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1.
M. W. van Ittersum H. J. Bieleman M. F. Reneman F. G. J. Oosterveld J. W. Groothoff C. P. van der Schans 《Journal of occupational rehabilitation》2009,19(3):238-244
Introduction The Work Well Functional Capacity Evaluation (WW FCE) is a two-day performance based test consisting of several work-related
activities. Three lifting and carrying test items may be performed on both days. The objective of this study was to assess
the need for repeated testing of these items in subjects with early osteoarthritis of the hip and/or the knee and to analyze
sources of variation between the 2 days of measurement. Methods A standardized WW FCE protocol was applied, including repeated testing of lifting low, lifting overhead and carrying. Differences
and associations between the 2 days were calculated using paired samples t-tests, intraclass correlation coefficients (ICC) and limits of agreement (LoA). Possible sources of individual variation
between the 2 days were identified by Wilcoxon signed ranks tests. Pearson correlation coefficients were calculated for differences
in performances between days and differences in possible sources of variation between days. Results Seventy-nine subjects participated in this study, their mean (SD) age was 56.6 (4.8) years, median (min–max) WOMAC (Western
Ontario and McMaster Universities) index scores for pain, stiffness and physical function were 5 (0–17), 3 (0–7) and 14 (0–49),
respectively. Median (min–max) SF36 physical function was 75 (5–95), and SF36 pain score was 67 (12–76). Mean performance
differences ranged from −0.2 to −0.8 kg (P > 0.05). ICC’s ranged from 0.75 (lifting overhead) to 0.88 (lifting low). LoA were: lifting low 8.0 kg; lifting overhead
6.5 kg; carrying 9.0 kg. Pearson’s correlations were low and non-significant. Conclusions All three tests show acceptable two-day consistency. WW FCE testing on two consecutive days is not necessary for groups of
subjects with early osteoarthritis. Individual sources of variation could not be identified. 相似文献
2.
A. Ribera G. Permanyer-Miralda J. Alonso P. Cascant N. Soriano C. Brotons 《Quality of life research》2006,15(3):357-365
Objective: ‘Clinimetric’ and ‘psychometric’ approaches are currently used to develop health related quality of life questionnaires.
The Quality of Life after Myocardial Infarction questionnaire (QLMI) was originally developed using ‘clinimetric’ criteria;
it was subsequently modified (McNew QLMI) and a new domain structure was defined using factor analysis. The objective of this
study was to compare the measurement properties of the McNew QLMI scores when both approaches for scoring are used. Methods: The McNew QLMI and SF-36 were administered to patients 2 weeks and 2 months after myocardial infarction. Two sets of scores
for the McNew QLMI were computed using the original ‘clinimetric’ and the subsequent ‘psychometrically’ derived scoring systems.
Reliability statistics for the two sets of domains were compared and construct validity was assessed by establishing a priori hypotheses on the expected correlation between each score and the dimensions of the SF-36. Results: Both sets of scores had similar reliability (Cronbach’s α between 0.64 and 0.93) and responsiveness (SRMs between 0.17 and
0.87) while validity was better for the ‘clinimetric’ set of scores (concordance between observed and expected correlations
was moderate for the ‘clinimetric’ scores and fair for the ‘psychometric’ scores). Conclusion: Since overall measurement properties of the ‘clinimetrically’ scored McNew QLMI are better than the ‘psychometrically’ scored
version, we suggest that either the original ‘clinimetric’ system is used or that an improved ‘psychometric’ version is developed. 相似文献
3.
Objectives: The aim of this study was to determine whether a generic health outcome instrument would be helpful for evaluating women
with stress urinary incontinence (UI) combined with or without urge UI. Methods: A total of 109 women with UI and 80 controls participated in the study. Health-related quality of life (QOL) was measured
using the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36) and the Incontinence Quality of Life (I-QoL)
questionnaire. Results: Among eight domains of the SF-36 questionnaire, only four domains, namely, ‘role-physical functioning’ (p<0.05), ‘vitality’ (p<0.05), ‘mental health’ (p<0.05) and ‘bodily pain’ (p<0.05) were significantly different between the groups. Comparing the I-QoL sores in the two groups, patients with UI had
significantly poorer subscale scores of I-QoL than the controls (p<0.05 for all domains). When women with UI were subdivided into groups of stress and mixed UI, only 2 domains of the SF-36
questionnaire, ‘role-physical functioning’ (p<0.05) and ‘bodily pain’ (p<0.05), were significantly different. The mixed UI group had higher scores only on these two domains compared to the stress
UI group. In the ‘role-physical functioning’ domain, there was no significant difference between the mixed UI group and the
controls. In ‘bodily pain’ domain, there was no significant difference between the stress UI group and the controls. The mixed
group had the highest scores observed. Patients with mixed UI had significantly lower total scores compared to those with
stress UI, including the subscale score of ‘avoidance behavior’ of the I-QoL. Among eight domains of the SF-36, only ‘physical
functioning’ (r = 0.281, p<0.01) and ‘social functioning’ (r = 0.239, p<0.05) were weakly correlated with ‘psychological impact’ of the I-QoL.
