Quality of Life Research

, Volume 9, Issue 6, pp 675–683 | Cite as

Psychometric evaluation of a Chinese (Taiwanese) version of the SF-36 health survey amongst middle-aged women from a rural community

  • Jong-Ling Fuh
  • Shuu-Jiun Wang
  • Shiang-Ru Lu
  • Kai-Dih Juang
  • Shin-Jung Lee
Article

Abstract

To test the psychometric properties of the Chinese (Taiwanese) version of the short form 36 health survey (SF-36), 1439 women, aged 40–54 years and living in Kinmen (a Taiwanese island reflecting a predominantly rural community) were recruited to participate in this survey. The rate of unavailable data points for the 36 tested items remained consistently low, and item-discriminate validity was high (95%) for all subscales. Cronbach's α coefficient remained above the 0.70 threshold criterion for all scales except for social functioning and bodily pain. Principal components analysis supported the two major dimensions of health, physical and mental, in the internal structure of the SF-36 scales, although the dimensions did not match the hypothesized association very well. Poorer health profiles were associated with physical and mental conditions. The mental health subscores in the SF-36 test correlated highly with the associated hospital anxiety and depression score (Spearman rank correlation coefficient = −0.62). In conclusion, the reliability and validity tests performed on the data collected support the cross-cultural application of the Chinese (Taiwanese) version of the SF-36 test.

Cross-cultural comparisons Health-related quality of life SF-36 health survey Taiwan Women 

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References

  1. 1.
    Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey-Manual and Interpretation guide. Boston, MA: The Health Institute, New England Medical Center, 1993.Google Scholar
  2. 2.
    Ware JE, Sherbourne CD. The MOS 36-item short form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30: 473–483.PubMedGoogle Scholar
  3. 3.
    Ware JE, Keller SD, Gandek B, Brazier JE, Sullivan M. Evaluating translations of health status questionnaires: Methods from the IQOLA project. Int J Technol Assess Health Care 1995; 11: 525–551.PubMedCrossRefGoogle Scholar
  4. 4.
    Wagner AK, Gandek B, Aaronson NK, et al. Cross-cultural comparisons of the content of SF-36 translations across 10 countries: Results from the IQOLA project. J Clin Epidemiol 1998; 51: 925–932.Google Scholar
  5. 5.
    Raczek AE, Ware JE, Bjorner JB, et al. Comparison of Rasch and summated rating scales constructed from SF-36 physical functioning items in seven countries: Results from the IQOLA project. J Clin Epidemiol 1998; 51: 1203–1214.PubMedCrossRefGoogle Scholar
  6. 6.
    Gandek B, Ware JE, Aaronson NK, et al. Tests of data quality, scaling assumptions, and reliability of the SF-36 in eleven countries: Results from the IQOLA project. J Clin Epidemiol 1998; 51: 1149–1158.PubMedCrossRefGoogle Scholar
  7. 7.
    Lam CLK, Gandek B, Ren XS, Chan MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 health survey. J Clin Epidemiol 1998; 51: 1139–1147.PubMedCrossRefGoogle Scholar
  8. 8.
    Ren XS, Amick B, Zhou L, Gandek B. Translation and psychometric evaluation of a Chinese version of the SF-36 health survey in the United States. J Clin Epidemiol 1998; 51: 1129–1138.PubMedCrossRefGoogle Scholar
  9. 9.
    Zigmond AS, Smaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361–370.PubMedGoogle Scholar
  10. 10.
    Juang KD, Wang SJ, Lin CH, Fuh JL. Use of the hospital and depression scale as a screening tool for patients with headache. Chin Med J (Taipei) 1999; 62: 749–755.Google Scholar
  11. 11.
    Hays RD, Hayashi T, Carson S, Ware JE. User's guide for the Multitrait Analysis Program (MAP). Santa Monica, CA: Rand, A Rand Note, N-2786-RC, 1988.Google Scholar
  12. 12.
    Nunnally JC. Psychometric Theory. 2nd Edn. New York: McGraw-Hill, 1978.Google Scholar
  13. 13.
    McHorney CA, Ware JE, Lu JFR, Sherbourne CD. The MOS 36-Item short-form health survey (SF-36): III. Test of data quality, scaling, assumptions and reliability across diverse patient groups. Med Care 1994; 32: 40–66.PubMedGoogle Scholar
  14. 14.
    McHorney CA, Ware JE, Raczek AE. The MOS 36-Item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993; 31: 247–263.PubMedGoogle Scholar
  15. 15.
    Wagner A, Gandek B, Aaronson NK, et al. Cross-cultural comparisons of the content of SF-36 translations across ten countries: Results from the IQOLA project. J Clin Epi-demiol 1998; 51: 925–932.CrossRefGoogle Scholar
  16. 16.
    . Ren XS, Chang K. Evaluating health status of elderly Chinese in Boston. J Clin Epidemiol 1998; 51: 429–435.PubMedCrossRefGoogle Scholar
  17. 17.
    Jenkinson C, Wright L, Coulter A. Criterion validity and reliability of the SF-36 in a population sample. Qual Life Res 1994; 3: 7–12.PubMedCrossRefGoogle Scholar
  18. 18.
    Ware JE, Kosinski M, Keller SF. SF-36 Physical and Mental Health Summary Scales: A user's Manual. Boston, MA: The Health Institute, 1994.Google Scholar
  19. 19.
    Persson LO, Karlsson J, Bengtsson C, Steen B, Sullivan M. The Swedish SF-36 Health Survey II. Evaluation of clinical validity: Results from population studies of elderly and women in Gothenborg. J Clin Epidemiol 1998; 51: 1095–1103.PubMedCrossRefGoogle Scholar
  20. 20.
    Moore R, Brodsgaard I, Mao TK, Miller ML, Dworkin SF. Perceived need for local anesthesia in tooth drilling among Anglo-Americans, Chinese, and Scandinavians. Anes Prog 1998; 45: 22–28.Google Scholar
  21. 21.
    Ware JE, Kosinski M, Gandek B, et al. The factor structure of the SF-36 health survey in ten countries: Results from the IQOLA project. J Clin Epidemiol 1998; 51: 1159–1165.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2000

Authors and Affiliations

  • Jong-Ling Fuh
    • 1
    • 2
  • Shuu-Jiun Wang
    • 1
    • 2
  • Shiang-Ru Lu
    • 1
    • 2
  • Kai-Dih Juang
    • 3
    • 2
  • Shin-Jung Lee
    • 4
  1. 1.Neurological InstituteTaipei Veterans General HospitalTaiwan
  2. 2.National Yang-Ming University School of MedicineTaipeiTaiwan
  3. 3.Department of PsychiatryTaipei Veterans General HospitalTaiwan and
  4. 4.Department of Biostatistics and EpidemiologyCleveland Clinic FoundationUSA

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