Encyclopedia of Quality of Life and Well-Being Research

2014 Edition
| Editors: Alex C. Michalos

Social Difficulties Inventory, Urdu, Punjabi, and Hindi Versions

  • Penny Wright
  • Naheed Hanif
  • Nimarta Dharni
Reference work entry
DOI: https://doi.org/10.1007/978-94-007-0753-5_3828




The Social Difficulties Inventory (SDI-21) Urdu, Punjabi, and Hindi versions are translations of the original SDI-21 for use in  health care where a significant minority of patients may be non-English readers. The SDI-21 is a patient self-report questionnaire developed for use in conjunction with other  quality of life questionnaires for use in routine clinical practice (Wright et al., 2005). It was designed to assess the everyday social difficulties experienced by cancer patients and cancer survivors. There are 21 items with response ratings from 0 (no difficulty) to 3 (very much difficulty). Sixteen of the items can be summed to derive a score of Social Distress (SD-16) (Smith, Wright, Selby, & Velikova, 2007). A cut point of ten or more indicates a level of distress suggesting further investigation by health-care staff (Wright, Smith, Roberts, Selby, & Velikova, 2007). Within the SD-16 there are three subscales: Everyday Living comprising six items...
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  1. Aaronson, N. K. et al. for the European Organization for Research and Treatment of Cancer Study Group on Quality of Life. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85, 365–376.Google Scholar
  2. Cull, A., Sprangers, M., Bjordal, K., Aaronson, N. K., West, K., & Bottomley, A. on behalf of the EORTC Quality of Life Group. (2002). EORTC Quality of Life Group Translation Procedure version 2. EORTC Quality of Life Group Publication, Brussels, 2-930064-28-5. For information contact: http://groups.eortc.be/qol/contact-us
  3. Department of Health. (2011). Improving outcomes: A strategy for cancer. London: Department of Health.Google Scholar
  4. Department of Health, Macmillan Cancer Support, NHS Improvement. (2010). The National cancer survivorship initiative vision. London: Department of Health.Google Scholar
  5. Dharni, N., Hanif, N., Bradley, C., Velikova, G., Stark, D., & Wright, P. (2011). The social difficulties of cancer patients of South Asian Indian and Pakistani origin: A cross-sectional questionnaire and interview study. BMJ Supportive & Palliative Care, 1, 154–161.Google Scholar
  6. Hanif, N., Dharni, N., Smith, A., Chattoo, S., Velikova, G., Bradley, C., et al. (2011). Translation of the Social Difficulties Inventory (SDI-21) into three south Asian languages and preliminary evaluation of SDI-21(Urdu). Quality of Life Research, 20, 431–438.Google Scholar
  7. Office for National Statistics Centre for Demography. (2009). Population estimates by Ethnic Group. Resident population estimates by Ethnic Group, (Percentages), 2009 Area: Bradford (Local Authority). Available from [cited 02/03/2012] http://neighbourhood.statistics.gov.uk/dissemination/LeadTableView.do?a=3&b=276807&c=bradford&d=13&e=13&g=379385&i=1001x1003x1004&o=1&m=0&r=1&s=1330681306068&enc=1&dsFamilyId=1812
  8. Peters, J., & Jackson, M. (2005). Accessibility and use of touchscreens by black and ethnic minority groups in the three cities project. Ethnicity and Health, 10, 199–211.Google Scholar
  9. Redman, J., Higginbottom, G. M. A., & Massey, M. T. (2008). Critical review of literature on ethnicity and health in relation to cancer and palliative care in the United Kingdom. Diversity in Health and Social Care, 5, 137–150.Google Scholar
  10. Smith, A. B., Wright, P., Selby, P., & Velikova, G. (2007). Measuring social difficulties in routine patient-centred assessment: A Rasch analysis of the social difficulties inventory. Quality of Life Research, 16, 823–831.Google Scholar
  11. Wright, E. P., Kiely, M., Johnston, C., Smith, A. B., Cull, A., & Selby, P. J. (2005). Development and evaluation of an instrument to assess social difficulties in routine oncology practice. Quality of Life Research, 14, 373–386.Google Scholar
  12. Wright, P., Marshall, L., Smith, A., Velikova, G., & Selby, P. (2008). Measurement and interpretation of social distress using the social difficulties inventory (SDI). European Journal of Cancer, 44, 1529–1535.Google Scholar
  13. Wright, E. P., Selby, P. J., Crawford, M., Gillibrand, A., Johnston, C., Perren, T. J., et al. (2003). Feasibility and compliance of automated measurement of quality of life in oncology practice. Journal of Clinical Oncology, 21, 374–382.Google Scholar
  14. Wright, P., Smith, A. B., Keding, A., & Velikova, G. (2011). The Social Difficulties Inventory (SDI): Development of subscales and scoring guidance for staff. Psycho-Oncology, 20, 36–43.Google Scholar
  15. Wright, P., Smith, A., Roberts, K., Selby, P., & Velikova, G. (2007). Screening for social difficulties in cancer patients: Clinical utility of the Social Difficulties Inventory. British Journal of Cancer, 97, 1063–1070.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Psychosocial Oncology and Clinical Practice Research GroupLeeds Institute of Molecular Medicine University of Leeds, St James’s University HospitalLeedsUK
  2. 2.ManchesterUK
  3. 3.Department of Primary Care and Public Health SciencesKings College LondonLondonUK