Measuring and monitoring general health status in elderly persons: practical and methodological issues in using the SF-36 Health Survey.

In the last eight years, there has been a notable increase in the number of gerontological studies that use traditional measures of functional status in tandem with generic health status measures. This article describes practical and methodological issues in using generic measures of health status with elderly persons. One of the generic instruments used to illustrate these issues is the SF-36 Health Survey. Selection of generic measures for use in gerontological research or cross-age life-course studies involves choosing the right horse for the right course, and multiple considerations must be weighed. Of equal importance to practical and psychometric considerations is the correspondence between the conceptual framework of the investigation and the conceptualization of health embodied in candidate measurement tools.

[1]  Duane F. Alwin,et al.  Problems in the estimation and interpretation of the reliability of survey data , 1989 .

[2]  D B Reuben,et al.  An Objective Measure of Physical Function of Elderly Outpatients , 1990, Journal of the American Geriatrics Society.

[3]  D. Killer,et al.  Measurement of outcomes of general practice: comparison of three health status measures. , 1987, Family practice.

[4]  J. Morris,et al.  The SF-36 health survey questionnaire: is it suitable for use with older adults? , 1995, Age and ageing.

[5]  L. Chambers,et al.  The development and application of indices of health: general methods and a summary of results. , 1977, American journal of public health.

[6]  B. O'brien,et al.  Willingness to Pay , 1994, Medical decision making : an international journal of the Society for Medical Decision Making.

[7]  J. E. Brazier,et al.  Validating the SF-36 health survey questionnaire: new outcome measure for primary care. , 1992, BMJ.

[8]  R. Dixon,et al.  Measurement properties of the Center for Epidemiological Studies Depression Scale (CES-D) in older populations. , 1990 .

[9]  Edward B. Perrin,et al.  The Medical Outcomes Study. An application of methods for monitoring the results of medical care , 1989 .

[10]  J. Mccallum.  The SF-36 in an Australian sample: validating a new, generic health status measure. , 2010, Australian journal of public health.

[11]  E. Wagner,et al.  The Duke-UNC Health Profile: An Adult Health Status Instrument for Primary Care , 1981, Medical care.

[12]  Anastasia E. Raczek,et al.  The validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts. Results from the Medical Outcomes Study. , 1992, Medical care.

[13]  R. Kleinpell,et al.  Assessing the quality of life of elderly persons. , 1990, Seminars in oncology nursing.

[14]  P. F. Adams,et al.  Current estimates from the National Health Interview Survey, 1994. , 1995, Vital and health statistics. Series 10, Data from the National Health Survey.

[15]  C. Tse,et al.  The Duke Health Profile: A 17-ltem Measure of Health and Dysfunction , 1990, Medical care.

[16]  W. Broadhead,et al.  Patient acceptance of two health status measures: the Medical Outcomes Study Short-form General Health Survey and the Duke Health Profile. , 1993, Family medicine.

[17]  J. Mcewen,et al.  The development of a subjective health indicator. , 1980, Sociology of health & illness.

[18]  P S Kurtin,et al.  Patient-based health status measures in outpatient dialysis. Early experiences in developing an outcomes assessment program. , 1992, Medical care.

[19]  R. Chang,et al.  The GERI-AIMS. Reliability and validity of the arthritis impact measurement scales adapted for elderly respondents. , 1991, Arthritis and rheumatism.

[20]  A. Johansen.  Measuring Patients' views of their health: SF 36 may reinforce ageism , 1993 .

[21]  A. Damiano,et al.  Extended coverage for preventive services for the elderly: response and results in a demonstration population. , 1995, American journal of public health.

[22]  C. Sherbourne,et al.  Quality of self-report data: a comparison of older and younger chronically ill patients. , 1992, Journal of gerontology.

[23]  C. Sherbourne,et al.  The MOS 36-Item Short-Form Health Survey (SF-36) , 1992 .

[24]  L. Cronbach.  Test “reliability”: Its meaning and determination , 1947, Psychometrika.

[25]  Jersey Liang,et al.  Structural integration of the Affect Balance Scale and the Life Satisfaction Index A: race, sex, and age differences. , 1988, Psychology and aging.

[26]  D L Patrick,et al.  Toward an operational definition of health. , 1973, Journal of health and social behavior.

[27]  M. Abdalla,et al.  The SF36 health survey questionnaire: an outcome measure suitable for routine use within the NHS? , 1993, BMJ.

[28]  C. McHorney,et al.  Comparisons of the Costs and Quality of Norms for the SF-36 Health Survey Collected by Mail Versus Telephone Interview: Results From a National Survey , 1994, Medical care.

[29]  N. Kutner,et al.  Older Adults' Perceptions of their Health and Functioning in Relation to Sleep Disturbance, Falling, and Urinary Incontinence , 1994, Journal of the American Geriatrics Society.

[30]  S A Walmsley,et al.  Reading abilities of elderly persons in relation to the difficulty of essential documents. , 1982, The Gerontologist.

