Norms and Performance Comparisons for 5 Health indexes

5项健康指标的规范和绩效比较

• 批准号: 6764796
• 负责人: DENNIS G. FRYBACK
• 金额: $ 167.14万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6764796
• 关键词: health surveys; psychological aspect of aging; psychometrics; quality of life

DESCRIPTION (provided by applicant): We propose a Program of Projects to advance the applied science of evaluating health-related quality of life (HRQOL) in older U.S. adults. We simultaneously use four widely-used generic HRQOL instruments, the SF-36v2, EuroQol EQ-5D, Quality of Well-being scale (QWB-SA), and Health Utilities Index (HUI2/3). Additionally we use the HALex from the National Center for Health Statistics. Project 1 uses a telephone survey to interview a cross-sectional sample of 2800 non-institutionalized adult U.S. residents aged 35-89. Persons aged 65 and older will be over-sampled to provide higher precision in older ages. African Americans are over-sampled for the first national survey of substantial size (n=1000) of this important sub-population. Project 1 data will be used to construct gender- and age-specific national reference averages for HRQOL among older adults on all measures. Project 2 will use all four measures to follow treatment and 6 month recovery of patients with three age-related diseases stressing different aspects of HRQOL newly referred congestive heart failure, hip replacement for osteoarthritis, and cataract extraction. This project will establish characteristics of the measures for longitudinal follow-up of patients with self-administered questionnaires. Project 3 examines how duration of a health condition affects HRQOL assessments and how this affects interpretation of HRQOL scores from standardized indexes. This is particularly important in the elderly as medical care increasingly prolongs life with chronic conditions. Project 4 determines survey mode effects (telephone versus self-administration) for all instruments as well as English versus Spanish language administration for persons who are usually Spanish speakers. The Program will enhance health researchers' ability to measure, follow, and interpret HRQOL in adults and to assess health disparities.

描述（由申请人提供）：我们提出了一个项目计划，以推进评估美国老年人健康相关生活质量 (HRQOL) 的应用科学。我们同时使用四种广泛使用的通用 HRQOL 工具：SF-36v2、EuroQol EQ-5D、幸福质量量表 (QWB-SA) 和健康公用事业指数 (HUI2/3)。此外，我们还使用国家卫生统计中心的 HALex。项目 1 采用电话调查的方式对 2800 名 35-89 岁的非机构化美国成年居民进行横断面抽样调查。将对 65 岁及以上的人进行过度采样，以提供更高年龄的精确度。在首次对非裔美国人这一重要亚群进行大规模（n=1000）全国调查时，对非裔美国人进行了过度抽样。项目 1 的数据将用于构建针对所有指标的老年人 HRQOL 的特定性别和年龄的国家参考平均值。项目 2 将使用所有四项措施来跟踪患有三种年龄相关疾病的患者的治疗和 6 个月康复情况，重点关注 HRQOL 的不同方面，即新提及的充血性心力衰竭、骨关节炎髋关节置换术和白内障摘除术。该项目将通过自填问卷确定患者纵向随访措施的特点。项目 3 研究健康状况的持续时间如何影响 HRQOL 评估，以及这如何影响标准化指数对 HRQOL 分数的解释。这对于老年人来说尤其重要，因为医疗护理越来越能延长慢性病患者的生命。项目 4 确定了所有工具的调查模式效果（电话与自我管理）以及对于通常说西班牙语的人的英语与西班牙语管理。该计划将提高健康研究人员测量、跟踪和解释成人 HRQOL 以及评估健康差异的能力。