Evaluation of the internal and external responsiveness of Short Form-12 Health Survey version 2 (SF-12v2) in patients with type 2 diabetes mellitus

Purpose The evidence on the responsiveness of the Short Form-12 Health Survey version 2 (SF-12v2) in patients with type 2 diabetes mellitus (T2DM) is limited. The aim of this study was to examine both the internal and external responsiveness of the SF-12 measures in Chinese patients with T2DM. Metho...

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Veröffentlicht in:Quality of life research 2018-09, Vol.27 (9), p.2459-2469
Hauptverfasser: Wan, Eric Yuk Fai, Choi, Edmond Pui Hang, Yu, Esther Yee Tak, Chin, Weng Yee, Fung, Colman Siu Cheung, Chan, Anca Ka Chun, Lam, Cindy Lo Kuen
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container_end_page 2469
container_issue 9
container_start_page 2459
container_title Quality of life research
container_volume 27
creator Wan, Eric Yuk Fai
Choi, Edmond Pui Hang
Yu, Esther Yee Tak
Chin, Weng Yee
Fung, Colman Siu Cheung
Chan, Anca Ka Chun
Lam, Cindy Lo Kuen
description Purpose The evidence on the responsiveness of the Short Form-12 Health Survey version 2 (SF-12v2) in patients with type 2 diabetes mellitus (T2DM) is limited. The aim of this study was to examine both the internal and external responsiveness of the SF-12 measures in Chinese patients with T2DM. Methods A prospective longitudinal observational study was conducted on 1443 T2DM patients managed in public primary care clinics between 2012 and 2013. These patients were surveyed at baseline and at 12 months using SF-12v2. The internal responsiveness was evaluated by linear mixed effect models. Meanwhile, the external responsiveness was tested by multiple linear regression models and receiver operating characteristic (ROC) curve analysis. Results The internal responsiveness of the SF-12v2 to detect negative change was satisfactory among T2DM patients in worsened group, but only the general health domain of SF-12v2 could detect positive change among T2DM patients with improved group. For external responsiveness, the SF-12v2 detected a significant difference-in-difference between patients with worsened and stable/improved group, but not between patients with stable and improved group. The areas under the ROC curve for all domains and summary scales of the SF-12v2 were not statistically different from 0.7. Conclusion This study showed that the responsiveness of SF-12v2 might not achieve the standard. Despite the wide use of the SF-12v2, we would like to urge that both clinicians and researchers should use it with caution in longitudinal study.
doi_str_mv 10.1007/s11136-018-1908-2
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The aim of this study was to examine both the internal and external responsiveness of the SF-12 measures in Chinese patients with T2DM. Methods A prospective longitudinal observational study was conducted on 1443 T2DM patients managed in public primary care clinics between 2012 and 2013. These patients were surveyed at baseline and at 12 months using SF-12v2. The internal responsiveness was evaluated by linear mixed effect models. Meanwhile, the external responsiveness was tested by multiple linear regression models and receiver operating characteristic (ROC) curve analysis. Results The internal responsiveness of the SF-12v2 to detect negative change was satisfactory among T2DM patients in worsened group, but only the general health domain of SF-12v2 could detect positive change among T2DM patients with improved group. For external responsiveness, the SF-12v2 detected a significant difference-in-difference between patients with worsened and stable/improved group, but not between patients with stable and improved group. The areas under the ROC curve for all domains and summary scales of the SF-12v2 were not statistically different from 0.7. Conclusion This study showed that the responsiveness of SF-12v2 might not achieve the standard. Despite the wide use of the SF-12v2, we would like to urge that both clinicians and researchers should use it with caution in longitudinal study.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-018-1908-2</identifier><identifier>PMID: 29948606</identifier><language>eng</language><publisher>Cham: Springer</publisher><subject>Diabetes ; Health surveys ; INSTRUMENT DEVELOPMENT ; Longitudinal studies ; Medicine ; Medicine &amp; Public Health ; Public Health ; Quality of Life Research ; Sociology</subject><ispartof>Quality of life research, 2018-09, Vol.27 (9), p.2459-2469</ispartof><rights>Springer Nature AG 2018</rights><rights>Springer International Publishing AG, part of Springer Nature 2018</rights><rights>Quality of Life Research is a copyright of Springer, (2018). 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The aim of this study was to examine both the internal and external responsiveness of the SF-12 measures in Chinese patients with T2DM. Methods A prospective longitudinal observational study was conducted on 1443 T2DM patients managed in public primary care clinics between 2012 and 2013. These patients were surveyed at baseline and at 12 months using SF-12v2. The internal responsiveness was evaluated by linear mixed effect models. Meanwhile, the external responsiveness was tested by multiple linear regression models and receiver operating characteristic (ROC) curve analysis. Results The internal responsiveness of the SF-12v2 to detect negative change was satisfactory among T2DM patients in worsened group, but only the general health domain of SF-12v2 could detect positive change among T2DM patients with improved group. For external responsiveness, the SF-12v2 detected a significant difference-in-difference between patients with worsened and stable/improved group, but not between patients with stable and improved group. The areas under the ROC curve for all domains and summary scales of the SF-12v2 were not statistically different from 0.7. Conclusion This study showed that the responsiveness of SF-12v2 might not achieve the standard. 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The aim of this study was to examine both the internal and external responsiveness of the SF-12 measures in Chinese patients with T2DM. Methods A prospective longitudinal observational study was conducted on 1443 T2DM patients managed in public primary care clinics between 2012 and 2013. These patients were surveyed at baseline and at 12 months using SF-12v2. The internal responsiveness was evaluated by linear mixed effect models. Meanwhile, the external responsiveness was tested by multiple linear regression models and receiver operating characteristic (ROC) curve analysis. Results The internal responsiveness of the SF-12v2 to detect negative change was satisfactory among T2DM patients in worsened group, but only the general health domain of SF-12v2 could detect positive change among T2DM patients with improved group. For external responsiveness, the SF-12v2 detected a significant difference-in-difference between patients with worsened and stable/improved group, but not between patients with stable and improved group. The areas under the ROC curve for all domains and summary scales of the SF-12v2 were not statistically different from 0.7. Conclusion This study showed that the responsiveness of SF-12v2 might not achieve the standard. Despite the wide use of the SF-12v2, we would like to urge that both clinicians and researchers should use it with caution in longitudinal study.</abstract><cop>Cham</cop><pub>Springer</pub><pmid>29948606</pmid><doi>10.1007/s11136-018-1908-2</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6275-1147</orcidid></addata></record>
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subjects Diabetes
Health surveys
INSTRUMENT DEVELOPMENT
Longitudinal studies
Medicine
Medicine & Public Health
Public Health
Quality of Life Research
Sociology
title Evaluation of the internal and external responsiveness of Short Form-12 Health Survey version 2 (SF-12v2) in patients with type 2 diabetes mellitus
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