SF-36量表测量伤残人员生存质量的信度与效度

目的 评价SF-36量表在测量地震伤残人员生存质量中的信度和效度.方法 利用自填法及访谈相结合的方式调查201例绵竹市某镇地震伤残人员,用重测信度和Cronbach's a系数分析SF-36信度;因子分析方法分析效度.结果 SF-36各领域的重测信度分别为:生理功能(PF)0.78、生理问题对功能的限制(RP)0.85...     

老年人社会支持情况与生活质量的关系

背景:美国简明健康测量量表中文版与中国老年人生活质量调查表,哪个更能反映中国老年人的社会支持情况与其生活质量的相关性?目的:分析和探讨老年人社会支持情况对其生活质量的影响。设计:随机抽样,以人群为基础的横断面调查研究。地点、对象和方法:采用社会支持评定量表(socialsupportreviewques-tionnaire,SSRS,MOSSF-36)和老年人生活质量调查表对苏州市167名离退休人员进行自评调查。主要观察指标:苏州市167名离退休人员SSRS,MOSSF-36,老年人生活质量调查评定结果。结果:用MOSSF-36量表测出的生活质量中的活力和精神健康与该老年人群的社会支持情况的主观支持相关,其余均与社会支持情况不相关。中国老年人生活质量调查表测出的生活质量总分和家庭和睦、社会交往、生活满意度与该老年人群的社会支持情况显著正相关,其中生活质量总分和家庭和睦、社会交往、生活满意度与主观支持显著正相关;家庭和睦、居住条件和生活满意度与客观支持显著正相关;心理卫生与支持利用度显著正相关。结论:对于中国老年人的社会支持情况是与其生活质量密切相关的因素,中国老年人生活质量调查表在社会支持方面较SF-36中文版量表更敏感、更明显。     

The relationship between fear of falling,activities of daily living and quality of life among elderly individuals

Abstract The purpose of the present study was to examine the relationship between functional disability and fear of falling during daily activities. Also examined was the relationship between fear of falling and health-related Quality of Life (QOL). Health-related QOL concepts were measured using the Short Form 36 Health Survey (SF-36) within an elderly day services sample. Eligible subjects were elderly persons using Day Service (type B) who were capable of independently answering a questionnaire and had no memory problems. Forty-three males and 92 females were eligible for this study. Forty-nine (36.3%) subjects expressed no fear of falling, whereas 22 (16.3%) reported that they were very fearful of falling. Among females, walking and bathing had a highly significant relationship with the fear of falling. The fear of falling can contribute to psychological conditions such as depression, and also impacts on the health-related QOL of frail elderly people. Thus, it is critical to provide integrated health care activities for these individuals that address both psychological well-being and physical functioning.     

苏州市老年人生活信心和社会支持情况对生活质量的影响

国内外不同的生活质量表对社会支持和心理两状态以及相关因素对其生活质量的影响是否有评价分析的差异?目的了解苏州市老年人群生活质量的现状和生活信心、社会支持情况;探讨老年人生活信心与社会支持情况对其生活质量的影响.设计随机抽样的人群横断面调查.地点、对象和方法选择苏州市医院、学校、工厂的离退休人员及部分苏州干休所的离退休军人共167名,男86名,女81名为研究对象.采用社会支持评定量表(social support review questionnaire,SSRS)、费城老年中心信心量表(Philadelphia geriatric center morale scale,PGC)、简明健康测量量表(medical outcomes study 36-item short-form health survey scale,MOS SF-36)和老年人生活质量调查表对苏州市167名离退休人员进行自评调查.主要观察指标苏州市167名离退休人员SSRS,PGC,MOS SF-36和老年人生活质量调查表评分结果.结果该老年人群生活信心评分为(17.74±3.76)、社会支持总分(37.72±7.48),高于中国人正常值,生活质量平均分值为(28.95±3.05),属于较好水平.无论使用MOS SF-36量表还是用老年人生活质量调查表测出的老年人生活质量均与其生活信心呈正相关(P＜0.01),除老年人生活质量调查表的经济收入与生活信心毫不相关,居住条件和营养状况均与客观支持不相关外,其余各方面均显著相关(P＜0.05).同时用MOS SF-36量表测出的生活质量中仅活力和精神健康与该老年人群的社会支持情况的主观支持相关(P＜0.05),其余均与社会支持情况不相关.老年人生活质量调查表测出的生活质量总分和家庭和睦、社会交往、生活满意度与主观支持显著相关(P＜0.01);家庭和睦、居住条件和生活满意度与客观支持显著相关(P＜0.05);心理卫生与支持利用度显著相关(P＜0.05).结论生活质量随着生活信心和社会支持的升高而升高.采用MOSSF-36量表以及SSRS与PGC调查表测量,生活质量与生活信心的联系均呈正相关;但是对社会支持,尤其是主观支持方面,老年人生活质量调查表可能更敏感、更明显.     