Conclusion: Our findings show that the generic QOL instrument is not sensitive measure of QOL in women with UI. 相似文献
4.
Maiko Fujimori Makoto Kobayakawa Naoki Nakaya Kanji Nagai Yutaka Nishiwaki Masatoshi Inagaki Yosuke Uchitomi 《Quality of life research》2006,15(10):1633-1638
The purpose of this study was to describe the psychometric properties of the Japanese version of the Quality of Life-Cancer
Survivors Instrument (QOL-CS-J) developed in the U.S. This study was conducted as a mail survey to survivors of more than
5 years post curative resection for non-small-cell lung cancer (NSCLC) and who had participated in an earlier survey. This
survey included the medical and demographic factors, the QOL-CS scores, and the Medical Outcome Study 36-Item Short Form (SF-36).
A total of 113 survivors completed the survey. To confirm the reliability, the Cronbach’s α coefficient of each subscale was
calculated as an internal consistency (α = 0.65–0.89). To confirm the validity of the trial as conducted, Pearson’s correlation
coefficients between the subscales of the QOL-CS and the subscales of the SF-36 were calculated. There were moderate correlations
between associated subscales including QOL-CS physical to SF-36 bodily pain (r = 0.45) and vitality (r = 0.52), QOL-CS psychological to SF-36 mental health (r = 0.55), QOL-CS social to SF-36 general health perception (r = 0.31) and mental health (r = 0.47), and QOL-CS total to each subscale of SF-36 (r = 0.25–0.64). Findings demonstrated that the QOL-CS-J adequately measured the QOL in long-term NSCLC survivors. 相似文献
5.
Iron deficiency, general health and fatigue: Results from the Australian Longitudinal Study on Women's Health 总被引:3,自引:0,他引:3
Amanda J. Patterson Wendy J. Brown Jennifer R. Powers David C.K. Roberts 《Quality of life research》2000,9(5):491-497
Associations between self-reported ‘low iron’, general health and well-being, vitality and tiredness in women, were examined
using physical (PCS) and mental (MCS) component summary and vitality (VT) scores from the MOS short-form survey (SF-36). 14,762
young (18–23 years) and 14,072 mid-age (45–50 years) women, randomly selected from the national health insurance commission
(Medicare) database, completed a baseline mailed self-report questionnaire and 12,328 mid-age women completed a follow-up
questionnaire 2 years later. Young and mid-age women who reported (ever) having had ‘low iron’ reported significantly lower
mean PCS, MCS and VT scores, and greater prevalence of ‘constant tiredness’ at baseline than women with no history of iron
deficiency [Differences: young PCS = −2.2, MCS = −4.8, VT = −8.7; constant tiredness: 67% vs. 45%; mid-age PCS = −1.4, MCS
= −3.1, VT = −5.9; constant tiredness: 63% vs. 48%]. After adjusting for number of children, chronic conditions, symptoms
and socio-demographic variables, mean PCS, MCS and VT scores for mid-age women at follow-up were significantly lower for women
who reported recent iron deficiency (in the last 2 years) than for women who reported past iron deficiency or no history of
iron deficiency [Means: PCS – recent = 46.6, past = 47.8, never = 47.7; MCS – recent = 45.4, past = 46.9, never = 47.4; VT
– recent = 54.8, past = 57.6, never = 58.6]. The adjusted mean change in PCS, MCS and VT scores between baseline and follow-up
were also significantly lower among mid-age women who reported iron deficiency only in the last 2 years (i.e. recent iron
deficiency) [Mean change: PCS = −3.2; MCS = −2.1; VT = −4.2]. The results suggest that iron deficiency is associated with
decreased general health and well-being and increased fatigue.
