Health Care Analysis

, Volume 4, Issue 4, pp 273–283 | Cite as

Measuring health status? A review of the Sickness Impact and functional limitations profiles

  • Simon J. Williams
Original Paper


Recent years have witnessed a growing interest in the measurement of health status. One of the most well-known health status instruments is the Sickness Impact Profile (SIP). This paper examines the nature, development and testing of the SIP (and its UK equivalent the FLP). The practical merits of these instruments are explained, and some cautionary remarks are offered about their limitations.


Public Health Health Status Functional Limitation Measure Health Status Limitation Profile 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    McDowell, I. and Newell, C. (1987).Measuring Health: A Guide to Rating Scales and Questionnaires, Oxford University Press, Oxford.Google Scholar
  2. 2.
    Bowling, A. (1991).Measuring Health: A Review of Quality of Life Measurement Scales, Open University Press, Buckingham.Google Scholar
  3. 3.
    Bergner, M., Bobbitt, R. A. with Carter, W. B. and Gilson, B.S. (1981). The sickness impact profile: development and final version of a health status measure.Medical Care 19(8), 787–805.Google Scholar
  4. 4.
    Bergner, M., Bobbitt, R. A., Kressel, S., Pollard, W. E., Gilson, B. S. and Morris, J. R. (1976). The sickness impact profile: conceptual formulation and methodology for the development of a health status measure.International Journal of Health Services 6, 393–415.Google Scholar
  5. 5.
    Bergner, M. (1988). Development, testing, and use of the Sickness Impact Profile. In,Quality of Life: Assessment and Application, ed. by S. R. Walker and R.M. Rosser, MTP Press, Lancaster.Google Scholar
  6. 6.
    Deyo, R. A., Inui, T. S., Leininger, J. D. and Overman, S. S. (1983). Measuring functional outcomes in chronic disease: a comparison of traditional scales and a self-administered health status questionnaire in patients with rheumatoid arthritis.Medical Care 21(2), 180–192.Google Scholar
  7. 7.
    Bergner, M., Bobbitt, R. A., Pollard, W. E., Martin, D.P. and Gilson, B.S. (1976). The sickness impact profile: validation of a health status measure.Medical Care 14, 57–67.Google Scholar
  8. 8.
    Read, J. L., Quinn, R. J. and Hoefer, M. A. (1987). Measuring overall health: an evaluation of three important approaches.Journal of Chronic Disease 40(Suppl. 1), 7S-21S.Google Scholar
  9. 9.
    Gilson, B. S., Erickson, D., Chavez, C. al. (1980). A Chicano version of the SIP.Cultural and Medical Psychiatry 4, 137–150.Google Scholar
  10. 10.
    de Bruin, A. F., de Witte, L. P., Stevens, F. and Diederiks, J. P. M. (1993). Sickness impact profile: the state of the art of a generic functional status measure.Social Science and Medicine 35(8), 1003–1014.Google Scholar
  11. 11.
    Patrick, D. and Peach, H. (eds.) (1989).Disablement in the Community, Oxford University Press, Oxford.Google Scholar
  12. 12.
    Patrick, D. L., Peach, H. and Gregg, I. (1982). Disablement and care: a comparison of patient views and general practitioner knowledge.Journal of the Royal College of General Practitioners 32, 429–434.Google Scholar
  13. 13.
    Patrick, D. L., Sittampalam, Y., Sommerville, S., Carter, S. and Bergner, M. (1985). A cross-cultural comparison of health status values.American Journal of Public Health 71(2), 1402–1407.Google Scholar
  14. 14.
    Bergner, L., Hallstrom, A. P., Bergner, al. (1985). Health status of survivors of cardiac arrest and of myocardial infarction controls.American Journal of Public Health 75, 1321–1323.Google Scholar
  15. 15.
    Ott, C. R., Sivarajan, E. S., Newton, al. (1983). A controlled randomized study of early cardiac rehabilitation: the sickness impact profile as an assessment tool.Heart Lung 12, 162–170.Google Scholar
  16. 16.
    Vanden Burg, M. J. (1988). Measuring the quality of life of patients with angina. In,Quality of Life: Assessment and Application, ed. by S.R. Walker and R.M. Rosser, MTP Press, Lancaster.Google Scholar
  17. 17.
    Fletcher, A., McLoone, P. and Bulpitt, C. (1988). Quality of life on angina therapy: a randomized controlled trial of transdermal glyceryl trinitrate against placebo.Lancet 2, 4–8.Google Scholar
  18. 18.
    Wenger, N. K., Mattson, M. E., Furberg, C. al. (eds.) (1984).Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies, Le Lacq Pub. Inc., USA.Google Scholar
  19. 19.
