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- Title
Establishing a composite endpoint for measuring the effectiveness of geriatric interventions based on older persons' and informal caregivers' preference weights: A vignette study.
- Authors
Hofman, Cynthia S.; Makai, Peter; Boter, Han; Buurman, Bianca M.; de Craen, Anton J. M.; Olde Rikkert, Marcel G. M.; Donders, Rogier A. R. T.; Melis, René J. F.
- Abstract
Background The Older Persons and Informal Caregivers Survey Minimal Dataset's (TOPICS-MDS) questionnaire which measures relevant outcomes for elderly people was successfully incorporated into over 60 research projects of the Dutch National Care for the Elderly Programme. A composite endpoint (CEP) for this instrument would be helpful to compare effectiveness of the various intervention projects. Therefore, our aim is to establish a CEP for the TOPICS-MDS questionnaire, based on the preferences of elderly persons and informal caregivers. Methods A vignette study was conducted with 200 persons (124 elderly and 76 informal caregivers) as raters. The vignettes described eight TOPICS-MDS outcomes of older persons (morbidity, functional limitations, emotional well-being, pain experience, cognitive functioning, social functioning, self-perceived health and self-perceived quality of life) and the raters assessed the general well-being (GWB) of these vignette cases on a numeric rating scale (0-10). Mixed linear regression analyses were used to derive the preference weights of the TOPICSMDS outcomes (dependent variable: GWB scores; fixed factors: the eight outcomes; unstandardized coefficients: preference weights). Results The mixed regression model that combined the eight outcomes showed that the weights varied from 0.01 for social functioning to 0.16 for self-perceived health. A model that included "informal caregiver" showed that the interactions between this variable and each of the eight outcomes were not significant (p > 0.05). Conclusion A preference-weighted CEP for TOPICS-MDS questionnaire was established based on the preferences of older persons and informal caregivers. With this CEP optimal comparing the effectiveness of interventions in older persons can be realized.
- Subjects
OLDER people; CAREGIVERS; HEALTH care intervention (Social services); COGNITIVE ability; GENERAL well-being schedule; REGRESSION analysis; SOCIAL skills
- Publication
BMC Geriatrics, 2014, Vol 14, Issue 1, p1
- ISSN
1471-2318
- Publication type
Article
- DOI
10.1186/1471-2318-14-51