Skip to main content

Advertisement

SpringerLink
Log in

Validation of the Dutch Version of the CDC Core Healthy Days Measures in a Community Sample

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

Abstract

An important disadvantage of most indicators of health related quality of life used in public health surveillance is their length. In this study the authors investigated the reliability and validity of a short indicator of health related quality of life, the Dutch version of the four item ‘CDC Core Healthy Days Measures’ (CDC HRQOL-4). The reliability was evaluated by calculating Cronbach’s alpha of the CDC HRQOL-4. The concurrent validity was tested by comparing the CDC HRQOL-4 with three other indicators of health related quality of life, the SF-36, the WHOQoL-BREF and the GHQ-12. The construct validity was evaluated by assessing the ability of the CDC HRQOL-4 to discriminate between respondents with and without a (non-mental) chronic condition, depression, a visit to the general practitioner and use of prescription drugs. Randomly sampled respondents from the city of Utrecht were asked to fill in a questionnaire. 659 respondents (response rate 45%) completed the questionnaire. Participants represented the adult, non-institutionalised population of the city of Utrecht, the Netherlands: 58% women; mean age 41 years; 15% of non-Dutch origin. The reliability of the CDC HRQOL-4 was good. Cronbach’s alpha of three of the four CDC HRQOL-4-items was 0.77 which is good for internal consistent scales. The concurrent validity was good. The four items of the CDC HRQOL-4 showed higher correlations with their corresponding domains of the other instrument than the other domains. Comparison of respondents with or without a chronic condition, depression, visit to the GP and use of prescription drugs produced evidence for an excellent construct validity of the CDC HRQOL-4.

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. CH Hennessy DG Moriarty MM Zack PA Scherr R Brackbill (1994) ArticleTitleMeasuring health-related quality of life for public health surveillance Public Health Reports 109 665–672 Occurrence Handle1:STN:280:ByqD38vls1E%3D Occurrence Handle7938388

    CAS  PubMed  Google Scholar 

  2. EL Idler Y Benyamani (1997) ArticleTitleSelf-rated health and mortality: A review of 27 community studies J Health Soc Behav 38 21–37 Occurrence Handle1:STN:280:ByiB2M7ptVQ%3D Occurrence Handle9097506

    CAS  PubMed  Google Scholar 

  3. EL Idler RJ Angel (1990) ArticleTitleSelf-rated health and mortality in the NHANES-I epidemiologic follow-up study Am J Public Health 80 446–452 Occurrence Handle1:STN:280:By%2BC1Mnkt1U%3D Occurrence Handle2316767 Occurrence Handle10.2105/AJPH.80.4.446

    Article  CAS  PubMed  Google Scholar 

  4. Siegel PZ. Self-reported health status: public health surveillance and small-area analysis. In: Schecter S, (ed.), Proceedings of the 1993 NCHS Conference on cognitive aspects of self-reported health status. Hyattsville, Maryland: US Department of Health and Human Services, Public Health Service, National Centre for Health Statistics, 1994

  5. HFL Garretsen ECH Gilst Particlevan JAM Oers Particlevan (1991) ArticleTitleCollecting health information at a local level Health Promotion Int 6 121–133 Occurrence Handle10.1093/heapro/6.2.121

    Article  Google Scholar 

  6. JE Ware C Sherbourne (1992) ArticleTitleThe MOS 36-item short-form health survey I: Conceptual framework and item selection Med Care 30 473–483 Occurrence Handle1593914

    PubMed  Google Scholar 

  7. CA McHorney JE Ware AE Raszek (1993) ArticleTitleThe 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 31 247–263 Occurrence Handle1:STN:280:ByyC1MnisVI%3D Occurrence Handle8450681

    CAS  PubMed  Google Scholar 

  8. InstitutionalAuthorNameCDC (2000) Measuring Healthy Days. Population Assessment of Health-Related Quality of Life Centres for Disease Control and Prevention Atlanta

    Google Scholar 

  9. C Jenkinson R Layte (1997) ArticleTitleDevelopment and testing of the UK SF-12 J Health Serv Res Policy 2 14–18 Occurrence Handle1:STN:280:DyaK1czitFCjtw%3D%3D Occurrence Handle10180648

    CAS  PubMed  Google Scholar 

  10. InstitutionalAuthorNameQmetric (2001) How to Score and Interpret Single-Item Health Status Measures: A Manual for User of the SF-8 ™ Health Survey Lincoln Qmetric

    Google Scholar 

  11. A Bowling J Windsor (1997) ArticleTitleDiscriminative power of the HSQ-12 in relation to age, sex and longstanding illness: Findings from a survey of households in Great Britain J Epidemiol Commun Health 51 564–573 Occurrence Handle1:STN:280:DyaK1c%2Fos1Kjtw%3D%3D

    CAS  Google Scholar 

  12. InstitutionalAuthorNameEoroQoL Group (1990) ArticleTitleEoroQoL – a new facility for the measurement of health-related quality of life Health Policy 16 199–208

    Google Scholar 

  13. InstitutionalAuthorNameCDC (1995) ArticleTitleHealth-related quality of life measures – United States, 1993 MMWR 44 95–200