[31]  D. Nerenz,et al.  Ongoing assessment of health status in patients with diabetes mellitus. , 1992, Medical care.

[32]  A. Stewart,et al.  The MOS short-form general health survey. Reliability and validity in a patient population. , 1988, Medical care.

[33]  N. Duan,et al.  Health Status and Function With Zidovudine or Zalcitabine as Initial Therapy for AIDS: A Randomized Controlled Trial , 1995 .

[34]  R. Hays,et al.  Measuring Physical Function in Community‐Dwelling Older Persons: A Comparison of Self‐Administered, Interviewer‐Administered, and Performance‐Based Measures , 1995, Journal of the American Geriatrics Society.

[35]  J R Morris,et al.  The Sickness Impact Profile: Conceptual Formulation and Methodology for the Development of a Health Status Measure , 1976, International journal of health services : planning, administration, evaluation.

[36]  A. Stewart,et al.  Measuring Functioning and Well-Being: The Medical Outcomes Study Approach , 1992 .

[37]  What's the next step for outcomes assessment? , 1990, The Internist.

[38]  I. McDowell,et al.  Measuring health: A guide to rating scales and questionnaires, 3rd ed. , 2006 .

[39]  R. Mahurin,et al.  Structured assessment of independent living skills: preliminary report of a performance measure of functional abilities in dementia. , 1991, Journal of gerontology.

[40]  P. Marquis,et al.  A 'quality of life questionnaire' adapted to duodenal ulcer therapeutic trials. , 1994, Scandinavian journal of gastroenterology. Supplement.

[41]  F. Wolinsky,et al.  The Effect of Gender and Race on the Measurement Properties of the CES‐D in Older Adults , 1994, Medical care.

[42]  F. D. Wolinsky,et al.  A measurement model of the Medical Outcomes Study 36-Item Short-Form Health Survey in a clinical sample of disadvantaged, older, black, and white men and women. , 1996, Medical care.

[43]  K. N. Williams,et al.  Overview of adult health measures fielded in Rand's health insurance study. , 1979, Medical care.

[44]  J. Siemiatycki.  A comparison of mail, telephone, and home interview strategies for household health surveys. , 1979, American journal of public health.

[45]  Irwin S. Kirsch,et al.  Adult literacy in America , 1993 .

[46]  T. Suurmeijer,et al.  The development of a hierarchical polychotomous ADL-IADL scale for noninstitutionalized elders. , 1990, The Gerontologist.

[47]  Nina S. Parikh,et al.  Inadequate functional health literacy among patients at two public hospitals. , 1995, JAMA.

[48]  N. Lurie,et al.  Measuring Health Changes Among Severely III Patients: The Floor Phenomenon , 1990, Medical care.

[49]  C. Sherbourne,et al.  The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. , 1994 .

[50]  S. Kasl,et al.  Self-evaluated health and mortality among the elderly in New Haven, Connecticut, and Iowa and Washington counties, Iowa, 1982-1986. , 1990, American journal of epidemiology.

[51]  A. Khaghani,et al.  Cardiac transplantation in the seventh decade of life. , 1989, The American journal of cardiology.

[52]  Arnold M. Epstein,et al.  Older Patients' Health Status and Satisfaction With Medical Care in an HMO Population , 1990, Medical care.

[53]  A. Jette,et al.  Health Status Assessment for Elderly Patients , 1989, Journal of the American Geriatrics Society.

[54]  R. Hays,et al.  Measuring functioning and health in the very old. , 1993, Journal of gerontology.

[55]  S. Crawford,et al.  A comparison of anlaytic methods for non-random missingness of outcome data. , 1995, Journal of clinical epidemiology.

[56]  R. Lyons,et al.  Evidence for the validity of the Short-form 36 Questionnaire (SF-36) in an elderly population. , 1994, Age and ageing.

[57]  Willard L. Rodgers,et al.  INTERVIEWING OLDER ADULTS MODE COMPARISON USING DATA FROM A FACE-TO-FACE SURVEY AND A TELEPHONE RESURVEY , 1988 .

[58]  T. Raghunathan,et al.  Including deaths when measuring health status over time. , 1995, Medical care.

[59]  D. Battistutta,et al.  A comparison of costs and data quality of three health survey methods: mail, telephone and personal home interview. , 1986, American journal of epidemiology.

[60]  E. Moskowitz,et al.  Classification of disability in the chronically ill and aging. , 1957, Journal of chronic diseases.

[61]  L. Rubenstein,et al.  Systematic biases in functional status assessment of elderly adults: effects of different data sources. , 1984, Journal of gerontology.

[62]  P. Kind,et al.  The Nottingham health profile: a useful tool for epidemiologists? , 1987, Social science & medicine.

[63]  C. McHorney,et al.  The MOS 36‐Item Short‐Form Health Survey (SF‐36): II. Psychometric and Clinical Tests of Validity in Measuring Physical and Mental Health Constructs , 1993, Medical care.

[64]  K. Bollen,et al.  Age differences in the structure of the Philadelphia Geriatric Center Morale Scale. , 1986, Psychology and aging.