Generic versus disease-specific health status measures

An example using coronary artery disease and congestive heart failure patients

Fredric D. Wolinsky, Kathleen W. Wyrwich, Nancy A. Nienaber, William M. Tierney

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

The objectives of this study were to evaluate and compare the psychometric properties of a generic health status measure, the Medical Outcomes Study SF-36, and a disease-specific health status measure, a modified version of the Chronic Heart Failure Questionnaire (CHQ), among outpatients known to have coronary artery disease (CAD) and/or congestive heart failure (CHF). A cross-sectional analysis of baseline data obtained from 670 outpatients participating in a randomized controlled clinical trial in the general medicine clinics of a major academic medical center was performed. The SF-36 was more comprehensive in its coverage of different health status domains. In contrast, the CHQ had fewer problems with floor and ceiling effects, was more internally consistent, had better dimensional reproducibility, and exhibited less factorial complexity. Although both instruments are appropriate for use among outpatients known to have CAD and/or CHE the CHQ has significantly better psychometric properties than does the SF-36.

Original languageEnglish
Pages (from-to)216-243
Number of pages28
JournalEvaluation and the Health Professions
Volume21
Issue number2
DOIs
StatePublished - 1998

Fingerprint

Health Status
health status
Coronary Artery Disease
Heart Failure
Disease
Outpatients
Psychometrics
psychometrics
questionnaire
general medicine
Randomized Controlled Trials
Cross-Sectional Studies
coverage
Medicine
Outcome Assessment (Health Care)
Surveys and Questionnaires

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Generic versus disease-specific health status measures : An example using coronary artery disease and congestive heart failure patients. / Wolinsky, Fredric D.; Wyrwich, Kathleen W.; Nienaber, Nancy A.; Tierney, William M.

In: Evaluation and the Health Professions, Vol. 21, No. 2, 1998, p. 216-243.

Research output: Contribution to journalArticle

Wolinsky, Fredric D. ; Wyrwich, Kathleen W. ; Nienaber, Nancy A. ; Tierney, William M. / Generic versus disease-specific health status measures : An example using coronary artery disease and congestive heart failure patients. In: Evaluation and the Health Professions. 1998 ; Vol. 21, No. 2. pp. 216-243.
@article{8a340cf1c54741e3813bdb52064b7e9b,
title = "Generic versus disease-specific health status measures: An example using coronary artery disease and congestive heart failure patients",
abstract = "The objectives of this study were to evaluate and compare the psychometric properties of a generic health status measure, the Medical Outcomes Study SF-36, and a disease-specific health status measure, a modified version of the Chronic Heart Failure Questionnaire (CHQ), among outpatients known to have coronary artery disease (CAD) and/or congestive heart failure (CHF). A cross-sectional analysis of baseline data obtained from 670 outpatients participating in a randomized controlled clinical trial in the general medicine clinics of a major academic medical center was performed. The SF-36 was more comprehensive in its coverage of different health status domains. In contrast, the CHQ had fewer problems with floor and ceiling effects, was more internally consistent, had better dimensional reproducibility, and exhibited less factorial complexity. Although both instruments are appropriate for use among outpatients known to have CAD and/or CHE the CHQ has significantly better psychometric properties than does the SF-36.",
author = "Wolinsky, {Fredric D.} and Wyrwich, {Kathleen W.} and Nienaber, {Nancy A.} and Tierney, {William M.}",
year = "1998",
doi = "10.1177/016327879802100205",
language = "English",
volume = "21",
pages = "216--243",
journal = "Evaluation and the Health Professions",
issn = "0163-2787",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Generic versus disease-specific health status measures

T2 - An example using coronary artery disease and congestive heart failure patients

AU - Wolinsky, Fredric D.

AU - Wyrwich, Kathleen W.

AU - Nienaber, Nancy A.

AU - Tierney, William M.

PY - 1998

Y1 - 1998

N2 - The objectives of this study were to evaluate and compare the psychometric properties of a generic health status measure, the Medical Outcomes Study SF-36, and a disease-specific health status measure, a modified version of the Chronic Heart Failure Questionnaire (CHQ), among outpatients known to have coronary artery disease (CAD) and/or congestive heart failure (CHF). A cross-sectional analysis of baseline data obtained from 670 outpatients participating in a randomized controlled clinical trial in the general medicine clinics of a major academic medical center was performed. The SF-36 was more comprehensive in its coverage of different health status domains. In contrast, the CHQ had fewer problems with floor and ceiling effects, was more internally consistent, had better dimensional reproducibility, and exhibited less factorial complexity. Although both instruments are appropriate for use among outpatients known to have CAD and/or CHE the CHQ has significantly better psychometric properties than does the SF-36.

AB - The objectives of this study were to evaluate and compare the psychometric properties of a generic health status measure, the Medical Outcomes Study SF-36, and a disease-specific health status measure, a modified version of the Chronic Heart Failure Questionnaire (CHQ), among outpatients known to have coronary artery disease (CAD) and/or congestive heart failure (CHF). A cross-sectional analysis of baseline data obtained from 670 outpatients participating in a randomized controlled clinical trial in the general medicine clinics of a major academic medical center was performed. The SF-36 was more comprehensive in its coverage of different health status domains. In contrast, the CHQ had fewer problems with floor and ceiling effects, was more internally consistent, had better dimensional reproducibility, and exhibited less factorial complexity. Although both instruments are appropriate for use among outpatients known to have CAD and/or CHE the CHQ has significantly better psychometric properties than does the SF-36.

UR - http://www.scopus.com/inward/record.url?scp=0031971531&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031971531&partnerID=8YFLogxK

U2 - 10.1177/016327879802100205

DO - 10.1177/016327879802100205

M3 - Article

VL - 21

SP - 216

EP - 243

JO - Evaluation and the Health Professions

JF - Evaluation and the Health Professions

SN - 0163-2787

IS - 2

ER -