This revised version was published online in June 2006 with corrections to the Cover Date. 相似文献
6.
van der Mei SF Kuiper D Groothoff JW van den Heuvel WJ van Son WJ Brouwer S 《Journal of occupational rehabilitation》2011,21(3):325-334
Introduction The aim of this study was to examine the health- and work outcomes of renal transplant recipients long-term after transplantation
as well as the pattern of work status, work ability and disability benefits during the end-stage renal disease (ESRD) trajectory
that precedes transplantation. Methods 34 transplant recipients completed interviews 3, 13 months and >6 years posttransplantation. Health status (SF-36), work
ability (WAI), and fatigue (CIS) were assessed by questionnaires, clinical data were derived from medical charts, and data
on functional limitations were extracted from the social security system database. The work status trajectory preceding transplantation
was examined retrospectively. Results Of the 34 third wave transplant recipients, 29% were severely fatigued. Compared with the general working population, recipients
experienced worse general health and less vitality. Non-working recipients had worse renal function and general health, and
more limitations in physical functioning compared to working recipients. The WAI score indicated moderate work ability for
60% of the employed recipients. Although 67% were employed (45% parttime), 30% of those working still received some disability
benefits. Social insurance physicians found variable levels of functional limitations. The mean work status trajectory showed
more sickness absence and less work ability during dialysis, but after transplantation, both work status and work ability
generally improved. Conclusions Transplant recipients have a compromised health status which leads to functional limitations and disability. Although work
status improved after transplantation, a substantial number of the transplant recipients received disability benefits. The
negative health consequences of anti-rejection medications may play an important role in long-term work ability. These results
indicate that a ‘new’ kidney has advantages over dialysis with respect to work, but does not necessarily leads to ‘normal’
work outcomes. 相似文献
7.
Nancy C. Cheak-Zamora Kathleen W. Wyrwich Timothy D. McBride 《Quality of life research》2009,18(6):727-735
Objective Evaluate the reliability and validity of the Medical Outcomes Study Short-Form version 2 (SF-12v2) in the 2003–2004 Medical
Expenditure Panel Survey (MEPS).
Research design Data were collected in the self-administered mail-out questionnaire and face-to-face interviews of the MEPS (n = 20,661). Internal consistency and test–retest reliability and construct, discriminate, predictive and concurrent validity
were tested. The EQ-5D, perceived health and mental health questions were used to test construct and discriminate validity.
Self-reported work, physical and cognitive limits tested predictive validity and number of chronic conditions assessed concurrent
validity.
Results Both Mental Component Summary Scores (MCS) and Physical Component Summary Scores (PCS) were shown to have high internal consistency
reliability (α > .80). PCS showed high test–retest reliability (ICC = .78) while MCS demonstrated moderate reliability (ICC = .60).
PCS had high convergent validity for EQ-5D items (except self-care) and physical health status (r > .56). MCS demonstrated moderate convergent validity on EQ-5D and mental health items (r > .38). PCS distinguish between groups with different physical and work limitations. Similarly, MCS distinguished between
groups with and without cognitive limitations. The MCS and PCS showed perfect dose response when variations in scores were
examined by participant’s chronic condition status.
Conclusions Both component scores showed adequate reliability and validity with the 2003–2004 MEPS and should be suitable for use in a
variety of proposes within this database. 相似文献
8.
Siu Pui Lam Eva Tsui Kin Sang Chan Cindy LK Lam Ho Pui So 《Quality of life research》2006,15(2):217-231
Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to
establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool
for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who
joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom
and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation
coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for
FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference
in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with
6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales
correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19
to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component
summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change.
In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as
a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a
longitudinal follow up. 相似文献
9.