简明健康调查问卷对农村老年人生活质量的评价

背景SF-36量表有良好的信度和效度,适于在欧美人群中进行生活质量评价.目的探讨健康调查量表SF-36在农村老年人群中应用的信度、效度和可行性.设计本研究为现况研究,研究对象由两阶段随机抽样得到.单位中国协和医科大学流行病与卫生统计研究所和一所大学的流行病与卫生统计研究所.对象本研究于2002-05/2002-07在深圳市宝安区随机抽取6个村,选取6个村内687名老年人作为调查对象.纳入标准年龄≥60岁、有常住户口者;排除标准患严重精神及听力障碍者.实际获得有效问卷666份,其中男264名,女402名.方法由经过培训的访问员用SF-36生活质量测量量表对农村老年人进行面对面访问调查,用可行性、信度和效度来评估SF-36量表.主要观察指标SF-36量表的分半信度、内部一致性、效标关联效度、构想效度和结构效度.结果该量表具有良好的内部一致性,8个维度的Cronbach'a系数均≥0.8,除心理健康外,各维度的分半信度较好,Pearson相关系数均≥0.7.构想效度和效标关联效度令人满意.因子分析产生两个因子,能解释总方差的63.14%,且除精神影响外,其它各维度在相应因子有较满意的因子载荷量(≥0.4).结论SF-36量表基本适用于农村老年人生活质量评价,但部分条目需进行调整.脆弱的老年人群应该给予更多的关怀和帮助.     

Reliability and validity of the SF-12 health survey among people with severe mental illness

OBJECTIVE: The objective of this work was to assess the reliability and validity of the Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12) in a large sample of people with severe mental illness (SMI). METHODS: We examined the internal factor structure of the SF-12, compared component scores for this sample with normative levels, examined test-retest reliability, and examined convergent and divergent validity by comparing SF-12 scores to other indexes of physical and mental health. RESULTS: The SF-12 distinguished this sample of people with SMI from the general population, was stable over a 1-week interval, consisted of 2 fairly distinct factors, and was related to physical and mental health indexes in expected ways. CONCLUSIONS: The SF-12 appears to be a psychometrically sound instrument for measuring health-related quality of life for people with SMI.     

SF-36量表应用于下肢深静脉血栓形成患者的信度和效度研究

目的评价SF-36量表用于测量下肢深静脉血栓形成患者生存质量的信度和效度。方法采用SF-36生存质量量表,对130例下肢深静脉血栓患者进行调查,对测量结果进行信度和效度分析。信度指标包括内部一致性、折半信度、重测信度,效度指标包括内容效度和结构效度。结果整个量表的Cronbach’sα系数以及去掉一项内容后得到的Cronbach’sα系数均高于0．8;总量表和各个维度的折半信度均高于0．8;各个维度的组内相关系数高于0．6;总量表及各维度的Pearson相关系数均高于0．6;因子分析所产生的2个主成分可解释总变异的65．704％;经最大方差旋转后产生2个公共因子与量表的理论结构假设基本一致。结论SF-36量表具有较好的信度和效度,适用于下肢深静脉血栓形成患者的生存质量评价。     

Reliability and validity of the Korean version of Kidney Disease Quality of Life instrument (KDQOL-SF)

