Norms and Performance Comparisons for 5 Health indexes

描述(由申请者提供)：我们提出了一个项目计划，以促进评估美国老年人健康相关生活质量(HRQOL)的应用科学。我们同时使用了四种广泛使用的通用HRQOL量表，SF-36v2，EuroQol EQ-5D，幸福感质量量表(QWB-SA)和健康效用指数(HUI2/3)。此外，我们使用来自国家卫生统计中心的HALex。项目一采用电话调查的方式，对2,800名35岁的非住院成年美国居民进行了横断面抽样调查--。65岁及以上的人将被过度抽样，以在较年长的人中提供更高的精度。非洲裔美国人在这一重要亚群中的第一次大规模全国调查中被过度抽样(n=1000)。项目1的数据将被用来构建所有衡量标准中老年人的HRQOL的性别和年龄的全国参考平均值。项目2将使用所有四种措施对三种与年龄相关的疾病的患者进行后续治疗和6个月的康复，这些疾病强调新转介的充血性心力衰竭、髋关节置换治疗充血性心力衰竭和白内障摘除的不同方面。本项目将采用自填式问卷对患者进行纵向随访，建立具有特色的措施。项目3考察了健康状况的持续时间如何影响HRQOL评估，以及这如何影响对标准化指数的HRQOL得分的解释。这对老年人尤其重要，因为医疗保健越来越多地延长患有慢性病的人的寿命。项目4确定了所有工具的调查模式影响(电话管理与自我管理)，以及通常讲西班牙语的人的英语管理与西班牙语管理。该计划将提高卫生研究人员测量、跟踪和解释成年人的HRQOL以及评估健康差距的能力。

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.