Evaluation of a new short generic measure of health status: howRu
| Autor: | Justin Whatling, Dianna McDonald, Seref Arikan, David Ingram, Steve Sizmur, Tim Benson |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Health Status MEDLINE Dependency Psychological Pain Health Informatics lcsh:Computer applications to medicine. Medical informatics Correlation howRu Disability Evaluation SF-12 Health Information Management Quality of life Cronbach's alpha Residence Characteristics Surveys and Questionnaires health related quality of life medicine Humans outcome assessment Aged Aged 80 and over Measure (data warehouse) business.industry Age Factors Reproducibility of Results Middle Aged humanities Readability Computer Science Applications Distress patient reported outcome measures Physical therapy Quality of Life lcsh:R858-859.7 Female Self Report business Stress Psychological |
| Zdroj: | Europe PubMed Central Journal of Innovation in Health Informatics, Vol 18, Iss 2, Pp 89-101 (2010) Scopus-Elsevier |
| ISSN: | 1476-0320 |
| Popis: | Background Quality of life is paramount for patients and clinicians, but existing measures of health were not developed for routine use. Objectives This paper describes the development and testing of a new generic tool for measuring health related quality of life (HRQoL) with direct comparison to the SF-12 Health Survey. Methods The new tool (howRu) has four items (discomfort, distress, disability and dependence), rated using four levels (none, a little, quite a lot and extreme), providing 256 possible states (44); it has an aggregate scoring scheme with a range from 0 (worst) to 12 (best). Psychometric properties were examined in a telephone survey, which also recorded SF-12. Results The howRu script is shorter than SF-12 (45 words vs 294 words) and has better readability statistics. 2751 subjects, all with long-term conditions (average age 62, female 62.8%), completed the survey; 21.7% were at the ceiling (no reported problems on any dimension); 0.9% at the floor. Inter-item correlations, Cronbach's alpha and principal factor analysis suggest that a single summary score is appropriate. Correlations between the physical and mental components of both howRu and SF-12 were as expected. Across all patients the howRu score was correlated with PCS-12 (r=0.74), MCS-12 (r=0.49) and the sum of PCS- 12 and MCS-12 (r=0.81). Subjects were classified by howRu score, primary condition, the number of conditions suffered, age group, duration of illness and area of residence. Across all six classifications, the correlation of themean howRu score with the mean PCS-12 for each class was r=0.91, with MCS-12, r=0.45 and with the sum of PCS-12 and MCS-12, r=0.97. Conclusions howRu is a new short generic measure of HRQoL, with good psychometric properties. It generates similar aggregate results to SF-12. It could provide a quick and easy way for practitioners to monitor the health of patients with long-term conditions. |
| Databáze: | OpenAIRE |
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