Although the Kidney Disease Quality of Life instrument (KDQOL-SF), which was designed to measure the comprehensive quality of life in patients with end stage renal disease, has been tested and widely administered in many other counties, it has not yet been translated, validated and reported for Korea. The primary purpose of this study was to validate a Korean version of KDQOL-SF and to evaluate its psychometric properties. The study subjects were 164 patients with hemodialysis or continuous ambulatory peritoneal dialysis in university dialysis centers in Korea. In order to investigate the reliability, test-retest reliability and internal consistency reliability were assessed. Both test-retest reliability and internal consistency reliability were found to be high. In order to investigate the construct validation, all the items of the SF-36 scales, an established generic QOL measures, were compared with an overall health rating scale in kidney disease-targeted scale. They found to be highly correlated with each other. Moreover, overall health rating scale was significantly correlated with symptoms/problems, effects of kidney disease, burden of kidney disease, cognitive function (p < 0.001), and quality of social interaction (p < 0.05). These results suggest that the Korean version of KDQOL-SF satisfies its reliability and validity in Korean patients with hemodialysis or continuous ambulatory peritoneal dialysis. This questionnaire provides important and clinically valuable information for understanding the health related quality of life in the Korean patients with dialysis.     

Construct validity and internal consistency of the chronic fatigue syndrome activities and participation questionnaire (CFS-APQ)

Identifying patients' activity limitations is crucial for teaching Chronic Fatigue Syndrome (CFS) patients to effectively manage their activity level. Therefore, a questionnaire to assess activity limitations/participation restrictions in CFS patients was recently constructed. In this study, the internal consistency, the discriminant validity, and the convergent validity of this measure, named the CFS-Activities and Participation Questionnaire (CFS-APQ), were investigated. Convergent and discriminant validity are considered two fundamental aspects of construct validity. An envelope containing the CFS-APQ and the Medical Outcomes Short Form 36 Health Status Survey (SF-36) was sent to 149 CFS patients. Eighty-eight out of 149 CFS patients (59.1%) filled in and returned the questionnaires. Cronbach's Alpha reliability coefficients were > 0.87. The CFS-APQ total scores correlated statistically significant with six out eight SF-36 subscales (bodily functioning, physical role functioning, bodily pain, general health perception, vitality and social functioning), with Spearman Rank correlation coefficients ranging from ? 0.34 to ? 0.78. The highest correlation coefficients were obtained between the CFS-APQ total scores and the subscales ‘physical functioning’ and ‘social functioning’, no significant correlations were observed with the SF-36 subscales emotional role functioning and mental health. In conclusion, the items of the Dutch version of the CFS-APQ have been found to have good internal consistency, and these results substantiate both the convergent and the discriminant validity of the scores obtained with this questionnaire.     

United States Spanish short-form-36 health survey: scaling assumptions and reliability in elderly community-dwelling Mexican Americans

BACKGROUND: Measuring health status is challenging in Mexican Americans and other diverse groups, because most health measurement instruments were developed and tested in English. Thus, it is difficult to determine whether measured health disparities are the result of actual differences or due to measurement error resulting from translation or conceptual differences. OBJECTIVES: The purpose of this study was to test the metric equivalence of the United States (US) Spanish Short-Form-36 Health Survey (SF-36) in a group of elderly Mexican Americans. In addition, the SF-36 scores of elderly Mexican American women in our sample were compared with normed scores for the SF-36 scales in the general population of elderly US women. METHOD: Health status was measured by the US Spanish SF-36 in telephone surveys conducted entirely in Spanish. The sample (N = 65) was elderly (mean age 75.3) and primarily female (78%). Most had less than 7 years of education and an annual income below $10,000. RESULTS: Missing data were negligible, and did not indicate difficulty with particular items. The item response values were well distributed and item response means were generally similar within a scale. Most item correlations were higher with the item's hypothesized scale than with other scales, though some items in the Mental Health, Vitality, and Social Functioning scales were highly correlated with other scales. Internal consistency reliability (Cronbach alpha) was.80 or above on all scales except Social Functioning (.69). SF-36 scale scores were lower in elderly Mexican American women than in elderly women in the general US population. DISCUSSION: The US Spanish SF-36 was a generally satisfactory measure of health status in a sample of elderly Mexican Americans with little formal education. The performance of some items in the Mental Health, Vitality, and Social Functioning scales warrants further research.     

