Construct validation of SF-36 Malay version among type 2 diabetes mellitus patients

The Short Form 36 (SF-36) is one of the most widely used generic health status measure. This study used the SF-36 Health Survey instrument to investigate the functional health and well-being of Malay Type 2 Diabetes Mellitus patients in Malaysia. The survey was carried out in three local hospitals in Selangor. The method of questionnaire administration was both self-administered and interviewer administered. A total of 354 questionnaires was returned, but only 295 questionnaires with no missing data were analyzed. Confirmatory Factor Analysis (CFA) was used to confirm the first-order and third-order CFA models. The higher order analyses included a third-order CFA models with two second-order factors (physical and mental component) and three second-order factors (physical, general well-being and mental health) and both showed satisfactory model fit indices. This study confirmed the multidimensional factor structure of the SF-36.