Validating the SF-36 health survey questionnaire: new outcome measure for primary care.

Brazier, John; Harper, R.; Jones, Norman; O’Cathain, Alicia; Thomas, Kristi; Usherwood, Tim; Westlake, L

doi:10.1136/bmj.305.6846.160

Cited by 3,860 publications

(2,686 citation statements)

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“…The SF-36 questionnaire has previously been used in a number of general practice populations and people from deprived areas have had poorer scores (Brazier et al, 1992;Jenkinson et al, 1993;Hemingway et al, 1997) as demonstrated by the results discussed in this paper. But this study is the first in the UK to use SF-36 to study affluent and deprived populations with breast cancer.…”

Section: Anxiety-provoking Issuesmentioning

confidence: 67%

Anxiety and support in breast cancer: is this different for affluent and deprived women? A questionnaire study

et al. 2004

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A postal questionnaire was sent to affluent and deprived women with breast cancer in order to compare psychosocial aspects of care with the purpose of understanding the balance of care and explaining why deprived women have poorer outcomes. Data were collected regarding reported sources of information, SF-36 scores and ongoing causes of anxiety. The results demonstrate that affluent women were more likely to have received information from their hospital specialist (94.8 vs 76.0%) and from a breast care nurse (70.1 vs 40.0%) than deprived women. They were also more likely to have received information from magazines (50.6 vs 33.0%), newspapers (45.5 vs 22.0%) and television news (45.5 vs 26.0%). Deprived women had poorer SF-36 scores than affluent women, and reported greater anxiety about money (12.2 vs 2.8%), other health problems (22.1 vs 8.2%) and family problems (17.5 vs 6.9%). Personal and professional support is clearly important for patients with breast cancer. Health professionals need to be aware of the greater psychological distress demonstrated by deprived women, even some years after diagnosis with breast cancer, and seek to address it. British Journal of Cancer (2004) There is a higher incidence of breast cancer in affluent women than in socioeconomically deprived women (Tomatis, 1990). However, several studies have shown deprived women to have poorer survival from breast cancer. Previous work carried out by the authors (Macleod et al, 2000a) confirmed earlier research (Carnon et al, 1994;Schrijvers et al, 1995) in showing no relationship between deprivation and pathological prognostic factors in women with early breast cancer. In addition, we have shown (Macleod et al, 2000b) that the NHS delivered health care equitably to women with breast cancer who lived in affluent and deprived areas. In particular, socioeconomic status did not affect breast surgery, radiotherapy or adjuvant treatments.The care of women with breast cancer is not, however, limited to surgical and oncological treatments but also includes provision of information and psychosocial care and support. Although breast cancer is largely treated in hospitals by specialist surgeons and oncologists (Gillis and Hole, 1996) women spend the majority of their time after diagnosis in the community. Our study has shown that there were greater numbers of consultations with general practitioners following diagnosis than before diagnosis for all women, but that the greatest number were for women living in deprived areas (Macleod et al, 2000b).The relationship between breast cancer outcomes and psychosocial factors is complex and several studies have shown a link between socioeconomic status and broader psychosocial issues. Social class has been shown to have an effect on psychiatric outcome at 12 months after mastectomy with women in lower social classes having the worst outcome (Dean, 1987). Other research has suggested that women with breast cancer from lower socioeconomic groups may be particularly receptive to interventions that will enhance the...

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Section: Anxiety-provoking Issuesmentioning

confidence: 67%

Anxiety and support in breast cancer: is this different for affluent and deprived women? A questionnaire study

et al. 2004

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“…Eighteen months after this baseline survey, the surviving participants then aged 41 -80 years were asked to complete the Health and Life Experiences Questionnaire (HLEQ), which included the anglicised version of the short-form 36 (UK SF-36) 20 , by mail. Of the total eligible EPIC -Norfolk sample, 20 921 participants (73.2%) responded 21 .…”

Section: Outcome Variablesmentioning

confidence: 99%

Fruit and vegetable consumption and self-reported functional health in men and women in the European Prospective Investigation into Cancer–Norfolk (EPIC–Norfolk): a population-based cross-sectional study

Myint

Welch

Bingham

et al. 2007

Public Health Nutr.