A randomized clinical trial of a wellness intervention for women with multiple sclerosis

OBJECTIVE: To examine the effects of a wellness intervention program for women with multiple sclerosis (MS) on health behaviors and quality of life (QOL). DESIGN: Randomized clinical trial. SETTING: Community setting in the southwestern United States. PARTICIPANTS: Convenience sample of 113 women with physician-confirmed MS (mean age, 45.79y). INTERVENTIONS: The 2-phase intervention program included lifestyle-change classes for 8 weeks, then telephone follow-up for 3 months. Participants were followed over an 8-month period. MAIN OUTCOME MEASURES: A series of self-report instruments to measure barriers, resources, self-efficacy for health behaviors, health promotion behaviors, and health-related QOL were completed at baseline, 2 months (after the classes), 5 months (after telephone follow-up), and at 8 months. Principal outcomes measures were health-promoting behaviors (scores on the Health Promoting Lifestyle Profile II) and QOL (scores on the Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36] scales). RESULTS: Hierarchical linear modeling techniques revealed a statistically significant group by time effect for self-efficacy for health behaviors, health-promoting behaviors, and the mental health and pain scales of the SF-36. CONCLUSION: These data provide initial support for the positive effects of wellness interventions to improve health behaviors and selected dimensions of QOL for women with MS.     

Validation of the Korean language version of the incontinence‐quality of life scale

The purpose of this study is to determine the reliability and validity of the translated Korean version of the incontinence‐quality of life (I‐QOL) in a sample of community‐dwelling Korean American women with urinary incontinence in the USA. A survey design was used and a convenience sampling method of 176 Korean American women who reported having urinary incontinence symptoms was used. Translation–back translation procedures were used to translate the English version of the I‐QOL into Korean version. Reliability of the Korean I‐QOL questionnaire was demonstrated by Cronbach's α coefficients. Pearson's correlations of an item with its own scale and other scales were calculated to evaluate item‐convergent and item‐discriminant validity. Confirmatory factor analysis was performed to examine the underlying factor structure of the Korean version of the I‐QOL. Cronbach's α coefficient for all three subscales was greater than 0·70. The results of item‐convergent validity indicated that each item was strongly correlated with the originally belonged subscale. Item‐discriminant validity was evidenced by all lower correlations of an item to the other subscales than that of own subscale. Three factors were extracted from I‐QOL, accounting for 67·37% of the variance. The findings supported the reliability and validity of Korean version of I‐QOL questionnaire. It would be considered as a valuable instrument to assess the different aspects of health‐related quality of life in incontinence patients and recommended for use in clinical research.     

Simplified scoring and psychometrics of the revised 12-item Short-Form Health Survey

The 12-item Short-Form Health Survey was developed to describe mental and physical health status of adults and to measure the outcomes of healthcare services. Based on testing of the original SF-12 with a group of older adults, a revised scoring system and measurement model of the SF-12 Health Survey was proposed. The purpose of this study was to test the reliability and validity of this revised measurement model and scoring system. Testing was done with a sample of 187 older adults in a continuing care retirement community and a sample of 211 older adults discharged from an acute care setting. There was sufficient evidence for the internal consistency of the revised SF-12 (Cronbach alpha coefficients of 0.72 to 0.89); test retest reliability (r = 0.73-0.86); reliability based on R2 values; and validity based on confirmatory factor analysis, contrasted groups, and hypothesis testing. The revised SF-12 is a valid and reliable measure that can be used with confidence to measure outcomes for older adults.     

Questionnaire for Persons with a Transfemoral Amputation (Q-TFA): initial validity and reliability of a new outcome measure

The Questionnaire for Persons with a Transfemoral Amputation (Q-TFA) is a new self-report measure developed for nonelderly transfemoral amputees using a socket- or osseointegrated prosthesis to reflect use, mobility, problems, and global health, each in a separate score (0-100). This paper describes the initial measurement properties of the Q-TFA as completed by 156 persons with a transfemoral amputation using a socket prosthesis (67% male, 92% nonvascular cases, mean age 51 years). Criterion validity was determined by associations between scores of the Q-TFA and the Short-Form 36 (SF-36)-Item Health Survey. Reliability was assessed by retest (n = 48) and by determination of the internal consistency. Correlations between Q-TFA and SF-36-Item Health Survey scales matched hypothesized patterns. Intraclass correlations were between 0.89 and 0.97, and measurement error ranged from 10 to 19 points. Cronbach's alpha revealed good internal consistency, with no values less than 0.7. This study shows that the Q-TFA, applied to persons using a transfemoral socket prosthesis, has adequate initial validity and reliability.     

