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Grant Number: R03 HS11405
RFA/PA: PAR00-076 - Grants on Health Services Dissertation Research
PI Name: ADACHI-MEJIA, ANNA
Project Title: Comparison of Approaches to Quality of Life Measurement
Abstract:
ADACHI-MEJIA, ANNA M
DARTMOUTH COLLEGE, HANOVER NH
Comparison of Approaches to Quality of Life Measurement
R03 HS11405-01
02/15/01
The goal of this study is to inform decisions about fair and appropriate
measurement tools for economic evaluations of mental health services
interventions. The relative sensitivity of disease-specific and generic outcome
measures for mental health interventions will be assessed. Knowing how these
types of measures affect results has direct bearing on the feasibility of
including treatments for severe mental illness in rankings used to allocate
health care budgets across interventions for different types of health
problems. The first aim of this study is to compare the performance of
disease-specific and generic quality of life instruments in evaluating outcomes
for persons dually diagnosed with severe mental illness (SMI) and substance use
disorder. The disease-specific instrument for this study will be the Wisconsin
Quality of Life Interview (W-QLI), and the generic instruments will be the
Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and the EuroQol
EQ-SD. The client group will be a convenience sample of 46 clients drawn from a
group of 203 persons in the New Hampshire Dual Diagnosis Study, a 36-month
randomized clinical trial conducted by the New Hampshire-Dartmouth Psychiatric
Research Center. The purpose of the Dual Diagnosis Study was to compare the
effectiveness of the assertive community treatment model to standard case
management in persons dually diagnosed with severe mental illness
(schizophrenia or bipolar disorder) and substance use disorder. The second aim
of this study is to determine if differences exist between societal and client
preferences for quality of life outcomes. Preferences will be assessed using
the rating scale technique on both the client and societal group. The societal
group will be drawn from a convenience sample of 46 residents from the State of
New Hampshire. These comparisons will help clarify the role of perspective in
determining the results of an economic evaluation.
Fiscal Year: 2001
Department: DARTMOUTH COLLEGE
Project Start: 04/01/2001
Project End: 03/31/2002
Accession Number: PB2003-100014 (http://www.ntis.gov)
IRG: HCRT
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