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

2001 ◽  
Vol 9 (2) ◽  
pp. 151-161 ◽  
Author(s):  
Barbara Resnick ◽  
Eun S. Nahm

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 (X2 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 older adults, and has the potential for use as either a predictor or an outcome measure.

2010 ◽  
Vol 18 (1) ◽  
pp. 49-59 ◽  
Author(s):  
Paul A. Cernin ◽  
Kay Cresci ◽  
Thomas B. Jankowski ◽  
Peter A. Lichtenberg

The Short-Form Health Survey (SF-12; Ware, Kosinski, & Keller, 1996) is a widely used screening device for measuring physical and mental health to assess quality of life. However, limited psychometric data exist for older adults, especially minority aging samples. Findings from Resnick and Nahm (2001) suggest revising traditional SF-12 scoring for use in older adults because of different factor loadings for two questions. This study sought to examine the reliability and validity of a verbally administered SF-12 in a community-dwelling sample of African Americans using the Detroit City-Wide Needs Assessment Database (N = 985). Reliability analysis resulted in an overall Cronbach’s alpha of 0.77. Factor analysis with principal components extraction and varimax rotation yielded two factors. Consistent with Resnick and Nahm (2001), question 10 loaded on the physical health factor and question 12 on both the physical and the mental health factors. The overall SF-12 score was significantly related to use of home health services, visits to a physician, number of prescription drugs, as well as number of chronic diseases. The SF-12 appears to be a valid and reliable measure used as a screening device for use with African American elders overall. However, for optimal measurement, modifications to traditional scoring methods for the SF-12 should be considered.


2005 ◽  
Vol 86 (12) ◽  
pp. 2290-2295 ◽  
Author(s):  
Mark J. Haran ◽  
Bonsan B. Lee ◽  
Madeleine T. King ◽  
Obaydullah Marial ◽  
Martin R. Stockler

2018 ◽  
Vol 30 (6) ◽  
pp. 592-599 ◽  
Author(s):  
Yong-Bing Liu ◽  
Ling-Ling Xue ◽  
Hui-Ping Xue ◽  
Ping Hou

It is very important to estimate the prevalence of inadequate health literacy and determine whether or not health literacy level differences predict the physical and mental health status of older adults. A cluster sampling method was selected. A total of 1396 older adults were interviewed. Three instruments were included: the Chinese Citizen Health Literacy Questionnaire, Short Form 36, and Activity of Daily Living (ADL) Scale. The health literacy scores were very low (71.74 ± 28.35). The physical and mental health scores were all moderate. The ADLs was ⩾22, which suggests that the ADLs of older adults were poor. The major influencing factors of physical health include health literacy, ADL, alcohol consumption, household income, marital status, and former occupation. The major factors influencing mental health included ADL, former occupation, age, and smoking. Health literacy was associated with physical health, but was not associated with mental health. Improving health literacy could increase health management and health status of older adults.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1216-1216
Author(s):  
M. Ivanisevic ◽  
E. Valdivieso ◽  
M. Garnier ◽  
Z. Green ◽  
R. Smart ◽  
...  

Author(s):  
Laurence Fruteau de Laclos ◽  
Marie-Josée Sirois ◽  
Andréanne Blanchette ◽  
Dominic Martel ◽  
Joannie Blais ◽  
...  

This study compared effects of exercise-based interventions with usual care on functional decline, physical performance, and health-related quality of life (12-item Short-Form health survey) at 3 and 6 months after minor injuries, in older adults discharged from emergency departments. Participants were randomized either to the intervention or control groups. The interventions consisted of 12-week exercise programs available in their communities. Groups were compared on cumulative incidences of functional decline, physical performances, and 12-item Short-Form health survey scores at all time points. Functional decline incidences were: intervention, 4.8% versus control, 15.4% (p = .11) at 3 months, and 5.3% versus 17.0% (p = .06) at 6 months. While the control group remained stable, the intervention group improved in Five Times Sit-To-Stand Test (3.0 ± 4.5 s, p < .01). The 12-item Short-Form health survey role physical score improvement was twice as high following intervention compared with control. Early exercises improved leg strength and reduced self-perceived limitations following a minor injury.


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