SF-36量表评价Graves病患者生存质量信度和效度的研究

目的评价SF-36量表测定Graves病患者生存质量的信度和效度。方法应用SF-36量表对113例Graves病患者的生存质量进行测评,并从中随机抽取20例于2周后复测,对测定结果进行效度和信度分析。结果量表总体Cronbachα系数为0．775,各个维度的Cronbachα系数的范围为0．571—0．868;评价分半信度的Spearman—Brown系数为0．946;重测信度中两次测量的Pearson相关系数为0．87;用因子分析法对量表进行结构效度的评价,得到的两个公因子共解释了59．71％的方差。标准效度中患者健康自评总分与量表总分的相关系数r为0．726。结论SF-36量表评价Graves病患者生存质量的信效度较高,可应用于此病生存质量的测评。     

阻塞性睡眠呼吸暂停低通气综合征患者持续正压通气治疗副作用自评量表的信度与效度研究

目的评价阻塞性睡眠呼吸暂停低通气综合征（obstructivesleepapneahypopneasyndrome,OSAHS）患者持续正压通气（continuouspo~tiveairwaypressure,CPAP）治疗副作用自评量表的信度与效度。方法根据相关文献和临床工作自制CPAP治疗副作用自评量表,采用内部一致性分析和重测信度法检测量表的信度;采用专家评议,选用副反应量表（TreatmentEmergentSymptomScale,TESS）、汉密尔顿焦虑量表（HamiltonAnxietyScale,HAMA）、健康调查简表（theMOS36-itemShot-formHealthSurvey,SF-36）作为效标并结合因子分析法测量量表效度。结果量表内部一致性信度Cronbach’sd系数为0．825,重测信度为0．687;内容效度指数为0．870,量表与TESS、HAMA、SF-36显著相关（P〈O．01）,累积方差贡献率为77．271％,条目在相应因子上的负荷〉0-4。结论CPAP治疗副作用自评量表具有较好的信度与效度,可应用于OSAHS患者CPAP治疗副作用以及其对依从性影响的评估。     

社区老年人生活质量与抑郁症状发生相关性的前瞻性研究

目的探讨老年人的生活质量与抑郁症状发生的关系。方法2006年随机抽取西安市某社区60岁以上无抑郁症状的老年人93名,运用简明健康测量量表(SF-36)评定其生活质量;至2008年再次追踪随访,并用老年抑郁量表(geriatric depression scale,GDS)测评抑郁症状的发生情况。结果抑郁组老年人的基线生活质量总分明显低于非抑郁组(P<0.05),生活质量及其5个维度的得分与抑郁得分呈显著负相关(P<0.05);总体健康维度低分组发生抑郁症状的危险性是高分组的4.24倍。结论全面提高老年人的生活质量,尤其是加强健康自评,对预防抑郁症状的发生有积极作用。     

Long-term health-related quality of life in survivors of sepsis. Short Form 36: a valid and reliable measure of health-related quality of life

