Using qualitative methods for a conceptual analysis of measures of health status and presenteeism prior to a mapping stu
- PDF / 759,130 Bytes
- 11 Pages / 595.276 x 790.866 pts Page_size
- 19 Downloads / 131 Views
Using qualitative methods for a conceptual analysis of measures of health status and presenteeism prior to a mapping study Cheryl Jones1 · Katherine Payne2 · Suzanne M. M. Verstappen3,4 Accepted: 26 June 2020 © The Author(s) 2020
Abstract Objectives The inclusion of productivity in economic evaluations is a contentious issue. Methods are currently being developed to assess how it may feasibly be included for specific interventions, such as workplace interventions (WPIs), where productivity is a key outcome. Mapping (also called cross-walking or prediction modelling) may offer a solution. Prior to producing a mapping algorithm, it is recommended that the conceptual validity between ‘source’ and ‘target’ measures be understood first. This study aimed to understand the conceptual validity of two existing measures of health status (EQ-5D; SF-6D) and presenteeism to inform the potential for a subsequent mapping algorithm. Methods A purposive sample of individuals who were currently working and had either rheumatoid arthritis (RA), ankylosing spondylitis (AS) or psoriatic arthritis (PsA). Individuals were recruited through support groups. Semi-structured telephone interviews were conducted until data saturation (no new emerging themes) was reached. Deductive and inductive framework analysis methods were used to identify key aspects of the conditions (themes) that impact on presenteeism (working at reduced levels of health). Results Twenty-two (RA = 10; AS = 9; PsA = 3) employed individuals were interviewed. Deductive analysis identified evidence which confirmed the domains included in the EQ-5D and SF-6D capture those key aspects of RA, AS and PsA that increase presenteeism. Inductive analysis identified an additional theme; mental clarity, not captured by the EQ-5D or SF-6D, was also found to have a direct impact on presenteeism. Conclusions The results of the study indicate conceptual validity of both health status measures to predict presenteeism. The next step is to develop a mapping algorithm for presenteeism. Keywords Presenteeism · Autoimmune · Qualitative · Health-related quality of life · Conceptual validity · Mapping · Prediction · Health status Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11136-020-02570-x) contains supplementary material, which is available to authorised users. * Suzanne M. M. Verstappen 1
Arthritis Research UK-MRC Centre for Musculoskeletal Health and Work, Southampton, UK
2
Manchester Centre for Health Economics, The University of Manchester, Manchester M13 9PL, UK
3
Arthritis Research UK Centre for Epidemiology, Division of Musculoskeletal & Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
4
NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
Introduction Includi
Data Loading...