    Temkin, N. R., McLean, A., Dikmen, S., Gale, J., Bergner, M. and Almes, K. J. (1988). Development and evaluation of modifications to the Sickness Impact Profile for head injury.Journal of Clinical Epidemiology 41, 47–57.Google Scholar
  20. 20.
    Temkin, N. R., Dikmen, S., Machamer, J. and McLean, A. (1989). General versus disease specific measures: further work on the sickness impact profile for head injury.Medical Care 27(Suppl.), 544–553.Google Scholar
  21. 21.
    Krenz, C., Larson, E. B., Buchner, D. M. and Canfield, C. G. (1988). Characterising patients dysfunction in Alzheimers-type dementia.Medical Care 29, 453–461.Google Scholar
  22. 22.
    McSweeny, A. J., Heaton, R. K., Grant, I., Cugell, D., Solliday, N. and Timms, R. (1980). Chronic obstructive pulmonary disease: socioemotional adjustment and life quality.Chest 77(2) (Suppl.), 309–311.Google Scholar
  23. 23.
    McSweeny, A. J., Grant, I., Heaton, R. K., Adams, K. M. and Timms, R. M. (1982). Life quality of patients with chronic obstructive pulmonary disease.Archives of Internal Medicine 144, 473–478.Google Scholar
  24. 24.
    Prigatano, G. P., Wright, E. C. and Levin, D. (1984). Quality of life and its predictors in patients with mild hypoxaemia and chronic obstructive pulmonary disease.Archives of Internal Medicine 144, 1613–1619.Google Scholar
  25. 25.
    Bergner, M., Hudson, I., Conrad, al. (1988). The cost and efficacy of home care for chronic lung patients.Medical Care 26, 566–579.Google Scholar
  26. 26.
    Jones, P. W. (1988). Measuring the quality of life of patients with respiratory disease. In,Quality of Life: Assessment and Application, ed. by S.R. Walker and R.M. Rosser, MTP Press, Lancaster.Google Scholar
  27. 27.
    Jones, P. W. (1991). Quality of life measurement for patients with diseases of the airways.Thorax 46(9), 676–682.Google Scholar
  28. 28.
    Jones, P. W., Baveystock, C. M. and Littlejohns, P. (1989). Relationship between general health measured with the sickness impact profile and respiratory symptoms, physiological measures, and mood in patients with chronic airflow limitation.American Review of Respiratory Disease 140, 1538–1553.Google Scholar
  29. 29.
    Greenwald, H. P. (1987). The specificity of quality of life measures among the seriously ill.Medical Care 25, 642–651.Google Scholar
  30. 30.
    Hart, G. L. and Evans, R. W. (1987). The functional status of ESRD patients as measured by the sickness impact profile.Journal of Chronic Disease 40(Suppl. 1), 117S-131S.Google Scholar
  31. 31.
    Deyo, R. A., Inui, T. S., Leininger, J. D. and Overman, S. S. (1982). Physical and psychosocial function in rheumatoid arthritis: clinical use of a self-administered health status instrument.Archives of Internal Medicine 142, 879–882.Google Scholar
  32. 32.
    Deyo, R. A. (1988). Measuring the quality of life of patients with rheumatoid arthritis. In,Quality of Life: Assessment and Application, ed. by S. R. Walker and R. M. Rosser, MTP Press, Lancaster.Google Scholar
  33. 33.
    Liang, M. H., Larson, M. G., Cullen, K. E. and Schwartz, J. A. (1985). Comparative measurement efficiency and sensitivity of five health status instruments for arthritis research.Arthritis and Rheumatism 28(5), 542–547.Google Scholar
  34. 34.
    Rolland, M. and Morris, R. (1983). A study of the natural history of back pain: part I: development of a reliable and sensitive measure of disability in low-back pain.Spine 8, 141–144.Google Scholar
  35. 35.
    Deyo, R. A. and Diehl, A. K. (1983). Measuring physical and psychosocial function in patients with low back pain.Spine 8, 635–642.Google Scholar
  36. 36.
    Deyo, R. A. (1986). Comparative validity of the sickness impact profile and shorter scales for functional assessment in low back pain.Spine 11, 951–954.Google Scholar
  37. 37.
    Follick, M. J., Smith, T. W. and Ahern, D. K. (1985). The sickness impact profile: global measure of disability in chronic low back pain.Pain 21, 67.Google Scholar
  38. 38.
    Watt-Watson, J. H. and Graydon, J. E. (1989). Sickness impact profile: a measure of dysfunction with chronic pain patients.Journal of Pain Symptoms and Management 4, 152–156.Google Scholar
  39. 39.
    Reisine, S. T., Fertig, J., Weber, J. and Leder, S. (1989). Impact of dental conditions on patient's quality of life.Community Dentistry and Oral Epidemiology 17, 7–10.Google Scholar
  40. 40.
    Pollard, W. E., Bobbitt, R. A., Bergner, M., Martin, D.P. and Gilson, B. S. (1976). The sickness impact profile: reliability of a health status measure.Medical Care 14, 146–155.Google Scholar
  41. 41.