    Google Scholar 

  14. InstitutionalAuthorNameCDC (1994) ArticleTitleQuality of life as a new public health measure – Behavioural Risk Factor Surveillance System, 1993 MMWR 43 375–380

    Google Scholar 

  15. K Zee Particlevan der R Sanderman J Heyink (1993) ArticleTitleDe psychome- trische kwaliteiten van de MOS 36-item Short Form Health Survey (SF-36) in een Nederlandse populatie T Soc Gezondheidsz 71 183–191

    Google Scholar 

  16. A Ph Dijk Particlevan JAM Oers Particlevan F Sturmans (2000) ArticleTitleTest-hertest betrouwbaarheid van de SF-36 in een algemene populatie en in sociaal-economische subgroepen T Soc Gezondheidsz 78 373–381

    Google Scholar 

  17. InstitutionalAuthorNameThe WHOQoL Group (1995) ArticleTitleThe World Health Organisation Quality of Life assessment (WHOQoL): Position paper from the World Health Organisation Soc Sci Med 41 1403–1409

    Google Scholar 

  18. InstitutionalAuthorNameThe WHOQoL Group (1998) ArticleTitleDevelopment of the World Health Organisation WHOQoL-BREF Quality of Life assessment Psychol Med 25 551–558

    Google Scholar 

  19. Vries J de, Heck GL van. De Nederlandse WHOQoL-100 Tilburg: Tilburg University Press, 1995

  20. DP Goldberg (1972) The detection of psychiatric illness by questionnaire Oxford University Press London

    Google Scholar 

  21. DP Goldberg (1988) A Uses Guide to the General Health Questionnaire Nfer Nelson Windsor

    Google Scholar 

  22. MJW Koeter J Ormel (1991) General Health Questionnaire. Nederlandse bewerking Swets & Zeitlinger Lisse

    Google Scholar 

  23. Moum TA. Health-related quality of life in Norway – A nationwide mixed-mode panelstudy of the CDC Healthy Days measures. CDC Quality of life seminar, Atlanta, 1999

  24. Alfredsson J. Har levnadsvanorna förändrats? Resultat från levnadsvaneenkäter 1989, 1994 samt 1999. Gävleborg, Samhällsmedicin, 2000

  25. F Guillemin C Bombardier D Beaton (1993) ArticleTitleCross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines J Clin Epidemiol 46 1417–1432 Occurrence Handle10.1016/0895-4356(93)90142-N Occurrence Handle1:STN:280:ByuD1cjis1Q%3D Occurrence Handle8263569

    Article  CAS  PubMed  Google Scholar 

  26. JM Bland DG Altman (1997) ArticleTitleCronbach’s alfa (Statistics notes) Brit Med J 314 572 Occurrence Handle1:STN:280:ByiB3cfnslI%3D Occurrence Handle9055718

    CAS  PubMed  Google Scholar 

  27. EM Andresen BS Fouts JC Romels CA Brownson (1999) ArticleTitlePer formance of health-related quality of life instruments in a spinal cord injured population Arch Phys Med Rehabil 80 877–884 Occurrence Handle10.1016/S0003-9993(99)90077-1 Occurrence Handle1:STN:280:DyaK1MzotFGltw%3D%3D Occurrence Handle10453762

    Article  CAS  PubMed  Google Scholar 

  28. CJ Newshaffer (1998) Validation of Behavioural Risk Factor Surveillance System (BRFSS) HRQoL measures in a statewide sample CDC Atlanta

    Google Scholar 

  29. S Diwan DG Moriarty (1995) ArticleTitleA conceptual framework for identifying unmet health care needs of community dwelling elderly J Appl Geront 14 43–63

    Google Scholar 

  30. U Nanda EM Andresen (1998) ArticleTitlePerformance of measures of health-related quality of life and function among disabled adults Qual Life Res 7 644

    Google Scholar 

  31. EM Andresen (1999) ArticleTitlePopulation Measurement of Health-Related Quality of Life (HRQoL) Qual Life Newslett 21 7

    Google Scholar 

  32. DG Moriarty M Zack (1999) ArticleTitleValidation of the CDC’s Healthy Days-measures Qual Life Res 8 617

    Google Scholar 

  33. EM Andresen TK Catlin KW Wyrwich J Jackson Thompson (2003) ArticleTitleRetest reliability of surveillance questions on health related quality of life J Epdemiol Commun Health 57 339–343 Occurrence Handle1:STN:280:DC%2BD3s3it1Cktw%3D%3D

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Epidemiology, Municipal Health Service Utrecht, Utrecht, The Netherlands

    Jaap Toet & Erik JC van Ameijden

  2. Department of Public Health, Erasmus MC - University Medical Centre Rotterdam, Rotterdam, The Netherlands

    Hein Raat

Authors
  1. Jaap Toet
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hein Raat
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Erik JC van Ameijden
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jaap Toet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Toet, J., Raat, H. & van Ameijden, E.J. Validation of the Dutch Version of the CDC Core Healthy Days Measures in a Community Sample. Qual Life Res 15, 179–184 (2006). https://doi.org/10.1007/s11136-005-8484-y

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-005-8484-y

Keywords

Search

Navigation