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Retest reliability of surveillance questions on health related quality of life
Open accessAbstract
Study objectives: Health related quality of life (HRQoL) is an important surveillance measure for monitoring the health of populations, as proposed in the American public health plan, Healthy People 2010. The authors investigated the retest reliability of four HRQoL questions from the US Behavioral Risk Factor Surveillance System (BRFSS). Design: Randomly sampled BRFSS respondents from the state of Missouri were re-contacted for a retest of the HRQoL questions. Reliability was estimated by κ statistics for categorical questions and intraclass correlation coefficients for continuous questions. Setting: Missouri, United States. Participants: 868 respondents were re-interviewed by telephone about two weeks after the initial interview (mean 13.5 days). Participants represented the adult, non-institutionalised population of Missouri: 59.1% women; mean age 49.5 years; 93.2% white race. Main results: Retest reliability was excellent (0.75 or higher) for Self-Reported Health and Healthy Days measures, and moderate (0.58 to 0.71) for other measures. Reliability was lower for older adults. Other demographic subgroups (for example, gender) showed no regular pattern of differing reliability and there was very little change in reliability by the time interval between the first and second interview. Conclusions: Retest reliability of the HRQoL Core is moderate to excellent. Scaling options will require future attention, as will research into appropriate metrics for what constitutes important population group differences and change in HRQoL.
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“This measure has been shown to possess both psychometric test-retest reliability (38) and convergent validity with other standard measures of mental health status (39, 40).”
From Empirical evidence of mental health risks posed by climate change (2018) · cites this paper as [38]
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Metadata
- Authors
- Andresen, E. M., Catlin, T. K., Wyrwich, K. W., & Jackson-Thompson, J.
- Affiliations
- Saint Louis University (US)
- Missouri Department of Health and Senior Services (US)
- Corresponding author
- Andresen, E M
- ORCID
- Andresen, E M
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2003-05
- Volume
- 57
- Issue
- 5
- Pages
- 339-343
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC1732444
- OpenAlex
- W2126227528
- Cited by
- 335
- References
- 35
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 12 · 2023: 14 · 2022: 8 · 2021: 14 · 2020: 14 · 2019: 13 · 2018: 17 · 2017: 10 · 2016: 15 · 2015: 9 · 2014: 22 · 2013: 16 · 2012: 15
- FWCI
- 25.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Saint Louis University
- Centers for Disease Control and Prevention (R13/CCR717041-01, U48/CCU 710806, U58/CCU700950-14)
- National Center for Chronic Disease Prevention and Health Promotion
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- health-related quality of life, test-retest reliability, Behavioral Risk Factor Surveillance System, self-reported health, healthy days, Healthy People 2010, population health surveillance, older adults
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Educational Status, Ethnicity, Female, Health Status, Humans, Income, Male, Middle Aged, Population Surveillance, Quality of Life, Risk Factors, Sex Factors, Reproducibility of Results
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