Quality of Life Research

, Volume 22, Issue 6, pp 1499–1506 | Cite as

Validity of the Thai EQ-5D in an occupational population in Thailand

  • Merel Kimman
  • Prin Vathesatogkit
  • Mark Woodward
  • E-Shyong Tai
  • Julian Thumboo
  • Sukit Yamwong
  • Wipa Ratanachaiwong
  • Hwee-Lin WeeEmail author
  • Piyamitr Sritara
Brief Communication



To assess the construct validity of the Thai EuroQoL (EQ-5D) among an occupational population in Thailand.


Data were derived from a large cohort study among employees of the Electricity Generating Authority of Thailand. In 2008 and 2009, 4,850 participants completed the Thai EQ-5D and Short-Form 36 version 2 (SF-36v2). Thai preferences weights were used to convert EQ-5D health states into EQ-5D index scores. Construct validity of the Thai EQ-5D was examined by specifying and testing hypotheses about the relationships between the EQ-5D, SF-36v2, and participants’ demographic and medical characteristics.


Construct validity of the Thai EQ-5D was supported by expected relationships with SF-36v2 scale and summary scores. For example, SF-36v2 scores on the mental health scale were much lower for participants who reported having problems on the EQ-5D anxiety/depression dimension compared to those reporting no problems (mean norm-based SF-36v2 scores: 52.9 vs. 41.8, p < 0.001). Additionally, reporting a problem in a given EQ-5D dimension was generally associated with lower SF-36v2 summary scores. The EQ-5D index score distinguished between groups of participants in the expected manner, on the basis of sex, age, education and self-reported health, thus providing evidence of known-groups validity.


The study demonstrated good construct validity of the Thai EQ-5D in a large occupational population in Thailand.


Psychometrics Thailand Quality of life EuroQoL 5-dimension Short-Form 36 



This work is supported by the Faculty of Medicine, Ramathibodi hospital, Mahidol University, the Thailand Research Fund, the Electricity Generating Authority of Thailand and the project for Higher Education Research Promotion and National Research University Development, Office of the Higher Education Commission. This work is a part of the LIFECARE project which is supported by an unrestricted educational grant from Pfizer international co.


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Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Merel Kimman
    • 1
    • 2
  • Prin Vathesatogkit
    • 1
    • 3
  • Mark Woodward
    • 1
  • E-Shyong Tai
    • 4
  • Julian Thumboo
    • 5
  • Sukit Yamwong
    • 3
  • Wipa Ratanachaiwong
    • 6
  • Hwee-Lin Wee
    • 7
    Email author
  • Piyamitr Sritara
    • 3
  1. 1.The George Institute for Global HealthSydneyAustralia
  2. 2.Sydney Medical SchoolUniversity of SydneySydneyAustralia
  3. 3.Department of Internal Medicine, Faculty of Medicine Ramathibodi HospitalMahidol UniversityBangkokThailand
  4. 4.Department of MedicineNational University Health SystemSingaporeSingapore
  5. 5.Department of Rheumatology and ImmunologySingapore General HospitalSingaporeSingapore
  6. 6.Medical and Health OfficeElectricity Generating Authority of ThailandNonthaburiThailand
  7. 7.Department of Pharmacy, Faculty of ScienceNational University of SingaporeSingaporeSingapore

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