Developing a New Region-Specific Preference-Based Measure in East and Southeast Asia

Takeru Shiroiwa, Tatsunori Murata, Jeonghoon Ahn, Xue Li, Ryota Nakamura, Yot Teerawattananon, Zhao Kun, Asrul Akmal Shafie, Haidee Valverde, Hilton Lam, Kwong Ng, Mardiati Nadjib, Raoh Fang Pwu, Ryan Rachmad Nugraha, Yong Chen Chen, Takashi Fukuda

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Objectives: Almost all preference-based measures (PBMs) have been developed in Western countries, with none having been formulated in Asian countries. In this study, we construct a new generic PBM based on concept elicitation using interview surveys in East and Southeast Asian countries and qualitative analysis. Methods: This cross-sectional study included 225 adults recruited from 9 East and Southeast Asian countries or regions (Indonesia, Japan, Korea, mainland China, Malaysia, the Philippines, Singapore, Taiwan, and Thailand). Trained interviewers conducted semistructured interviews with 25 participants from the general population of each country/region. Qualitative data were analyzed using a content analysis approach. The selection of items was determined based on interview surveys and team member discussions. The description of items was considered based on a detailed qualitative analysis of the interview survey. Results: A new region-specific PBM—the Asia PBM 7 dimensions instrument—was designed. It reflects East and Southeast Asian values and comprises 7 items: pain, mental health, energy, mobility, work/school, interpersonal interactions, and burden to others. Conclusions: The new region-specific instrument is one of the first PBMs developed in the context of non-Western countries. The Asia PBM 7 dimensions contains 7 items that address the core concepts of health-related quality of life that are deemed important based on East and Southeast Asian health concepts.

Original languageEnglish
Pages (from-to)62-69
Number of pages8
JournalValue in Health Regional Issues
Publication statusPublished - Nov 2022


  • East and Southeast Asia
  • preference-based measure
  • qualitative study
  • quality-adjusted life years


Dive into the research topics of 'Developing a New Region-Specific Preference-Based Measure in East and Southeast Asia'. Together they form a unique fingerprint.

Cite this