HEALTH STATUS ASSESSMENT METHODS FOR ADULTS: Past Accomplishments and Future Challenges

Abstract

Over the past 30 years, health status assessment methods for adults have proliferated. Numerous generic, disease-specific, and preference-based measures now exist that tap diverse aspects of functioning, well-being, symptom states, and subjective perceptions of health. The evolution of the state of the art in adult health status assessment is reviewed. Applications of these tools in health services research, health policy, and clinical practice are discussed. Recommendations are offered for selecting among the armamentaria of tools. Conceptual and methodological challenges that confront instrument users and developers alike are identified and discussed.

Uji Keandalan dan Kesahihan Kuesioner Kualitas Hidup Short Form 12 Berbahasa Indonesia pada Pasien Artritis Reumatoid

“…Hingga pada periode setelah tahun 1970 barulah mulai dikembangkan suatu instrumen yang bertujuan menilai kualitas hidup secara keseluruhan. 11,12 Instrumen yang secara umum hingga saat ini banyak digunakan antara lain World Health Organization-Quality of Life 100 (WHO-QOL 100), EuroQoL (EQ) serta Short Form 36 (SF-36). 11 SF-36 merupakan instrumen yang telah dipakai di berbagai negara dan dijadikan baku emas dalam menilai kualitas hidup karena instrumen ini terdiri dari 36 pertanyaan singkat yang meliputi berbagai 8 aspek yaitu aspek fisik, aspek emosi, aspek sosial, aspek kesehatan fisik, aspek kesehatan emosi, aspek nyeri, aspek kelelahan dan aspek kesehatan secara umum.…”

“…13 SF-36, WHO-QOL 100, EuroQol merupakan suatu instrumen yang menilai kualitas hidup secara umum/generik. 11 Dalam kaitannya dengan penyakit artritis reumatoid, telah diciptakan suatu instrumen yang secara spesifik bertujuan menilai kualitas hidup pasien reumatoid artritis, yaitu Rheumatoid Arthritis Quality of Life (RAQoL). 14 Namun, meski telah diuji di berbagai negara dengan latar belakang budaya dan bahasa yang berbeda, RAQoL hingga saat ini masih dilindungi hak paten sehingga untuk melakukan uji kesahihan dan keandalan terhadap kuesioner ini masih belum dimungkinkan.…”

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“…HRQOL is a health-focused HRQOL model that assesses aspects of QOL that is affected by the variations in health states [10]. The HRQOL of life is therefore the total effect of individual and environmental factors on function and health status and includes physical, psychological and social functions [11].…”

A Comparative Study of Oswestry Back Pain Disability Questionnaire Versus Computer Adaptive Testing for Measuring Back Pain

“…Many studies suggest that self-report disability measures for back pain are as reliable as performance measures and appear to be sensitive indicators of long-term outcome (Kopec, 2000). In general, these self-report disability measures are commonly classified into generic and condition specific measures (McHorney, 1997;McHorney, 1999). To date, nearly 82 condition specific disability measures for back pain have been developed and have been shown to have adequate psychometrics.…”

“…Deficits in measurement precision may be the result of using items that do not closely match the ability of the sample of interest (McHorney, 1999). That is, when easy items are administered to individuals with high ability (i.e., low disability) and/or 한국전문물리치료학회지 2013년 20권 4호 22-31 Phys Ther Kor 201320(4):22-31 -23 -difficult items are administered to individuals with low ability, there is a lack of measurement precision with a resulting inability to discriminate among individuals (Fairbank and Pynsent, 2000;White and Velozo, 2002).…”