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Der deutsche SF-36 Health Survey Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität

The German SF-36 health survey translation and psychometric testing of a generic instrument for the assessment of health-related quality of life

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Zeitschrift für Gesundheitswissenschaften = Journal of public health Aims and scope Submit manuscript

Zusammenfassung

Der Short-Form-36 Health Survey (d.h. die Kurzform SF-36) ist ein aus der Medical Outcome Study entwickeltes Standardinstrument zur krankheitsübergreifenden Erfassung der gesundheitsbezogenen Lebensqualität, dessen Internationale Verfugbarkeit zunehmend nachgefragt wird. Im International Quality of Life Assessment Project (IQOLA), einer Arbeitsgruppe, zusammengesetzt aus Forschern verschiedener Länder, wird derzeit die Übersetzung, psychometrische Testung und Normierung der SF-36 in 13 Ländern, einschlieβlich Deutschland, durchgeführt. Der Beitrag berichtetüber Methodik und Ergebnisse der deutschen Übersetzung und psychometrischen Prüfung des SF-36 an sechs Gruppen von über 1500 gesunden und erkrankten Personen. Die Ergebnisse zeigen, daβ mit Hilfe des IQOLA-Studienprotokolls für die Übersetzung eine befriedigende deutsche Form des SF-36 erstellt wurde und daβ die psychometrischen Testergebnisse über alle Gruppen hinweg gute bis hervorragende Ergebnisse hinsichtlich Skalenstruktur und Reliabilität erbringen. Damit erscheint die SF-36, deren Normierung für 1995 geplant ist, als ein im deutschen Sprachraum einsetzbares Instrument zur Erfassung der gesundheitsbezogenen Lebensqualität.

Abstract

The SF-36 Health Survey is a generic instrument for the assessment of health-related quality of life developed as a short form of the instruments used in the Medical Outcome Study. Translation, psychometric testing and norming is currently ongoing in 15 countries including Germany, which are associated within the International Quality of Life Assessment Project (IQOLA). We report methods and results of the German translation and psychometric testing of the SF-36 with six samples of over 1500 healthy and ill persons. Results show that the use of the IQOLA study protocol led to a satisfactory German version of the SF-36 Health Survey and that psychometric testing yielded good to excellent results as concerns scale structure and reliability. The SF-36 Health Survey, which will be included in a norming study in 1995 thus appears as an instrument for health-related quality of life assessment applicable also in German studies.

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Literatur

  1. Najman JM, Levine S. Evaluating the impact of medical care and technology on the quality of life. A review and critique. Soc Sci Med 1991; 15 F: 107.

    Google Scholar 

  2. Walker SR, Rosser RM, eds. Quality of life assessment and application. Lancaster: MTP. 1992.

    Google Scholar 

  3. Stewart AL, Ware JE, eds. Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham and London: Duke University Press. 1992.

    Google Scholar 

  4. Spilker B, ed. Quality of life assessment in clinical trials. New York: Raven. 1990.

    Google Scholar 

  5. Wenger NK, Mattson ME, Furberg CD, Elison J. Assessment of quality of life in clinical trials of cardiovascular therapies. New York: Le Jacq. 1984.

    Google Scholar 

  6. Westhoff G. Handbuch psychosozialer Meßinstrumente. Göttingen: Hogrefe. 1993.

    Google Scholar 

  7. McDowell I, Newell C, eds. Measuring health: a guide to rating scales and questionnaires. New York: Oxford University Press. 1987.

    Google Scholar 

  8. Bullinger M. Lebensqualität — ein neues Bewertungskriterium für den Therapieerfolg. In: Pöppel E, Bullinger M, eds. Kurzlehrbuch der Medizinischen Psychologie. Weinheim: VCH Edition Medizin. 1990: 257–269.

    Google Scholar 

  9. Bullinger M. Forschungsinstrumente zur Erfassung der Lebensqualität bei Krebs. In: Verres R, Hasenbring M, eds. Psychosoziale Aspekte der Krebsforschung (Psychosoziale Onkologie). Berlin: Springer. 1989: 45–54.

    Google Scholar 

  10. Bullinger M, Hasford J. Evaluating quality of life measures for clinical trials in Germany. Contr Clin Trials 1991; 12: 915.

    Article  Google Scholar 

  11. Sartorius N. A WHO-method for the assessment of health-related quality of life (WHO-QOL). In: Walker S, Rosser M. Quality of life assessment: key issues in the 1990s. Dordrecht: Kluwer Academic Press. 1993: 201.

    Google Scholar 

  12. Aaronson NK, Ahmedzai S, Bullinger M. For the EORTC Quality of Life Group. Validation of the EORTC QLQ 30. European Journal of the National Cancer Institute 1993; 85: 365–376.