OBJECTIVE: To describe the long-term health-related quality of life (HRQL) of survivors of sepsis and to evaluate the reliability and validity of the medical outcomes study Short Form-36 (SF-36) in this population. STUDY DESIGN: Cross-sectional survey. SETTING: University intensive care unit. PATIENTS: Surviving patients over the age of 17 yrs who met the criteria for the Society of Critical Care Medicine/American College of Chest Physicians definition of sepsis identified through a review of patients admitted to the intensive care unit from 1994 to 1998. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Baseline demographics and clinical characteristics were abstracted from the medical chart. After hospital discharge, the SF-36 and Patrick's Perceived Quality of Life scale were administered by telephone. The SF-36 was readministered 2 wks later. We screened the charts of 109 patients; 78 had a diagnosis of sepsis. Of these, 31 had died, 3 had severe communication problems, 9 refused to participate, and 5 patients could not be located. A total of 30 patients completed the first interview; 26 completed the second. Compared with established norms for the U.S. general population, survivors of sepsis scored significantly lower on the physical functioning, role physical, general health, vitality, and social functioning domains, as well as on the Physical Health Summary Scale. Mean scores on the Mental Health Summary Scale were very similar between the survivors of sepsis and U.S. norms. The SF-36 demonstrated high internal consistency (Cronbach's alpha ranged from 0.65 to 0.94) and excellent test-retest stability (intraclass correlation coefficient ranged from 0.75 to 0.97). Both the Physical Health Summary Scale and the Mental Health Summary Scale correlated well with overall Perceived Quality of Life scores (Pearson correlation coefficients 0.45 and 0.56, respectively). CONCLUSIONS: The long-term HRQL of survivors of sepsis is significantly lower than that of the general U.S. population. The SF-36 demonstrated good reliability and validity when used to measure HRQL in survivors of sepsis.     

Validity and reliability of the EQ-5D for cancer patients in Korea

Purpose

The purpose of this study was to assess the validity and reliability of the Korean version of the EQ-5D health questionnaire for use in patients with cancer in Korea.

Methods

Patients with colorectal cancer were recruited from one ambulatory cancer center. Each participant consecutively self-administered the EQ-5D, the EORTC QLQ-C30, and the Short Form-36 (SF-36). Discriminatory ability was evaluated by comparing the SF-36 subscales with their corresponding EQ-5D dimensions. Convergent validity was assessed by examining the correlations between the EQ-5D index, EORTC QLQ-C30 subscales, and SF-36 scale and summary scores. Test-retest reliability was also evaluated.

Results

Subjects reporting problems in each EQ-5D dimension showed lower scores on all SF-36 subscales. As expected, the relationships were stronger between the EQ-5D functional dimensions and physical function on the EORTC QLQ-C30 and between the EQ-5D anxiety/depression dimension and emotional function on the EORTC QLQ-C30. The EQ-5D index and SF-36 scales were moderately or highly correlated. intraclass correlation coefficient of the EQ-5D index was 0.45.

Conclusions

The Korean version of the EQ-5D may be a valid tool for assessing the health-related quality of life of patients with cancer. However, further research is needed to determine the reliability of the Korean EQ-5D over different time intervals and disease conditions.     

Validation of the Stroke Specific Quality of Life Scale (SS-QOL): test of reliability and validity of the Danish version (SS-QOL-DK)

OBJECTIVE: To test the reliability and validity of the Danish version of the Stroke Specific Quality of Life Scale version 2.0 (SS-QOL-DK), an instrument for evaluation of health-related quality of life. DESIGN: A correlational study. SETTING: A stroke unit that provides acute care and rehabilitation for stroke patients in Frederiksborg County, Denmark. SUBJECTS: One hundred and fifty-two stroke survivors participated; 24 of these performed test-retest. INTERVENTION: Questionnaires were sent out and returned by mail. A subsequent telephone interview assessed functional level and missing items. MAIN OUTCOME MEASURES : Test-retest was measured using Spearman's r, internal consistency was estimated using Cronbach's alpha, and evaluation of floor and ceiling values in proportion of minimum and maximum scores. Construct validity was assessed by comparing patients' scores on the SS-QOL-DK with those obtained by other test methods: Beck's Depression Index, the General Health Survey Short Form 36 (SF-36), the Barthel Index and the National Institutes of Health Stroke Scale, evaluating shared variance using coefficient of determination, r2. Comparing groups with known scores assessed known-group validity. Convergent and discriminant validity were assessed. RESULTS: Test-retest of SS-QOL-DK showed excellent stability, Spearman's r = 0.65-0.99. Internal consistency for all domains showed Cronbach's alpha = 0.81-0.94. Missing items rate was 1.0%. Most SS-QOL-DK domains showed moderately shared variance with similar domains of other test methods, r2 = 0.03-0.62. Groups with known differences showed statistically significant difference in scores. Item-to-scale correlation coefficients of 0.37-0.88 supported convergent validity. CONCLUSIONS: SS-QOL-DK is a reliable and valid instrument for measuring self-reported health-related quality of life on group level among people with mild to moderate stroke.