title: Assessing the construct validity of the Italian version of the EQ-5D: preliminary results from a cross-sectional study in North Italy.
abstract: BACKGROUND
  Information on health related quality of life (HR-QOL) can be integrated with other classical health status indicators and be used to assist policy makers in resource allocation decisions. For this reason instruments such as the SF-12 and EQ-5D have been widely proposed as assessment tools to monitor changes in HR-QOL in general populations and very recently in general practice settings as well
  
  
  OBJECTIVE
  The primary goal of our study was to assess the construct validity of the Italian version of the EQ-5D in a general population of North Italy using socio-demographic factors and diagnostic sub-groups. Our secondary goal was to assess the concurrent validity of the EQ-5D and SF-12.
  
  
  METHODS
  The SF-12, the EQ-5D plus an additional questionnaire on socio-demographic characteristics, clinical conditions and symptoms were completed by 1,622 adults, randomly selected from the Registry of the Health Authorities of the city of Bologna, Italy. The primary care physician of each subject was contacted to report on the subject's health status.
  
  
  RESULTS
  Our findings indicate that the Italian version of the EQ-5D is well accepted by the general population (91% response rate), has good reliability (Cronbach's alpha 0.73), and shows evidence of construct validity.
  
  
  CONCLUSIONS
  Our data provide a basis for further research to be conducted to assess the validity of the EQ-5D in Italy. In particular future studies should focus on assessing its ability to detect a clinically important change in health related quality of life over time (responsiveness).
authors.affiliation: Department of Medicine and Public Health, Alma Mater Studiorum University of Bologna, Italy. esavoia@hsph.harvard.edu
authors.forename: Elena
authors.initials: E
authors.lastname: Savoia
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Fantini
authors.forename: Pier Paolo
authors.initials: PP
authors.lastname: Pandolfi
authors.forename: Laura
authors.initials: L
authors.lastname: Dallolio
authors.forename: Natalina
authors.initials: N
authors.lastname: Collina
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D003710:Demography; D005260:Female; D006285:Health Planning; D006305:Health Status Indicators; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D011788:Quality of Life; D012042:Registries; D040841:Resource Allocation; D011795:Surveys and Questionnaires