Terwee CB van der Slikke RM van Lummel RC Benink RJ Meijers WG de Vet HC 《Journal of clinical epidemiology》2006,59(7):724-731
BACKGROUND AND OBJECTIVES: To test the hypothesis that self-reported physical functioning is more influenced by pain than performance-based physical functioning. METHODS: 163 knee-osteoarthritis patients completed the performance-based DynaPort KneeTest (DPKT), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and SF-36 (self-report measures of pain and physical functioning) before, 3, 6, and 12 months after knee replacement. RESULTS: Correlations between (two) self-reported measures of functioning and (two) pain measures were higher (0.57-0.74) than correlations between the performance-based measure of functioning and the two pain measures (0.20 and 0.26). In factor analysis, WOMAC and SF-36 pain and physical functioning subscores loaded on the first factor (eigenvalue 3.2), while DPKT KneeScore2 loaded on the second factor (eigenvalue 0.92). Before surgery, correlations between performance-based and self-reported physical functioning were higher in patients with less pain (0.43) compared to patients with more pain (0.17), for the WOMAC (as expected), but not for the SF-36. After surgery, when the pain had diminished, the correlations between performance-based and self-reported physical functioning were higher, especially for the WOMAC. CONCLUSIONS: Our hypothesis was convincingly supported by the results of the WOMAC, and somewhat less by the results of the SF-36. We consider this as evidence for a lack of content validity of the WOMAC. 相似文献
10.
Objectives: The relationship between functional self-efficacy and Functional Capacity Evaluation (FCE) lift performance was examined
in workers’ compensation claimants’ with low back pain. Methods: A cross-sectional design was used. Forty-two claimants with back pain and 38 subjects without back pain were enrolled. Subjects
completed a measure of functional self-efficacy related specifically to lifting. Subjects also underwent FCE floor-to-waist,
waist-to-overhead and horizontal lift testing. Potential confounders were also assessed including perceived disability, pain
intensity, and self-rated health. Analysis included Pearson correlation and multivariable linear regression. Results: Higher functional self-efficacy beliefs were highly associated with better FCE performance on each of the lift items tested
(r = 0.50–0.73). In multivariable analysis, the measure of functional self-efficacy remained independently associated with lift
performance after controlling for potential confounders. Conclusion: Functional self-efficacy beliefs appear to influence FCE lift performance. Strategies for altering functional self-efficacy
beliefs and their resulting impact on patient functional performance and outcomes should be examined. 相似文献
11.
Two instruments, the Health Assessment Questionnaire (HAQ) and the Short Form-36 (SF-36), were used to document both the immediate and short-term effects of workplace injuries in municipal workers. Telephone interviews were conducted up to 3 months following the injury. One hundred fourteen subjects agreed to participate in the study; 90 workers completed at least one useable interview. The relationship between functional limitation and lost days was evaluated using Cox proportional hazards models. At 3 months following the onset of injury, SF-36 scores for physical function, role-physical, and bodily pain differed significantly from population norms. Using one standard deviation of change, statistically significant hazard ratios were seen in subjects with lower SF-36 physical component summary, physical function, and bodily pain scores, and higher HAQ disability and fatigue scores. Functional limitations persisted in workers after relatively minor workplace injuries despite a 91% return to work rate. 相似文献
12.
Yi-Chun Chen Wei-Chu Chie Shu-Chen Kuo Yu-Hsuan Lin Shio-Jean Lin Pau-Chung Chen 《Quality of life research》2007,16(8):1281-1288
Background This study compared the health-related quality of life (HRQOL) of mothers using different infant feeding methods.
Methods We used the Medical Outcomes Study 36-item Short-Form (SF-36) to measure the HRQOL of 1,747 mothers and used the scores to
look for associations with infant feeding methods (not breastfeeding, breastfeeding for <1 month, breastfeeding 1–5 months,
and still breastfeeding at the 6th month). The mothers were chosen via a stratified sampling from the Taiwan national birth
registration data between November and December 2003.
Results HRQOL and breastfeeding duration were positively associated. Of the eight unadjusted domain scores of the SF-36, general health
perception and mental health were significantly different among these four different infant feeding groups (P < 0.05). After controlling for potential confounding factors, mothers who breastfed for 6 months or longer had a higher HRQOL
score than the other mothers. In addition, their physical functioning, general health perception and mental health scores
were higher than those of mothers who did not breastfeed (P < 0.05). Mother’s family income and parity and child’s health status were also associated with mother’s quality of life.
Conclusions Compared to the other mothers, mothers who breastfed for six moths or longer had better HRQOL. However, the limitation that
this study was cross-sectional in design should be considered and further studies are needed. 相似文献
13.
