Skip to main content
SpringerLink
Log in

The Usefulness of the Functional Status Questionnaire and Medical Outcomes Study Short Form in Parkinson's Disease Research

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Parkinson's disease (PD) has no cure and is a progressive neurological disorder with treatment aimed at the maintenance of function and limitation of the symptoms. No extensive studies of the disease's impact on health-related quality of life (HRQoL) have been conducted. The purpose of this study was to assess the potential usefulness of the Medical Outcomes Study Short Form (SP-36) and the Functional Status Questionnaire (FSQ) in Parkinson's disease research. This cross-sectional study of 193 PD patients who visited two hospital-based neurology clinics used self-administered in-clinic and take-home questionnaires to ascertain the demographic and environmental characteristics of the subjects and to gain health profile measures from the SF-36 and the FSQ. The two health profiles provide important HRQoL information supplementary to the traditional signs and symptoms evaluated by the Unified Parkinson's Disease Rating Scale (UPDRS). Many of the HRQoL measures discriminate progressive stages of disease in this study group and distinguish those with complications of therapy from subjects without complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. McDowell FH. Parkinson's disease and related disorders. In: Hazzard WR, Bierman EL, Blass JP, Ettinger WH, Halter JB, Andres R, eds. Principles of Geriatric Medicine and Gerontology, 3rd edn. New York: McGraw-Hill Inc., 1994: 1051–1061.

    Google Scholar 

  2. Deyo RA, Inui TS, Leininger JD, Overman SS. Measuring functional outcomes in chronic disease: a comparison of traditional scales and a self-administered health status questionnaire in patients with rheumatoid arthritis. Med Care 1983; 21(2): 180.

    PubMed  CAS  Google Scholar 

  3. Ware JE, Brook RH, Davies AR et al. Choosing measures of health status for individuals in general populations. Am J Public Health 1981; 71(6): 620.

    PubMed  Google Scholar 

  4. Hays RD, Anderson R, Revicki D. Psychometric considerations in evaluating health-related quality of life measures. Qual Life Res 1993; 2: 441.

    Article  PubMed  CAS  Google Scholar 

  5. Martinez-Martin P. Rating scales in Parkinson's disease. In: Jankovic J, Tolosa E, eds. Parkinson's Disease and Movement Disorders, 2nd edn. Baltimore: Williams & Wilkins, 1993: 281–292.

    Google Scholar 

  6. Ware JE, Sherbourne CD. The MOS 36–item short-form health survey (SF-36): I — Conceptual framework and item selection. Med Care 1992; 30(6): 473.

    PubMed  Google Scholar 

  7. Jette AM, Davies AR, Cleary PD et al. The functional status questionnaire: reliability and validity when used in primary care. J Gen Intern Med 1986; 1: 143.

    PubMed  CAS  Google Scholar 

  8. Jenkinson C, Peto V, Fitzpatrick R, Greenhall R, Hyman N. Self-reported functioning and well-being in patients with Parkinson's disease: comparison of the short-form health survey (SF-36) and the Parkinson's Disease Questionnaire (PDQ-39). Age Ageing 1995; 24(6): 505.

    PubMed  CAS  Google Scholar 

  9. Peto V, Fitzpatrick R, Jenkinson C. Self-reported health status and access to health services in a community sample with Parkinson's disease. Disabil Rehabil 1997; 19(3): 97.

    Article  PubMed  CAS  Google Scholar 

  10. Hobson JP, Meara RJ. Is the SF-36 health survey questionnaire suitable as a self-report measure of the health status of older adults with Parkinson's disease. Qual Life Res 1997; 6: 213.

    Article  PubMed  CAS  Google Scholar 

  11. de Boer AGEM, Wijker W, Speelman JD, de Haes JCJM. Quality of life in patients with Parkinson's disease: development of a questionnaire. J Neurol Neurosurg Psychiatry 1996; 61(1): 70.

    Article  PubMed  CAS  Google Scholar 

  12. Patrick DL, Erickson P. Health Status and Health Policy: Allocating Resources to Health Care. New York: Oxford University Press, 1993.

    Google Scholar 

  13. Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care 1989; 27: S217.

    PubMed  CAS  Google Scholar 

  14. Bombardier C, Melfi CA, Paul J et al. Comparison of a generic and a disease-specific measure of pain and physical function after knee replacement surgery. Med Care 1995; 33(Suppl 4): AS131.

    PubMed  CAS  Google Scholar 

  15. Fahn S, Elton RL, members of the UPDRS Development Committee. Unified Parkinson's Disease Rating Scale. In: Fahn S, Marsden CD, Calne D, Goldstein M, eds. Recent Developments in Parkinson's Disease II, Vol. 2. Florham Park, NJ: MacMillan Healthcare Information, 1987: 153–163; 293–304.

