Measuring functional outcomes in chronic disease

Richard A. Deyo, Thomas S. Inui, Jyl D. Leininger, Steven S. Overman

Research output: Contribution to journalArticle

132 Citations (Scopus)

Abstract

A new health-status questionnaire, the Sickness Impact Profile (SIP), was examined to determine whether it offered measurement advantages over the traditional American Rheumatism Association (ARA) functional scale or patient self-ratings of function. Seventy-nine outpatients with rheumatoid arthritis (RA) administered the SIP to themselves and provided self-ratings on a 7-point functional scale. Clinicians independently rated patients on the ARA functional scale, and repeated measures were obtained over a 6-month period. Scores on the SIP or its suhscales showed stronger correlations than the other scales with hematocrit, sedimentation rate, grip strength, morning stiffness, duration of RA, anatomic stage, work status, and psychiatric status. Validity of the SIP appeared to be maintained with repeated administrations, and the SIP was more reliable than either of the other scales. These findings, as well as the comprehensiveness and feasibility of the self-administered SIP, suggest that this (and perhaps similar health status instruments) may be a useful supplement to more traditional measures of chronic disease outcome.

Original languageEnglish (US)
Pages (from-to)180-192
Number of pages13
JournalMedical care
Volume21
Issue number2
DOIs
StatePublished - Feb 1983

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Sickness Impact Profile
Health Status
health status
Rheumatoid Arthritis
Chronic Disease
illness
Disease
questionnaire
rheumatism
Rheumatic Diseases
rating
Hand Strength
Hematocrit
supplement
Psychiatry
Surveys and Questionnaires
Outpatients

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Measuring functional outcomes in chronic disease. / Deyo, Richard A.; Inui, Thomas S.; Leininger, Jyl D.; Overman, Steven S.

In: Medical care, Vol. 21, No. 2, 02.1983, p. 180-192.

Research output: Contribution to journalArticle

Deyo, RA, Inui, TS, Leininger, JD & Overman, SS 1983, 'Measuring functional outcomes in chronic disease', Medical care, vol. 21, no. 2, pp. 180-192. https://doi.org/10.1097/00005650-198302000-00006
Deyo, Richard A. ; Inui, Thomas S. ; Leininger, Jyl D. ; Overman, Steven S. / Measuring functional outcomes in chronic disease. In: Medical care. 1983 ; Vol. 21, No. 2. pp. 180-192.
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