    Hunskaar, S. and Vinsnes, A. (1991). The quality of life in women with urinary incontinence as measured by the sickness impact profile.Journal of American Geriatric Society 39, 378–382.Google Scholar
  42. 42.
    Finlay, A.Y., Khan, G.K., Luscombe, D.K., and Salek, M.S. (1990). Validation of the sickness impact profile and psoriasis disability index in psoriasis.British Journal of Dermatology 123, 751–756.Google Scholar
  43. 43.
    Goldsmith, G. and Brodwick, M. (1989) Assessing the functional status of older patients with chronic illness.Family Medicine 21, 38–41.Google Scholar
  44. 44.
    Walker, S. R. and Rosser, R. M. (eds) (1988).Quality of Life: Assessment and Application, MTP Press, Lancaster.Google Scholar
  45. 45.
    Jette, A.M. (1980). Health status indicators: their utility in chronic-disease evaluation.Journal of Chronic Disease 33, 567–579.Google Scholar
  46. 46.
    Bendelow, G. and Williams, S. J. (1995). Transcending the dualisms: towards a sociology of pain.Sociology of Health and Illness 17(2), 139–165.Google Scholar
  47. 47.
    Hunt, S. M., McEwen, J. and McKenna, S. P. (1985). Measuring health status: a new tool for clinicians and epidemiologists.Journal of the Royal College of General Practitioners 35, 185–188.Google Scholar
  48. 48.
    Blaxter, M. (1981). Self-definitions of health status and consulting rates in primary care.Quarterly Journal of Social Affairs 1, 131–171.Google Scholar
  49. 49.
    Jenkinson, C., Ziebland, S., Fitzpatrick, R., Mowat, A. and Mowat, A. (1991). Sensitivity to change of weighted and unweighted versions of two health status measures.International Journal of Health Sciences 2(4), 189–194.Google Scholar
  50. 50.
    Fitzpatrick, R., Newman, S., Lamb, R. and Shipley, M. (1988). A comparison of health status in rheumatoid arthritis.British Journal of Rheumatology 28, 201–206.Google Scholar
  51. 51.
    Fitzpatrick, R., Ziebland, S., Jenkinson, C., Mowatt, A. and Mowat, A. (1992). Importance of sensitivity to change as a criterion for selecting health status measures.Quality in Health Care 1, 89–93.Google Scholar
  52. 52.
    Buxton, M. (1983). The economics of heart transplant programmes: measuring the benefits. In,Measuring the Social Benefits of Medicine, ed. by G. Teeling-Smith, Office of Health Economics, London.Google Scholar
  53. 53.
    O'Brien, B.J. (1988). Assessment of treatment in heart disease. In,Measuring Health: A Practical Approach, ed. by G. Teeling-Smith, John Willey, Chichester.Google Scholar
  54. 54.
    Deyo, R. al. (1989). Barriers to the use of health status measures in clinical investigation, patient care and policy research.Medical Care 27(Suppl.), 254S-268S.Google Scholar
  55. 55.
    Calnan, M. and Williams, S. (1991). Style of life and the salience of health.Sociology of Health and Illness 13(4), 596–529.Google Scholar
  56. 56.
    Stewart, A. L., Ware, J. E., Brook, R. al. (1978).Conceptualization and Measurement of Health for Adults in the Health Insurance Study, vol. II: Physical Health in Terms of Functioning, Rand Corporation. Santa Monica.Google Scholar
  57. 57.
    Ware, J. E., Johnson, S. A., Davies-Avery, al. (1979).Conceptualization and Measurement of Health for Adults in the Health Insurance Study, Vol III: Mental Health, Rand Corporation, Santa Monica.Google Scholar
  58. 58.
    World Health Organisation (1985).Targets For Health For All By The Year 2000, World Health Organisation, Regional Office for Europe, Copenhagen.Google Scholar
  59. 59.
    Ottawa Charter for Health Promotion (1986).Health Promotion 14(iii–v).Google Scholar
  60. 60.
    Seedhouse, D. F. (1986).Health: The Foundations for Achievement, John Wiley, Chichester.Google Scholar
  61. 61.
    Crawford, R. (1980). Healthism and the medicalization of everyday life.International Journal of Health Services 10, 365–388.Google Scholar
  62. 62.
    Becker, M. (1986). The tyranny of health promotion.Public Health Review 14, 15–25.Google Scholar
  63. 63.
    Crawford, R. (1977). You are dangerous to your health: the ideology and politics of victim blaming.International Journal of Health Services 7, 663–680.Google Scholar
  64. 64.
    Seedhouse, D. F. (1996).Health Promotion: Philosophy, Prejudice and Practice, John Wiley and Sons, Chichester, (in press).Google Scholar

Copyright information

© John Wiley & Sons, Ltd 1996

Authors and Affiliations

  • Simon J. Williams
    • 1
  1. 1.Department of SociologyUniversity of WarwickCoventryUK

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