    Google Scholar 

  16. Streiner DL, Norman GR. Health Measurement Scales: A Practical Guide to their Development and Use, 2nd edn. New York: Oxford University Press, 1995.

    Google Scholar 

  17. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual and Interpretation Guide. Boston, MA: The Health Institute, 1993.

    Google Scholar 

  18. Ware JE, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A. Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Med Care 1995; 33(4 Suppl): AS264.

    PubMed  Google Scholar 

  19. Viramontes JL, O'Brien B. Relationship between symptoms and health-related quality of life in chronic lung disease. J Gen Intern Med 1994; 9(1): 46.

    PubMed  CAS  Google Scholar 

  20. Jacobson AM, Samson JA, Groot MD. The evaluation of two measures of quality of life in patients with type I and type II diabetes. Diabetes Care 1994; 17(4): 267.

    PubMed  CAS  Google Scholar 

  21. Wachtel T, Piette J, Mor V, Stein M, Fleishman J, Carpenter C. Quality of life in persons with human immunodeficiency virus infection: measurement by the Medical Outcomes Study instrument. Ann Intern Med 1992; 116: 129.

    PubMed  CAS  Google Scholar 

  22. McCarthy MJJ, Shroyer AL, Sethi GK et al. Self-report measures for assessing treatment outcomes in cardiac surgery patients. Med Care 1995; 33(Suppl. 10): OS76.

    Article  PubMed  Google Scholar 

  23. Lyons RA, Perry HM, Littlepage BM. Evidence for the validity of the Short-form 36 Questionnaire (SF-36) in an elderly population. Age Ageing 1994; 23(3): 182.

    PubMed  CAS  Google Scholar 

  24. Jette AM, Cleary PD. Functional disability assessment. Phys Ther 1987; 67(12): 1854.

    PubMed  CAS  Google Scholar 

  25. Tedesco C, Manning S, Lindsay R, Alexander C, Owen R, Smucker ML. Functional assessment of elderly patients after percutaneous aortic balloon valvuloplasty: New York Heart Association classification versus functional status questionnaire. Heart Lung 1990; 19(2): 118.

    PubMed  CAS  Google Scholar 

  26. SAS Institute Inc. SAS/STAT User's Guide, Release 6.03 Edition. Cary, NC: SAS Institute Inc., 1988.

    Google Scholar 

  27. EGRET Reference Manual. Seattle, WA: Statistics and Epidemiology Research Corporation and Cytel Software Corporation, 1992.

  28. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16: 297.

    Article  Google Scholar 

  29. Bartko JJ. The intraclass correlation coefficient as a measure of reliability. Psychol Rep 1966; 19: 3.

    PubMed  CAS  Google Scholar 

  30. Martinez-Martin P, Gil-Nagel A, Gracia LM et al. Unified Parkinson's Disease Rating Scale characteristics and structure. Mov Disord 1994; 9(1): 76.

    Article  PubMed  CAS  Google Scholar 

  31. Richards M, Marder K, Cote L, Mayeux R. Interrater reliability of the Unified Parkinson's Disease Rating Scale motor examination. Mov Disord 1994; 9(1): 89.

    Article  PubMed  CAS  Google Scholar 

  32. Rubenstein LM, Lemke JH. The Construction of Self-Reported Medical Condition Histories: The Iowa 65+Rural Health Study, Iowa City, IA: University of Iowa, Department of Preventive Medicine and Environmental Health.

  33. Ware JE. SF-36 Physical and MH Summary Scores: Manual and Interpretation Guide. Boston, MA: The Health Institute, 1995.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Preventive Medicine and Environmental Health, University of Iowa, Iowa City, IA, USA

    L. M. Rubenstein

  2. Program in Pharmaceutical Outcomes and Policy Research, University of Iowa, Iowa City, IA, USA

    L. M. Rubenstein

  3. Department of Preventive Medicine and Environmental Health, University of Iowa, Iowa City, IA, USA

    M. D. Voelker, E. A. Chrischilles, D. C. Glenn & R. B. Wallace

  4. Department of Neurology, University of Iowa, Iowa City, IA, USA

    R. L. Rodnitzky

Authors
  1. L. M. Rubenstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. D. Voelker
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. A. Chrischilles
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. C. Glenn
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. B. Wallace
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. L. Rodnitzky
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rubenstein, L.M., Voelker, M.D., Chrischilles, E.A. et al. The Usefulness of the Functional Status Questionnaire and Medical Outcomes Study Short Form in Parkinson's Disease Research. Qual Life Res 7, 279–290 (1998). https://doi.org/10.1023/A:1024973611880

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1024973611880

Search

Navigation