Evaluating the responsiveness of the endometriosis health profile questionnaire: The EHP-30
The EHP-30 questionnaire was more responsive to change than the SF-36 in women undergoing endometriosis surgery.
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The study evaluated the sensitivity to change (responsiveness) of the Endometriosis Health Profile-30 (EHP-30) questionnaire by mailing the EHP-30 and the SF-36 to 66 women undergoing conservative surgery for endometriosis-associated pain, with assessments 2 weeks pre-operation and 4 months post-operation. At follow-up, a transition question about health status change was included, and responsiveness effect sizes, standardized response means, the index of responsiveness, and minimally important differences were calculated, with change scores correlated to transition-question responses. Overall, the EHP-30 showed higher responsiveness metrics than the SF-36, including higher minimally important differences and index of responsiveness, and four of five EHP-30 scales had significant correlations with the transition question. A key limitation was the modest response rate (40/66.6% returned questionnaires). This paper is centrally about endometriosis — it assesses the responsiveness of an endometriosis-specific quality-of-life instrument (EHP-30) to detect change after conservative surgery.
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