Validation and normative data of health status measures in older people: the Islington study
Abstract
BACKGROUND: Health related quality of life scales have been developed to measure a global picture of health and well-being from the patient's perspective. Separate validation of these measures in older people is important, as different areas of life are prioritized as important in older people and population norms for health status measures can differ with age. OBJECTIVES: The aims of this paper were to examine the validity and acceptability of two health status measures the 12-item Health Status Questionnaire (HSQ-12) and 12-item Short Form Health Survey SF-12, and to present population norms in older people. SETTING: A door-to-door survey in Islington, a borough of inner London. SUBJECTS AND METHODS: The subjects were allocated to complete either the SF-12 (n = 541) or the HSQ-12 (n = 544) by alternating the questionnaires with each household visited. The first 135 people who completed the HSQ-12 were visited approximately 18 months later. Acceptability was measured examining the completion rate of the scales, and on a three-point scale. The short-CARE was used to elicit psychiatric symptoms and diagnoses. We collected data on health and social care, and subjective health problems. RESULTS: Both scales distinguished between subjects with and without a variety of health states, including self-defined health problems, health problems diagnosed by valid scales, problems with vision and hearing, and receipt of health or social services. The HSQ-12, but not the SF-12, could distinguish between people with and without dementia, and had high completion rates for those living in the community but not in 24-hour care. Linear regression models demonstrated sensitivity to change in health status for the HSQ-12. CONCLUSION: The SF-12 and HSQ-12 are acceptable and valid as health status instruments in large community-based studies of older people. The HSQ-12, but not the SF-12, is acceptable and valid for people with dementia.
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The Health Status Questionnaire (HSQ) mental health domain measures health-related quality of life throughout the age range, is sensitive to change and has been validated in older and younger people.
“The Health Status Questionnaire (HSQ)38 mental health domain measures health-related QoL throughout the age range, is sensitive to change and has been validated in older and younger people.”
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- Authors
- Pettit, T., Livingston, G., Manela, M., Kitchen, G., Katona, C., & Bowling, A.
- Affiliations
- Manchester Royal Infirmary (GB)
- The Royal Free Hospital (GB)
- Corresponding author
- Pettit, T.
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2001-11
- Volume
- 16
- Issue
- 11
- Pages
- 1061-1070
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2008346046
- Cited by
- 130
- References
- 23
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 7 · 2014: 8 · 2013: 6 · 2012: 2
- FWCI
- 15.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Repository (Kingston University London) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Education › Health Education and Validation
- Keywords
- SF-12, health-related quality of life, older adults, questionnaire validation, reference values, acceptability, dementia, sensitivity to change, community-dwelling older adults, health status measurement
- MeSH terms
- Aged, Aged, 80 and over, Aging, Dementia, Depression, Female, Geriatrics, Health Status, Health Surveys, Humans, Male, Mental Health, Quality of Life, Surveys and Questionnaires, Sensitivity and Specificity, Reproducibility of Results
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