Assessment of the SF-36 version 2 in the United Kingdom

Assessment of the SF-36 version 2 in the United Kingdom
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DOI:
10.1136/jech.53.1.46
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发表时间:
1999-01-01
影响因子:
6.3
通讯作者:
Paice, C
Paice, C
中科院分区:
医学2区
文献类型:
--
作者:
Jenkinson, C;Stewart-Brown, S;Paice, C

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目标-介绍英国SF36版本II(SF36-II),并(A)在大的社区样本中获得英国SF36-II的人口常模,并探索该工具的内部一致性信度和结构效度,以及(B)推导出英国SF36-II的身体成分摘要(PCS)和心理成分摘要(MCS)算法。设计-使用问卷手册进行邮寄调查,其中包含SF-36-II以及有关人口统计学和长期疾病的问题。设置-样本来自北安普敦白金汉郡伯克郡卫生当局持有的全科医生记录样本--随机抽取13 800名年龄在18岁之间的被试--包括-进行问卷调查。结果--测量--UK SF36-II的8个维度的得分,以及PCS和MCS的总分。结果-调查获得了64.4%的应答率(n=8889)。调查问卷不同维度的内部一致性很高。报告了SF-36的标准数据,按年龄、性别和社会阶层进行了细分。八个领域的因素分析产生了一个双因素解决方案,并提供了英国SF36-II的权重。结论--SF36-II领域的信度比之前版本的英国SF36有更高的信度。此外,对措辞和答复类别的改进减少了角色业绩方面的下限和天花板效应的程度。这些进展可能会在纵向研究中带来更高的精确度和更大的响应性。
Objectives-To introduce the UK SF36 Version II (SF36-II), and to (a) gain population norms for the UK SF36-II in a large community sample as well as to explore the instrument's internal consistency reliability and construct validity, and (b) to derive the Physical Component Summary (PCS) and Mental Component Summary (MCS) algorithms for the UK SF36-II.Design-Postal survey using a questionnaire booklet, containing the SF-36-II and questions on demographics and long term illness.Setting-The sample was drawn from General Practitioner Records held by the Health Authorities for Berkshire, Buckinghamshire, Northamptonshire, and Oxfordshire.Sample-The questionnaire was sent to 13 800 randomly selected subjects between the ages of 18-64 inclusive.Outcome measures-Scores for the eight dimensions of the UK SF36-II and the PCS and MCS summary scores.Results-The survey achieved a response rate of 64.4% (n=8889). Internal consistency of the different dimensions of the questionnaire were found to be high. Normative data for the SF-36 are reported, broken down by age and sex, and social class. Factor analysis of the eight domains produced a two factor solution and provided weights for the UK SF36-II.Conclusion-The SF36-II domains were shown to have improved reliability over the previous version of the UK SF36. Furthermore, enhancements to wording and response categories reduces the extent of floor and ceiling effects in the role performance dimensions. These advances are likely to lead to better precision as well as greater responsiveness in longitudinal studies.