• The Health Utilities Index-Mark III scale measures quality of life in 8 domains:
    1. Vision
    2. Hearing
    3. Speech
    4. Ambulation
    5. Dexterity
    6. Emotion
    7. Cognition
    8. Pain
  • The index is scaled from 0 (completely unhealthy) to 1 (completely healthy).

ICF Domain

Body Functions ▶ Sensory and Pain

Number of Items

8

Scoring

  • Each item is scored from either 1 (no problems with domain) to 5 or 6 (severe problems with domain)
  • The scores are then scaled to be between 0 and 1.

Training Required

No advanced training required.

Availability

Can be purchased here.

# of studies reporting psychometric properties: 2

Interpretability

MCID: not established
SEM: not established
MDC: mean HUI-Mark III score for SCI patients (±SD): 0.27 (±0.27)

(Craven et al. 2012)

Reliability

Not available for SCI population.

Validity

  • Low Hierarchal regression model of HUI-Mark III with personal factors:
    R² = 0.008
  • Low Hierarchal regression model of HUI-Mark III with body functions and structure:
    R² = 0.142
  • Moderate Hierarchal regression model of HUI-Mark III with activity and participation:
    R² = 0.565
  • Moderate Hierarchal regression model of HUI-Mark III with environmental factors:
    R² = 0.56

(Mittmann et al. 2014)

  • Moderate Hierarchal regression model of HUI-Mark III and SCI Secondary Conditions Scale-Modified for health and health preference:
    r = 0.37
  • Moderate Hierarchal regression model of HUI-Mark III and SCI Secondary Conditions Scale-Modified for self-rated health:
    r = -0.41
  • Moderate Hierarchal regression model of HUI-Mark III and SCI Secondary Conditions Scale-Modified for secondary health conditions and severity:
    r = -0.47

(Craven et al. 2012)

Responsiveness

No values were reported for the responsiveness of the HUI-Mark III for the SCI population.

Floor/Ceiling Effect

No values were reported for the presence of floor/ceiling effects in the HUI-Mark III for the SCI population.

Reviewers

Gurmaan Gill

Date Last Updated

26 February 2019

Craven C, Hitzig SL, Mittmann N. Impact of impairment and secondary health conditions on health preference among Canadians with chronic spinal cord injury. J Spinal Cord Med. 2012 Sep;35(5):361-70. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3459565/

Mittmann N, Hitzig SL, Catharine Craven B. Predicting health preference in chronic spinal cord injury. J Spinal Cord Med. 2014;37(5):548-55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166189/

Mittmann N, Trakas K, Risebrough N, Liu BA. Utility scores for chronic conditions in a community-dwelling population. Pharmacoeconomics. 1999;15(4):369-76. https://www.ncbi.nlm.nih.gov/pubmed/10537955

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