Problems with the performance of the SF-36 among people with type 2 diabetes in general practice 总被引:2,自引:0,他引:2
Woodcock Alison J. Julious Steven A. Kinmonth Ann Louise Campbell Michael J. 《Quality of life research》2001,10(8):661-670
Objective: To validate the short form-36 (SF-36) among people with type 2 diabetes in general practice, and to make comparisons with
the Audit of Diabetis Dependent Quality of Life (ADDQoL). Design: Postal survey with one reminder. Setting: Four general practices. Patients: One hundred and eighty-four eligible patients (30–70 years) with type 2 diabetes on 14 general practitioner lists. Measures: SF-36 response rates, distribution of dimension scores and internal consistency. Median scores in relation to sociodemography
and self-reported health. Comparisons with ADDQoL scores. Results: One hundred and thirty-one patients responded (71%). Distributions of SF-36 dimension scores were mostly skewed. Internal
consistency and construct validity were acceptable, with predictable sociodemographic trends. People with illness related
to or unrelated to diabetes scored significantly lower on most dimensions. SF-36 dimension scores correlated best with relevant
diabetes-specific ADDQoL scores amongst respondents reporting no comorbidity. Conclusions: Although valid and reliable, SF-36 scores are strongly affected by non-diabetic comorbidity in type 2 diabetes, supporting
the complementary use of a diabetes-specific measure, providing information about the impact of diabetes specifically.
This revised version was published online in June 2006 with corrections to the Cover Date. 相似文献
14.
H. E. Syddall H. J. Martin R. H. Harwood C. Cooper A. Aihie Sayer 《The journal of nutrition, health & aging》2009,13(1):57-62
Background Mobility disability is a major problem in older people. Numerous scales exist for the measurement of disability but often
these do not permit comparisons between study groups. The physical functioning (PF) domain of the established and widely used
Short Form-36 (SF-36) questionnaire asks about limitations on ten mobility activities.
Objectives To describe prevalence of mobility disability in an elderly population, investigate the validity of the SF-36 PF score as
a measure of mobility disability, and to establish age and sex specific norms for the PF score.
Methods We explored relationships between the SF-36 PF score and objectively measured physical performance variables among 349 men
and 280 women, 59–72 years of age, who participated in the Hertfordshire Cohort Study (HCS). Normative data were derived from
the Health Survey for England (HSE) 1996.
Results 32% of men and 46% of women had at least some limitation in PF scale items. Poor SF-36 PF scores (lowest fifth of the gender-specific
distribution) were related to: lower grip strength; longer timed-up-and-go, 3m walk, and chair rises test times in men and
women; and lower quadriceps peak torque in women but not men. HSE normative data showed that median PF scores declined with
increasing age in men and women.
Conclusion Our results are consistent with the SF-36 PF score being a valid measure of mobility disability in epidemiological studies.
This approach might be a first step towards enabling simple comparisons of prevalence of mobility disability between different
studies of older people. The SF-36 PF score could usefully complement existing detailed schemes for classification of disability
and it now requires validation against them. 相似文献
15.
Nan Luo Boon-Kheng Seng Julian Thumboo David Feeny Shu-Chuen Li 《Quality of life research》2006,15(5):889-898
This study assessed the construct validity of the Health Utilities Index Mark 3 (HUI3) in patients with schizophrenia. Patients
with schizophrenia recruited from a tertiary mental hospital in Singapore completed the HUI3, the Short-Form 36 Health Survey
(SF-36) and the Schizophrenia Quality of Life Scale (SQLS). Patients were assessed for presence and absence of 22 common psychiatric
symptoms. Construct validity was assessed using 6 a priori hypotheses. Two hundred and two patients (mean age: 37.8 years, female: 52%) completed the survey. As hypothesized, overall
HUI3 utility scores were correlated with SF-36 measures (Spearman’s rho: 0.19 to 0.51), SQLS scales (Spearman’s rho: −0.56
to −0.36), and the number of psychiatric symptoms (Spearman’s rho: −0.49). The HUI3 emotion attribute was moderately correlated
with SF-36 mental health (Spearman’s rho: 0.45) and SQLS psychosocial scales (Spearman’s rho: −0.43), and HUI3 pain attribute
was strongly correlated with SF-36 bodily pain scale (Spearman’s rho: 0.58). The mean HUI3 overall, emotion, cognition, and
speech scores for patients with schizophrenia were 0.07, 0.09, 0.04 and 0.04 points lower than respective age-, sex- and ethnicity-adjusted
population norms (p<0.001 for all, ANCOVA). This study provides evidence for the construct validity of the HUI3 in patients with schizophrenia. 相似文献
16.
