Short health scale: A valid measure of health-related quality of life in Korean-speaking patients with inflammatory bowel disease

Abstract

AIMTo evaluate the short health scale (SHS), a new, simple, four-part visual analogue scale questionnaire that is designed to assess the impact of inflammatory bowel disease (IBD) on health-related quality of life (HRQOL), in Korean-speaking patients with IBD.METHODSThe SHS was completed by 256 patients with Crohn’s disease (CD) and ulcerative colitis (UC). Individual SHS items were correlated with inflammatory bowel disease questionnaire (IBDQ) dimensions and with disease activity to assess validity. Test-retest reliability, responsiveness and patient or disease characteristics with probable association with high SHS scores were analyzed.RESULTSOf 256 patients with IBD, 139 (54.3%) had UC and 117 (45.7%) had CD. The correlation coefficients between SHS questions about “symptom burden”, “activities of daily living”, and “disease-related worry” and their corresponding dimensions in the IBDQ ranged from 0.62 to 0.71, compared with correlation coefficients ranging from -0.45 to -0.61 for their non-corresponding dimensions. There was a stepwise increase in SHS scores, with increasing disease activity in both CD and UC (all P values < 0.001). Reliability was confirmed with test-retest correlations ranging from 0.68 to 0.90 (all P values < 0.001). Responsiveness was confirmed with the patients who remained in remission. Their SHS scores remained unchanged, except for the SHS dimension “disease-related worry”. In the multivariate analysis, female sex was associated with worse “general well-being” (OR = 2.28, 95%CI: 1.02-5.08) along with worse disease activity.CONCLUSIONThe SHS is a valid and reliable measure of HRQOL in Korean-speaking patients with IBD.

Validation of the Persian Version of IMPACT-III Quality of Life Questionnaire in Iranian Children with Inflammatory Bowel Disease

“…Health-related quality of life (HRQOL) involves all the different aspects of life quality, physical and mental perceptions of health that could exert an overall effect on an individual's health (4,6). HRQOL can be measured by various generic instruments that focus on physical, emotional, social, and cognitive dimensions (5,(7)(8)(9)(10).…”

Validation of the German version of the Short Health Scale – a brief, valid and reliable instrument to assess health-related quality of life in German-speaking patients with inflammatory bowel diseases

“…Sensitivity to change was assessed by examining changes in SHS scores in patients for whom disease activity changed during the time of the study. In previous validation studies of the SHS, this has also been done for the Korean [14] and Norwegian [16] versions. The Korean version, with a slightly smaller subset of patients with changed disease activity (n = 21), was not found to be sensitive to change.…”

ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 2: IBD scores and general principles and technical aspects

“…Developed in Sweden, the SHS showed good reliability, validity, and responsiveness in both patients with UC and those with CD. 120,121 Some questions exist about its retest reliability. 122 English, 120 Danish, and Korean versions have been also developed.…”

“…122 English, 120 Danish, and Korean versions have been also developed. 121 Additionally, the scale has been studied in children with IBD. 123 However, the SHS showed similar properties in patients with irritable bowel syndrome, thus indicating that this scale is a more generic and not a disease-specific instrument.…”