- MEDLINE DCOM- 20110602 LR - 20191210 IS - 1532-8414 (Electronic) IS - 1071-9164 (Linking) VI - 17 IP - 2 DP - 2011 Feb TI - Evaluation of the Health Utilities Index Mark-3 in heart failure. PG - 143-50 LID - 10.1016/j.cardfail.2010.08.014 [doi] AB - BACKGROUND: The purpose of this study was to evaluate the reliability, validity, and responsiveness to change of the Health Utilities Index Mark-3 (HUI-3) in heart failure (HF) for use in cost-effectiveness studies. METHODS AND RESULTS: Two hundred eleven patients with HF recruited from outpatient clinics were enrolled; 165 completed the 26-week study. Patients completed 4 health-related quality of life questionnaires (baseline and 4, 8, and 26 weeks), including the HUI-3, the Medical Outcomes Study Short-form 12 (SF-12), the Minnesota Living with Heart Failure Questionnaire (LHFQ), and the Chronic Heart Failure Questionnaire (CHQ). The HUI-3 indicated moderate or fair health-related quality of life overall; the attributes most impaired were pain, ambulation, cognition, and emotion. Internal consistency reliability (Cronbach's alpha = 0.51) was low and test-retest reliability (intraclass correlation coefficient = 0.68) was adequate. The HUI-3 total score was significantly associated with the SF-12, LHFQ, and CHQ total scores. It discriminated among patients with varying New York Heart Association class (P < .001) and varying perceived health (P < .001). The HUI-3 was less responsive to perceived change in health condition than the LHFQ or the CHQ. CONCLUSIONS: The HUI-3 demonstrated satisfactory reliability and validity in this sample supporting its use in cost-effectiveness studies. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Pressler, Susan J AU - Pressler SJ AD - The University of Michigan School of Nursing, 400 N. Ingalls, Ann Arbor, MI 48109, USA. spressle@umich.edu FAU - Eckert, George J AU - Eckert GJ FAU - Morrison, Gwendolyn C AU - Morrison GC FAU - Murray, Michael D AU - Murray MD FAU - Oldridge, Neil B AU - Oldridge NB LA - eng GR - R03 HS09822-01/HS/AHRQ HHS/United States PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20101028 PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cost-Benefit Analysis MH - Female MH - *Health Status Indicators MH - Heart Failure/*diagnosis/pathology/psychology MH - Humans MH - Male MH - Middle Aged MH - Psychometrics MH - Quality of Life/*psychology MH - Reproducibility of Results MH - Statistics, Nonparametric MH - Surveys and Questionnaires MH - Young Adult EDAT- 2011/02/09 06:00 MHDA- 2011/06/03 06:00 CRDT- 2011/02/09 06:00 PHST- 2010/06/24 00:00 [received] PHST- 2010/08/20 00:00 [revised] PHST- 2010/08/30 00:00 [accepted] PHST- 2011/02/09 06:00 [entrez] PHST- 2011/02/09 06:00 [pubmed] PHST- 2011/06/03 06:00 [medline] AID - S1071-9164(10)01094-8 [pii] AID - 10.1016/j.cardfail.2010.08.014 [doi] PST - ppublish SO - J Card Fail. 2011 Feb;17(2):143-50. doi: 10.1016/j.cardfail.2010.08.014. Epub 2010 Oct 28.