Wen-wei Huang Fu-sheng Zhou Donald M. Bushnell Chiaka Diakite Xiao-huan Yang 《Quality of life research》2007,16(6):991-996
Background
Irritable bowel syndrome (IBS) is a chronic and episodic illness characterized by altered bowel habits and associated abdominal
pain. At present, IBS is one of the most common functional gastrointestinal and motility disorders affecting countries around
the world. Surveys have found that patients with IBS have a significantly lower health-related quality of life.
Objectives
The aim of this study was to translate and examine the validity of the Irritable Bowel Syndrome–Quality of Life questionnaire
(IBS–QOL) in patients suffering from IBS in China.
Methods
A structured procedure was used for the translation and cultural adaptation of the original English IBS–QOL into Chinese.
The questionnaire was administered to 73 clinical patients with IBS and␣70 healthy individuals. Psychometric testing for reliability,
validity and responsiveness followed standardized procedures. Test–retest reliability (10–20 hours) was assessed using the
clinical patients. Follow-up (4 weeks) was collected for 61 clinical patients. All enrolled patients also completed the Short
Form-36 Health Survey (SF-36) at the baseline visit. Responsiveness to treatment (Venlafaxine and traditional Chinese herbal
medicine) was assessed by one-way ANOVA methods.
Results
The average length of time required to complete the questionnaire was short (5.63 min for IBS patients and 5.54 min for healthy
subjects by self-administration). Internal consistency (Cronbach’s alpha) values ranged from 0.722 to 0.914 for the Chinese
IBS–QOL subscales and test–retest reliability coefficients were higher than 0.920 on all subscales. The convergent and discriminate
validity results comparing the Chinese translation of the IBS–QOL overall score and the SF-36 subscales confirmed our predicted
hypotheses. The Chinese IBS–QOL scores are more highly correlated with social functioning, vitality and general health (SF-36)
and show weaker associations with physical functioning, role physical, mental health, and bodily pain (SF-36). The Chinese
translation of the IBS–QOL was responsive to treatment.
Conclusion
In general, the Chinese translation of the IBS–QOL, after cultural adaptation and revision, possesses good reliability, validity
and responsiveness. It is a reliable and valid instrument to assess the quality of life in Chinese patients suffering from
IBS and is an appropriate measure to use in further clinical trials or for related research projects in China. 相似文献
17.
Background: The SF-36 and WHOQOL-BREF are available for international use, but it is not clear if they measure the same constructs. We
compared the psychometric properties and factor structures of these two instruments. Methods: Data were collected from a national representative sample (n=11,440) in the 2001 Taiwan National Health Interview Survey,
which included Taiwan versions of the SF-36 and WHOQOL-BREF. We used Cronbach’s alpha coefficient to estimate scale reliability.
We conducted exploratory factor analysis to determine factor structure of the scales, and applied multitrait analysis to evaluate
convergent and discriminant validity. We used standardized effect size to compare known-groups validity for health-related
variables (including chronic conditions and health care utilization) and self-reported overall quality of life. Structural
equation modeling was used to analyze relationships among the two SF-36 component scales (PCS and MCS) and the four WHOQOL
subscales (physical, psychological, social relations, and environmental). Results: Cronbach’s alpha coefficients were acceptable (⩾0.7) for all subscales of both instruments. The factor analysis yielded two
unique factors: one for the 8 SF-36 subscales and a second for the 4 WHOQOL subscales. Pearson correlations were weak (<0.3)
among subscales of both instruments. Correlations for subscales hypothesized to measure similar constructs differed little
from those measuring heterogeneous subscales. Effect sizes suggested greater discrimination by the SF-36 for health status
and services utilization known groups, but greater discrimination by the WHOQOL for QOL-defined groups. Structural equation
modeling suggested that the SF-36 PCS and MCS were weakly associated with WHOQOL. Conclusions: In this Taiwan population sample, the SF-36 and WHOQOL-BREF appear to measure different constructs: the SF-36 measures health-related
QOL, while the WHOQOL-BREF measures global QOL. Clinicians and researchers should carefully define their research questions
related to patient-reported outcomes before selecting which instrument to use.
* Presented in part at (1) 11th Annual Conference of the International Society for Quality of Life Research. Hong Kong, China,
2004. (2) 2004 Quality of Life Symposium – Conceptualization and Measurement issues in QOL. Tai-Chuan, Taiwan, 2004 相似文献
18.
