Testing the measurement properties of the Short Form-36 Health Survey in a frail elderly population

被引:74
作者
Stadnyk, K [1 ]
Calder, J [1 ]
Rockwood, K [1 ]
机构
[1] Dalhousie Univ, Div Geriatr Med, Halifax, NS, Canada
关键词
health status indicators; quality of life; elderly; validity; reliability; responsiveness;
D O I
10.1016/S0895-4356(98)00061-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The Short Form-36 Health Survey (SF-36) is a widely used measure of health-related quality of life, however, its suitability for frail older persons is not well documented. This study examines the measurement properties of the SF-36 in a frail older patient population. Patients consecutively admitted to two geriatric services (n = 146) were administered the SF-36 and comparative measures on admission and discharge. internal consistency (0.75-0.91) and test-retest reliability (0.24-0.80) did not meet standards for clinical application of the tool. Four subscales were moderately correlated with comparative measures (Physical Function 0.53 to -0.76; Bodily Pain -0.61; Vitality -0.58; Mental Health -0.63). The results of effect size, standardized response mean, and relative efficiency statistics were consistent in documenting only minimal change for the SF-36 subscales. The SF-36 appears to be reliable and valid, although its ability to monitor clinical change for frail older patients is questionable. (C) 1998 Elsevier Science Inc.
引用
收藏
页码:827 / 835
页数:9
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