Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life

Kathleen W. Wyrwich, William M. Tierney, Fredric D. Wolinsky

Research output: Contribution to journalArticle

575 Citations (Scopus)

Abstract

This study used the standard error of measurement (SEM) to evaluate intra-individual change on both the Chronic Respiratory Disease Questionnaire (CRQ) and the SF-36. After analyzing the reliability and validity of both instruments at baseline among 471 COPD outpatients, the SEM was compared to established minimal clinically important difference (MCID) standards for three CRQ dimensions. A value of one SEM closely approximated the MCID standards for all CRQ dimensions. This SEM-based criterion was then validated by cross-classifying the change status (improved, stable, or declined) of 393 follow-up outpatients using the one-SEM criterion and the MCID standard. Excellent agreement was achieved for all three CRQ dimensions. Although MCID standards have not been established for the SF-36, the one-SEM criterion was explored in these change scores. Among SF-36 scales demonstrating acceptable reliability and reasonable variance, the percent of individuals within each change category was consistent with those seen in the CRQ dimensions. These results replicate previous findings where a value of one SEM also closely approximated MCIDs for all dimensions of the Chronic Heart Disease Questionnaire among cardiovascular outpatients. The one-SEM criterion should be explored in other health-related quality of life instruments with established MCIDs. Copyright (C) 1999 Elsevier Science Inc.

Original languageEnglish
Pages (from-to)861-873
Number of pages13
JournalJournal of Clinical Epidemiology
Volume52
Issue number9
DOIs
StatePublished - Sep 1999

Fingerprint

Chronic Disease
Quality of Life
Outpatients
Reproducibility of Results
Chronic Obstructive Pulmonary Disease
Surveys and Questionnaires
Heart Diseases
Minimal Clinically Important Difference

Keywords

  • Chronic obstructive pulmonary disease
  • Clinical change
  • Measurement
  • Quality of life
  • Responsiveness
  • Sensitivity

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. / Wyrwich, Kathleen W.; Tierney, William M.; Wolinsky, Fredric D.

In: Journal of Clinical Epidemiology, Vol. 52, No. 9, 09.1999, p. 861-873.

Research output: Contribution to journalArticle

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