TY - JOUR
T1 - Performance of health-related quality-of-life instruments in a spinal cord injured population
AU - Andresen, Elena M.
AU - Fouts, Bradley S.
AU - Romeis, James C.
AU - Brownson, Carol A.
N1 - Funding Information:
From the Saint Louis University School of Public Health (Drs. Andresen, Fours, Romeis) and the Program in Occupational Therapy, Washington University School of Medicine (Ms. Brownson), St. Louis, MO. Submitted for publication September 16, 1998. Accepted in revised form February 26, 1999. Supported by the Centers for Disease Control and Prevention through Saint Louis University Prevention Research Center grant U48/CCU710807 (Special Interest Project SIP3-96). Presented in part at the 21st annual meeting of the Society for Epidemiologic Research, June 24-26, 1998, Chicago, and the Tenth National Conference on Disability and Health, October 14-16, 1998, Dallas, TX. No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated. Reprint requests to Elena M. Andresen, PhD, Saint Louis University School of Public Heaith, 3663 Lindell Boulevard, St. Louis, MO 63108. © 1999 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation 0003-9993/99/8008-520353.00/0
PY - 1999/8
Y1 - 1999/8
N2 - Objective: General health-related quality-of-life (HRQoL) surveys have not been well tested in populations with spinal cord injury (SCI). This study evaluated the performance of 5 such instruments. Design: A cross-sectional survey with instruments administered in random order during computer-assisted interviews. Setting: A midwestern US veteran SCI program. Subjects: One hundred eighty-three veterans with SCI ranging in age from 21 to 81yrs (mean = 50.5). Measures: The Behavioral Risk Factor Surveillance System (BRFSS) HRQoL modules, the Quality of Well-Being scale (QWB), the Medical Outcomes Study Short-Form 36 and Short-Form 12 (SF-36, SF-12), and instrumental activities of daily living (IADL). Results: Construct validity was supported by scores from the QWB, IADL, and physical health measures of the BRFSS and SF-36 showing greater impairment for quadriplegia than paraplegia. Similar constructs on the SF-36 and BRFSS were more strongly correlated than between the IADL and QWB; eg, correlation between the SF-36 Vitality scale and the BRFSS 'Days full of energy' question was r = .789 (p < .01), whereas correlation between the IADL and QWB was r= .454 (p < .01). Longer surveys (SF-36, QWB) were rated lower in subject acceptability. Conclusions: These instruments have potential for research use among patients with SCI. More studies are needed to explore the best use of instruments with apparently different domains.
AB - Objective: General health-related quality-of-life (HRQoL) surveys have not been well tested in populations with spinal cord injury (SCI). This study evaluated the performance of 5 such instruments. Design: A cross-sectional survey with instruments administered in random order during computer-assisted interviews. Setting: A midwestern US veteran SCI program. Subjects: One hundred eighty-three veterans with SCI ranging in age from 21 to 81yrs (mean = 50.5). Measures: The Behavioral Risk Factor Surveillance System (BRFSS) HRQoL modules, the Quality of Well-Being scale (QWB), the Medical Outcomes Study Short-Form 36 and Short-Form 12 (SF-36, SF-12), and instrumental activities of daily living (IADL). Results: Construct validity was supported by scores from the QWB, IADL, and physical health measures of the BRFSS and SF-36 showing greater impairment for quadriplegia than paraplegia. Similar constructs on the SF-36 and BRFSS were more strongly correlated than between the IADL and QWB; eg, correlation between the SF-36 Vitality scale and the BRFSS 'Days full of energy' question was r = .789 (p < .01), whereas correlation between the IADL and QWB was r= .454 (p < .01). Longer surveys (SF-36, QWB) were rated lower in subject acceptability. Conclusions: These instruments have potential for research use among patients with SCI. More studies are needed to explore the best use of instruments with apparently different domains.
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U2 - 10.1016/S0003-9993(99)90077-1
DO - 10.1016/S0003-9993(99)90077-1
M3 - Article
C2 - 10453762
AN - SCOPUS:0032801430
SN - 0003-9993
VL - 80
SP - 877
EP - 884
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 8
ER -