ASSESSING HEALTH-RELATED QUALITY-OF-LIFE IN ELDERLY OUTPATIENTS - TELEPHONE VERSUS FACE-TO-FACE ADMINISTRATION

被引:44
作者
WEINBERGER, M
NAGLE, B
HANLON, JT
SAMSA, GP
SCHMADER, K
LANDSMAN, PB
UTTECH, KM
COWPER, PA
COHEN, HJ
FEUSSNER, JR
机构
[1] VET AFFAIRS MED CTR, CTR HLTH SERV RES PRIMARY CARE, DURHAM, NC 27705 USA
[2] VET ADM MED CTR, CTR GERIATR RES EDUC & CLIN, DURHAM, NC 27705 USA
[3] DUKE UNIV, MED CTR, DEPT MED, DIV GEN INTERNAL MED, DURHAM, NC 27710 USA
[4] DUKE UNIV, MED CTR, DEPT MED, DIV GERIATR, DURHAM, NC 27710 USA
[5] DUKE UNIV, MED CTR, CTR STUDY AGING & HUMAN DEV, DURHAM, NC 27710 USA
[6] UNIV N CAROLINA, SCH PHARM, CHAPEL HILL, NC USA
关键词
D O I
10.1111/j.1532-5415.1994.tb06515.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVE: While health-related quality of life (HRQOL) is increasingly being used as an outcome in clinical trials, it is unknown whether HRQOL assessments are influenced by the method of administration. Within the context of a randomized, controlled trial evaluating a pharmacist intervention for elderly outpatients prescribed at least five medications, we compared telephone and face-to-face administration of the SF-36, a widely used HRQOL measure. DESIGN:Survey SETTING: General Medicine Clinic, Veterans Affairs Medical Center PATIENTS: At entry, participants in the randomized trial received continuous care from a general medicine clinic physician, were greater than or equal to 65 years of age, and were prescribed greater than or equal to 5 regularly scheduled medications. Patients were excluded if they were cognitively impaired and had no caregiver available to participate in the study as a proxy or if they resided in a nursing home. MEASUREMENTS: Subjects completed the SF-36 by telephone at closeout and face-to-face at clinic visits within 1 month (mean = 16.7 days). MAIN RESULTS: Telephone administration required significantly less time than face-to-face interviews (10.2 vs 14.0 minutes, P < 0.001). Although systematic differences between modes of administration were generally small, there were substantial nonsystematic discrepancies for all eight SF-36 scales (mean absolute difference scores ranged from 1O.8 to 30.1). Discrepancies were greatest for emotional role functioning, physical role functioning, social functioning, and bodily pain; these four scales also demonstrated low to moderate correlations (.33 to .58). CONCLUSIONS: The two modes of administration may not produce interchangeable results. Researchers should be cautious when mixing modes of administration to elderly patients.
引用
收藏
页码:1295 / 1299
页数:5
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