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Objectives: To investigate the association between fruit and vegetable consumption and self-reported physical and mental functional health measured by an anglicised short-form 36-item questionnaire (UK SF-36). Design: Population-based cross-sectional study. Setting: General community in Norfolk, UK. Subjects: A total of 16 792 men and women aged 40 -79 years recruited from general practice population registers as part of the European Prospective Investigation into Cancer (EPIC) -Norfolk study, who completed food-frequency questionnaires in 1993 -1997 and Health and Life Experiences Questionnaires 18 months later, were enrolled in the study. Results: Mean SF-36 physical component summary scores increased significantly with increasing total fruit and vegetable consumption in both men and women (P , 0.0001 for trend). Men and women in the top quartile of consumption compared with the bottom quartile had a significantly higher likelihood of reporting good physical health (defined as a score $55); odds ratio (OR) 1.30, 95% confidence interval (CI) 1.11 -1.53 for men and OR 1.28, 95% CI 1.11 -1.48 for women, after controlling for age, body mass index, smoking, education, social class, prevalent illness and total energy intake. Exclusion of current smokers and people with prevalent illness did not alter the associations. Conclusion: Higher fruit and vegetable consumption is associated with better selfreported physical functional health within a general population. Increasing daily intake by two portions of fruit and vegetables was associated with an 11% higher likelihood of good functional health. Since the current average consumption of fruit and vegetables in the UK is about three portions, the recommended 'five a day' strategy may have additional benefit for functional as well as other health outcomes in the population.

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“…It was further recommended that the Medical Outcomes Study Short Form 36 (SF-36) be used as the measure of QOL in patients with SLE. The SF-36 is a valid and reliable tool that captures the physical, psychological, and social impact of chronic diseases such as SLE (2)(3)(4). Health-related QOL of patients with SLE was significantly worse and affected all health domains at an earlier age in comparison to patients with some other common chronic diseases (5,6).…”

Section: Introductionmentioning

confidence: 99%

Changes in Quality of Life in the First 5 Years of Disease in a Multicenter Cohort of Patients With Systemic Lupus Erythematosus

Urowitz

Gladman

Ibañez

et al. 2014

Arthritis Care & Research

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Objective. The Medical Outcomes Study Short Form 36 (SF-36) is recommended to assess quality of life (QOL) in systemic lupus erythematosus (SLE).The aim of the current study was to assess QOL over time in the first 5 years of a multicenter inception cohort of patients with SLE.Methods. An inception SLE cohort was assembled according to a standardized protocol between 2000 and 2012. In addition to clinical and laboratory assessments, patients completed the SF-36 at yearly intervals. Only patients who had >5 completed QOL questionnaires were included in these analyses. Generalized estimating equation models were run separately for each of the 8 subscales and for the physical and mental component summary scores, adjusting for repeated measures by patients. Results. A total of 495 patients were included. The mean ؎ SD disease duration at the first visit was 5.3 ؎ 4.1 months. The mean ؎ SD age at enrollment was 35.8 ؎ 13.2 years. All 8 subscales and the 2 summary scores showed improvement in the first 2 years from enrollment. Between years 2 and 5, none of the subscales or summary scores showed any change. Minimum clinically important improvement was achieved by 35-56% of the patients and was influenced by demographic and disease factors. Conclusion. Unlike late-stage lupus, where QOL is stable over time, in patients with early disease, all subscales improve in early followup up to 2 years. Therefore, the SF-36 may be a sensitive outcome measure in early disease in patients with SLE.

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Validating the SF-36 health survey questionnaire: new outcome measure for primary care.

Cited by 3,860 publications

References 10 publications

Anxiety and support in breast cancer: is this different for affluent and deprived women? A questionnaire study

Anxiety and support in breast cancer: is this different for affluent and deprived women? A questionnaire study

Fruit and vegetable consumption and self-reported functional health in men and women in the European Prospective Investigation into Cancer–Norfolk (EPIC–Norfolk): a population-based cross-sectional study

Changes in Quality of Life in the First 5 Years of Disease in a Multicenter Cohort of Patients With Systemic Lupus Erythematosus

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