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

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Titre :	Testing the measurement properties of the Short Form-36 Health Survey in a frail elderly population. (1998)
Auteurs :	K. STADNYK ; J. CALDER ; K. ROCKWOOD ; Division of Geriatric Medicine. Dalhousie University. Halifax. NS. CAN
Type de document :	Article
Dans :	Journal of clinical epidemiology (vol. 51, n° 10, 1998)
Pagination :	827-835
Langues:	Anglais
Mots-clés :	Etat santé ; Qualité vie ; Indicateur ; Echelle santé ; Indicateur santé [épidémiologie] ; Epidémiologie ; Méthodologie ; Homme ; Canada ; Amérique ; Amérique du Nord ; Santé physique
Résumé :	[BDSP. Notice produite par INIST iR0xRMoF. Diffusion soumise à autorisation]. 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.