Cited by 255Health Systems, Economic Evaluations, Quality of LifePsychometric Methodologies and TestingHealth Education and Validation

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Reliability and Validity Testing of the Revised 12-Item Short-Form Health Survey in Older Adults

Resnick, Barbara, Nahm, Eun S.·2001·Journal of Nursing Measurement

DOI 10.1891/1061-3749.9.2.151

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Abstract

The SF-12 Short Form Health Survey was developed to describe mental and physical health status of adults, and to measure the outcomes of health care services. The purpose of this study was to test the reliability and validity of this measure in a sample of 185 older adults living in a continuing care retirement community. The mean age of the participants was 86 + 6.1 and the majority were female (82%), unmarried (82%), Caucasian (99%), and all had at least a high school education. Initial testing of the SF-12 measurement model as proposed by Ware, Kosinski, and Keller (1995) demonstrated that the model did not fit the data (chi-squared/df = 7.8). The model was revised based on modification indices and the revised model provided evidence of reliability (alpha coefficients of .70, and .89; the majority of the R2 values were greater than .50), and validity as there was improved fit of the model to the data (chi 2 difference of 123, df difference of 1.0, p < .05). There was also evidence of construct validity, based on hypothesis testing, with a statistically significant correlation between physical health and number of chronic illnesses (r = .33, p < .05) and mental health and chronic illnesses (r = .27, p < .05), and a statistically significant difference in physical health (F = 30.5, p < .05) and mental health (F = 18.5, p < .05) between those who exercise regularly and those who do not. The revised SF-12 is a reliable and valid measure of health status in independent living o…

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Authors: Resnick, B., & Nahm, E. S.
Affiliations: University of Maryland, College Park (US)
ORCID: Resnick, Barbara
Nahm, Eun S.
Venue: Journal of Nursing Measurement
Publisher: Springer Publishing Company
Published: 2001-09
Volume: 9
Issue: 2
Pages: 151-161
ISSN: 1061-3749 (ISSN-L)
1945-7049
DOI: 10.1891/1061-3749.9.2.151
OpenAlex: W149961092
Cited by: 255
References: 0
Citations by year: 2026: 2 · 2025: 7 · 2024: 5 · 2023: 8 · 2022: 10 · 2021: 20 · 2020: 17 · 2019: 14 · 2018: 8 · 2017: 19 · 2016: 15 · 2015: 10 · 2014: 18 · 2013: 9 · 2012: 11
FWCI: 11.79
Type: journal article
Language: en
Open access: closed
Locations: Journal of Nursing Measurement (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Nursing › Research and Theory › Health Education and Validation
Keywords: older adults, reliability statistics, validity, health status measurement, model revision, construct validity, chronic disease, physical health, mental health, physical activity, continuing care retirement communities, independent living
MeSH terms: Activities of Daily Living, Aged, Aged, 80 and over, Analysis of Variance, Chronic Disease, Factor Analysis, Statistical, Female, Health Status, Health Surveys, Humans, Male, Mental Health, Predictive Value of Tests, Health Behavior, Exercise, Geriatric Assessment, Chi-Square Distribution, Likelihood Functions, Housing for the Elderly

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Reliability and Validity Testing of the Revised 12-Item Short-Form Health Survey in Older Adults

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