The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .
Clinical effectiveness of health visitor training in psychologically informed approaches for depression in postnatal women: pragmatic cluster randomised trial in primary care
Objective To evaluate benefits for postnatal women of two  psychologically informed interventions  by health visitors . Design Prospect i ve cluster trial r and omised by general practice , with 18 month follow-up . Setting 101 general practice s in Trent , Engl and . Participants 2749 women allocated to intervention , 1335 to control . Intervention Health visitors ( n=89 63 clusters ) were trained to identify depressive symptoms at six to eight weeks postnatally using the  Edinburgh postnatal depression scale ( EPDS ) and clinical assessment and also trained in providing psychologically informed sessions based on cognitive behavioural or person centred principles for an hour a week for eight weeks . Health visitors in the control group ( n=49 38 clusters ) provided usual care . Main outcome measures Score ≥12 on the Edinburgh postnatal depression scale at six months . Secondary outcomes were mean Edinburgh postnatal depression scale , clinical outcomes in routine evaluation- outcome measure ( CORE-OM ) , state-trait anxiety inventory ( STAI ) , SF-12 , and parenting stress index short form ( PSI-SF ) scores at six , 12 , 18 months . Results 4084 eligible women consented and 595 women had a six week EPDS score ≥12 . Of these , 418 had EPDS scores available at six weeks and six months . At six months , 34 % women ( 93/271 ) in the intervention group and 46 % ( 67/147 ) in the control group had an EPDS score ≥12 . The odds ratio for score ≥12 at six months was 0.62 ( 95 % confidence interval 0.40 to 0.97 , P=0.036 ) for women in the intervention group compared with women in the control group . After adjustment for covariates , the odds ratio was 0.60 ( 0.38 to 0.95 , P=0.028 ) . At six months , 12.4 % ( 234/1880 ) of all women in the intervention group and 16.7 % ( 166/995 ) of all women in the control group had scores ≥12 ( 0.67 , 0.51 to 0.87 , P=0.003 ) . Benefit for women in the intervention group with a six week EPDS score ≥12 and for all women was maintained at 12 months postnatally . There was no differential benefit for either psychological approach over the other . Conclusion Training health visitors to assess women , identify symptoms of postnatal depression , and deliver psychologically informed sessions was clinical ly effective at six and 12 months postnatally compared with usual care . Trial registration IS RCT N92195776
The EQ-5D and SF-36 achieved mixed results in the quantitative testing against psychometric criteria .
The qualitative analysis suggests this is because they provide a very limited coverage of themes identified by people with mental health problems .
BACKGROUND Generic preference-based measures of health like the EQ-5D and SF-6D ( ® ) are increasingly being used in economic evaluation and outcome assessment .
However , there are concerns as to whether or not these generic measures are appropriate for use in people with mental health problems .
OBJECTIVES The EQ-5D and SF-36 ( ® ) ( including its derivatives the SF-12 ( ® ) and SF-6D ) were assessed using the psychometric criteria of validity and responsiveness using quantitative and qualitative methods .
Another aim was to estimate mapping functions between the EQ-5D and SF-6D and condition-specific measures , where appropriate .