Ivan A. Steenstra Selahadin A. Ibrahim Renée-Louise Franche Sheilah Hogg-Johnson William S. Shaw Glenn S. Pransky 《Journal of occupational rehabilitation》2010,20(3):394-405
Background Low back pain (LBP) is a common and in some cases disabling condition. Until recently, workers presenting with non-specific
LBP have generally been regarded as a homogeneous population. If this population is not homogeneous, different interventions
might be appropriate for different subgroups. We hypothesized that (1) Clusters of individuals could be identified based on
risk factors, (2) These clusters would predict duration and recurrences 6 months post-injury. Methods The study focuses on the 442 LBP claimants in the Readiness for Return-to-Work Cohort Study. Claimants (n = 259) who had already returned to work, approximately 1 month post-injury were categorized as the low risk group. A latent
class analysis was performed on 183 workers absent from work, categorized as the high risk group. Groups were classified based
on: pain, disability, fear avoidance beliefs, physical demands, people-oriented culture and disability management practice
at the workplace, and depressive symptoms. Results Three classes were identified; (1) workers with ‘workplace issues’, (2) workers with a ‘no workplace issues, but back pain’,
and (3) workers having ‘multiple issues’ (the most negative values on every scale, notably depressive symptoms). Classes 2
and 3 had a similar rate of return to work, both worse than the rate of class 1. Return-to-work status and recurrences at
6 months were similar in all 3 groups. Conclusion This study largely confirms that several subgroups could be identified based on previously defined risk factors as suggested
by an earlier theoretical model by Shaw et al. (J Occup Rehab 16(4):591–605, 2006). Different groups of workers might be identified
and might benefit from different interventions. 相似文献
19.
Interpreting SF&-36 summary health measures: A response 总被引:5,自引:0,他引:5
In response to questions raised about the “accuracy” of SF-36 physical (PCS) and mental (MCS) component summary scores, particularly
extremely high and low scores, we briefly comment on: how they were developed, how they are scored, the factor content of
the eight SF-36 subscales, cross-tabulations between item-level responses and extreme summary scores, and published and new
tests of their empirical validity.
Published cross-tabulations between SF-36 items and PCS and MCS scores, reanalyses of public datasets (N = 5919), and preliminary
results from the Medicare Health Outcomes Survey (HOS) (N = 172,314) yielded little or no evidence in support of Taft's hypothesis
that extreme scores are an invalid artifact of some negative scoring weights. For example, in the HOS, those (N = 432) with
“unexpected” PCS scores worse than 20 (which, according to Taft, indicate better mental health rather than worse physical health) were about 25% more likely to die within two years, in comparison with those scoring in the next highest
(21– 30)␣category. In this test and in all other empirical tests, results of predictions supported the validity of extreme
PCS and MCS scores.
We recommend against the interpretation of average differences smaller than one point in studies that seek to detect “false”
measurement and we again repeat our 7-year-old recommendation that results based on summary measures should be thoroughly
compared with the SF-36 profile before drawing conclusions. To facilitate such comparisons, scoring utilities and user-friendly
graphs for SF-36 profiles and physical and mental summary scores (both orthogonal and oblique scoring algorithms) have been
made available on the Internet at www.sf-36.com/test.
This revised version was published online in June 2006 with corrections to the Cover Date. 相似文献
20.
Daghio MM Fattori G Ciardullo AV 《Advances in health sciences education : theory and practice》2006,11(2):123-132
Objectives: We compared two non-alternative methods to assess the readability and learning of easy-to-read educational health materials
co-written by physicians, educators and citizens. Methods: Data from seven easy-to-read materials were analyzed. Readability formulae, and ad hoc data on readability and learning were
also computed. Results: The respondents had a mean age of 48.5 ± 8.3 (SD) years (range 31–57 years). More than two thirds of them were females. About
half of the participants had a ‘secondary’ education or more. According to the readability scores – 54 on average – the booklets
resulted to be “easy” for a reader who had received a ‘secondary education’ or more. Of the 747 participants, 70% of them
found the booklet’s language to be ‘easy’ or ‘very easy’ and 28% ‘sufficiently easy’ for laypersons to understand. About 98%
of the readers found the booklets useful. After reading the booklet 92% (simple knowledge rate) of the readers answered the cognitive items correctly. The after-minus-before net increase in knowledge was 24 ± 16% and
ranged from 8 to 40% (cognitive or knowledge delta). Conclusions: The availability of readability scores is complementary and it does not replace the need to assess readability and learning
by means of structured and tailored questionnaires. 相似文献