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Use of the SF-8 to assess health-related quality of life for a chronically ill, low-income population participating in the Central Louisiana Medication Access Program (CMAP)

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Objectives: The utility of the SF-8 for assessing health-related quality of life (HRQL) is demonstrated. Race and gender differences in physical component (PCS) and mental component (MCS) summary scores among participants in the CENLA Medication Access Program (CMAP), along with comparisons to the United States population are made. Methods: Age-adjusted multiple linear regression analyses were used to compare 1687 CMAP participants to the US population. Internal race and gender comparisons, adjusting for age and the number of self reported diagnoses, were also obtained. The paired t-test was used to assess 6-month change in PCS and MCS scores for a subset of 342 participants. Results: CMAP participants have PCS and MCS scores that are significantly 10–12 points lower than the US population, indicating lower self-reported HRQL. Females have significantly higher PCS and significantly lower MCS than males. African–Americans have significantly higher MCS than Caucasians. Significant increases in both PCS and MCS were observed for the subset of participants after 6 months of intervention. Conclusions: The expected lower baseline PCS and MCS measures and the expected associations with age and number of diagnoses indicate that the SF-8 survey is an effective tool for measuring the HRQL of participants in this program. Preliminary results indicate significant increases in both PCS and MCS 6 months after intervention.

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bodily pain


Central Louisiana Medication Access Program


general health


health-related quality of life


mental component score


mental health


physical component score


physical functioning


QualityMetrics Incorporated


role emotional


role physical


social functioning


Short Form 8 Health Survey




  • G Becker (2001) ArticleTitleEffects of being uninsured on ethnic minorities’ management of chronic illness. West J Med 175 IssueID1 19–23

    Google Scholar 

  • GN Harmon J Lefante W Roy et al. (2004) ArticleTitleOutpatient medication assistance in a rural setting. Am J Health Sys Pharm 61 603–607

    Google Scholar 

  • Health-Related Quality of Life. Available at:http://www., Accessed August 19, 2003.

  • JE Ware M Kosinski JE Dewey B Gandek (2001) How to Score and Interpret Single-Item Health Status Measures: A Manual for Users of the SF-8 Health Survey. QualityMetric Incorporated Lincoln RI

    Google Scholar 

  • JE Ware MS Bayliss WH Rogers M Kosinski AR Tarlov (1996) ArticleTitleDifferences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems: Results from the Medical Outcomes Study. JAMA 276 IssueID13 1039–1047

    Google Scholar 

  • I Ekman B Fagerberg B Lundman (2002) ArticleTitleHealth-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart Lung 31 IssueID2 94–101

    Google Scholar 

  • M Wensing E Vingerhoets R Grol (2001) ArticleTitleFunctional status, health problems, age and comorbidity in primary care patients. Qual Life Res 10 141–148

    Google Scholar 

  • R Benjamin-Coleman B Alexy (1999) ArticleTitleUse of the SF-36 to identify community dwelling rural elderly at risk for hospitalization. Public Health Nursing 16 IssueID3 223–227

    Google Scholar 

  • SJ Walters JF Munro JE Brazier (2001) ArticleTitleUsing the SF-36 with older adults: A cross-sectional community-based survey. Age Ageing 30 337–343

    Google Scholar 

  • MB Stein E Barrett-Connor (2002) ArticleTitleQuality of life in older adults receiving medications for anxiety, depression, or insomnia. Am J Geriatr Psychiatry 10 568–574

    Google Scholar 

  • Which “SF” Survey to Use. Available at: http://www., Accessed April 14, 2003.

  • N Brown M Melville D Gray et al. (1999) ArticleTitleQuality of life 4 years after acute myocardial infarction: Short form 36 scores compared with a normal population. Heart 81 IssueID4 352–358

    Google Scholar 

  • F Camacho RT Anderson RA Bell et al. (2002) ArticleTitleInvestigating correlates of health-related quality of life in a low-income sample of patients with diabetes. Qual Life Res 11 783–796

    Google Scholar 

  • Comparisons Among “SF” Surveys. Available at:, Accessed April 14, 2003.

  • DM Turner-Bowker MS Bayliss JE Ware ParticleJr. M Kosinski (2003) ArticleTitleUsefulness of the SF-8 Health Survey for comparing the impact of migraine and other conditions. Qual Life Res 12 IssueID8 1003–1012

    Google Scholar 

  • J Rawlings S Pantula D Dickey (1998) Applied Regressions Analysis: A Research Tool. Springer-Verlag New York

    Google Scholar 

  • CA McHorney JE Ware W Rogers et al. (1992) ArticleTitleThe validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts: Results from the Medical Outcomes Study Med Care 30(5 Suppl) MS253–265

    Google Scholar 

  • TC Rosenthal C Fox (2000) ArticleTitleAccess to health care for the rural elderly. JAMA 284 IssueID16 2034–2036

    Google Scholar 

  • JM Schectman VE Bovbjerg JD Voss (2002) ArticleTitlePredictors of medication-refill adherence in an indigent rural population. Med Care 40 IssueID12 1294–1300 Occurrence Handle10.1097/00005650-200212000-00016

    Article  Google Scholar 

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Correspondence to John J. Lefante Jr..

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Lefante, J.J., Harmon, G.N., Ashby, K.M. et al. Use of the SF-8 to assess health-related quality of life for a chronically ill, low-income population participating in the Central Louisiana Medication Access Program (CMAP). Qual Life Res 14, 665–673 (2005).

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