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

Karen Stadnyk, Jane Calder, Kenneth Rockwood

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91 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)827-835
Number of pages9
JournalJournal of Clinical Epidemiology
Volume51
Issue number10
DOIs
Publication statusPublished - Oct 1998

Bibliographical note

Funding Information:
This study was supported with a grant from the Camp Hill Medical Centre Research Fund. The National Health Research Development Program (NHRDP) supported this research through a National Health Scholar award to Kenneth Rockwood and through a National Health graduate award to Karen Stadnyk.

ASJC Scopus Subject Areas

  • Epidemiology

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