    Article  CAS  Google Scholar 

  13. Mc Ewen J. The Nottingham Health Profile. In: Walker S, Rosser M. Quality of life assessment: key issues in the 1990s. Dordrecht: Kluwer Academic Press. 1993: 201.

    Google Scholar 

  14. Sartorius N. Cross-cultural comparisons of data about quality of life: a sample of issues. In: Aaronson NK, Beckmann J, eds. the quality of life of cancer patients. New York: Raven Press. 1987: 1075–1077.

    Google Scholar 

  15. Hunt SM. Cross-cultural comparability of quality of life measures. Drug Information Journal 1993; 27: 395.

    Google Scholar 

  16. Bergner B. Development, use and testing of the Sickness Impact Profile. In: Walker S, Rosser M. Quality of life assessment: key issues in the 1990s. Dordrecht: Kluwer Academic Press. 1993: 201.

    Google Scholar 

  17. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sc Med 1981; 15A: 221.

    Google Scholar 

  18. Kaplan RM, Anderson JP, Ganiats T. The Quality of Wellbeing Scale: rationale for a single quality of life index. In: Walker S, Rosser M. Quality of life assessment: key issues in the 1990s. Dordrecht: Kluwer Academic Press. 1993: 65.

    Google Scholar 

  19. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. conceptual framework and item selection. Med Care 1992; 30: 473.

    Article  PubMed  Google Scholar 

  20. McHorney CA, Ware JE, Raczek AE. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993; 31 (3): 247.

    Article  PubMed  CAS  Google Scholar 

  21. Tarlov AR, Ware JE, Greenfield S et al. The medical Outcomes Study: An application of methods for monitoring the results of medical care. J Am Med Ass 1983; 262: 925.

    Article  Google Scholar 

  22. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey. Manual and interpretation guide. Boston: Nisural Press. 1993.

    Google Scholar 

  23. Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M et al. International quality of life assessment (IQOLA) project. Quality of Life Res 1992; 1, 3: 49.

    Google Scholar 

  24. Ware JE. for the IQOLA group. International translation and validation of the SF-36. International Journal of Mental Health. Forthcoming.

  25. Thurstone LL, Chave EJ. The measurement of attitude. Chicago IL: University of Chicago Press. 1928.

    Google Scholar 

  26. Ware JE. Standards for validating health measures: definition and content. J Chron Dis 1987; 40 (6): 473.

    Article  PubMed  Google Scholar 

  27. Hays R, Hayashi T, Carson S, Ware J. User’s guide for the Multitrait Analysis Program (MAP). Rand Cooperation report No. N-2786-RC. 1988.

  28. Bullinger M. International translation of the SF-36 Health Survey — the IQOLA approach. Forthcoming.

  29. Bullinger M. German translation and psychometric testing of the SF-36-preliminary results from the IQOLA-project. Soc Sci Med, submitted.

  30. McHorney CA, Ware JE, Rogers W, Zachel JF et al. The MOS item short-form health survey. III. Tests of data quality scaling assumptions and reliability across diverse patient groups. Med Care, in press.

  31. Brazier JE, Harper R, Jones NMB et al. Validating the SF-36 health survey questionnaire: New outcomes measure for primary care. Br Med J 1992; 305: 160.

    Article  CAS  Google Scholar 

  32. Jenkinson C, Coulter T, Wright L. The SF-36 Health Survey questionnaire: Normative data from a large random sample of working age adults. Br Med J 1993; 306: 1436.

    Google Scholar 

  33. Sullivan M, Karlson J, Ware J. The Swedish SF-36 Health Survey. I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations. Soc Sc Med, submitted.

  34. Bullinger M, Cella D, Anderson R, Aaronson NK. Developing and evaluating cross-national instruments from minimum requirements to optimal models. Quality of Life Res, submitted.

  35. Bullinger M. Ensuring the international equivalence of quality of life measures — problems and approaches to solution. In: Orley J, Kuikken W, Sartorius N. Measurement of quality of life in health care settings — a WHO conference. Berlin: Springer. in press.

  36. Garratt M, Ruta DA, Abdalla MI, Buckingham JK, Russel JT. The SF-36 Health Survey questionnaire: an outcome measure suitable for routine use within the NHS? Br Med J 1993; 306: 1440.

    CAS  Google Scholar 

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Bullinger, M., Kirchberger, I. & Ware, J. Der deutsche SF-36 Health Survey Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z. f. Gesundheitswiss. 3, 21–36 (1995). https://doi.org/10.1007/BF02959944

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