Measuring functioning and well-being the medical outcomes study approach

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Datensatz im Suchindex

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adam_text List of Tables ix Foreword Alvin R. Tarlov, M.D. xv Preface xvii I The New Era of Health Assessment 1. Measures for a New Era of Health Assessment John E. Ware, Jr. 3 2. The Medical Outcomes Study Framework of Health Indicators Anita L. Stewart iz II Creation of Databases on the Health of Individuals 3. Methods of Sampling William H. Rogers, Elizabeth A. McGlynn, Sandra H. Berry, Eugene C. Nelson, Edward Perrin, Michael Zubkoff, Sheldon Greenfield, Kenneth B. Wells, Anita L. Stewart, Sharon B. Arnold, and John E. Ware, Jr. 27 4. Methods of Collecting Health Data Sandra H. Berry 48 III Generic Health Concepts and Measures 5. Methods of Constructing Health Measures Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr. 67 6. Physical Functioning Measures Anita L. Stewart and Caren J. Kamberg 86 7. Psychological Distress/Well Being and Cognitive Functioning Measures Anita L. Stewart, John E. Ware, Jr., Cathy D. Sherbourne, and Kenneth B. Wells 101 8. Health Perceptions, Energy/Fatigue, and Health Distress Measures Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr. 14] pi Contents 9. Social Functioning: Social Activity Limitations Measure Cathy D. Sberbourne 173 10. Social Functioning: Family and Marital Functioning Measures Cathy D. Sherbourne and Caren J. Kamberg 182 11. Social Functioning: Sexual Problems Measures Cathy D. Sherbourne 194 12. Role Functioning Measures Cathy D. Sherbourne, Anita L. Stewart, and Kenneth B. Wells 20s 13. Pain Measures Cathy D. Sherbourne 220 14. Sleep Measures Ron D. Hays and Anita L. Stewart 235 15. Physical/Psychophysiologic Symptoms Measure Cathy D. Sherbourne, Harris M. Allen, Caren]. Kamberg, and Kenneth B. Wells 260 IV Short Form Measures 16. Developing and Testing the mos 2.0 Item Short Form Health Survey: A General Population Application John E. Ware, ]r., Cathy D. Sherbourne, and Allyson R. Davies 277 17. Preliminary Tests of a 6 Item General Health Survey: A Patient Application John E. Ware, Jr., Eugene C. Nelson, Cathy D. Sherbourne, and Anita L. Stewart 291 V The Validity of MOS Measures 18. Methods of Validating mos Health Measures Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr. 309 19. Construct Validity of mos Health Measures Row D. Hays and Anita L. Stewart 325 Contents vii VI Summary, Discussion, and Future Directions 20. Summary and Discussion of mos Measures Anita L. Stewart, Cathy D. Sherbourne, Ron D. Hays, Kenneth B. Wells, Eugene C. Nelson, CarenJ. Kamberg, William H. Rogers, Sandra H. Berry, and John E. Ware, Jr. 345 Appendix: Actual Patient Assessment Questionnaire (paq) 373 Glossary 405 Bibliography 411 Contributors 435 Index 4$ ) Tables 2 1 The mos Framework of Indicators of Physical and Mental Health ij 2 2 Definitions and Operational Strategies for Twelve Major Concepts of Functioning and Well Being Assessed in the Medical Outcomes Study 23 3 1 Characteristics of Clinician Selection Survey Respondents/ Nonrespondents 31 3 2 Comparison of Solo and Small Group Clinician Participants and Nonparticipants After Agreeing to Consider Participating 3 2 3 3 Comparison of Multispecialty Group Practice Clinician Partici¬ pants and Nonparticipants 33 3 4 Comparison of Health Maintenance Organization Clinician Par¬ ticipants and Nonparticipants 34 3 5 Number of Clinicians by Specialty and System of Care 34 3 6 Demographic Characteristics of mos Participating Clinicians by Revised System of Care 35 3 7 Percentage of Eligible Patients Completing Screening Forms by Clinician Specialty and System of Care 36 3 8 Results of Patient Screening for the mos 37 3 9 Demographic Characteristics of Cross Sectional Screening Sample by Sample Group 37 3 10 Numbers of Patients Excluded from tci Panel Eligibility by Rea¬ son and Medical Tracer Conditions 41 3 11 Distribution of Medical and Depression Patients Enrolled in the mos 42 3 12 Demographics of 5,043 Medical Tracer Patients by tci Comple¬ tion Status 4 5 3 13 Demographics of 3,1 5 $ Enrolled Medical Tracer Patients by paij Completion Status 43 3 14 Demographics of Selected Depressive Symptoms Patients by re 1 Completion Status 44 3 15 Demographics of 1,801 Enrolled Depression Patients by Initial i aq Completion Status 44 3 16 Number of Study Participants by System and Site 46 3 17 Demographic Characteristics of mos Baseline Sample 46 3 18 Tracer Status Characteristics of mos Baseline Sample 47 x Tables 4 1 Methods Used to Collect Various Types of mos Health Data 49 4—2 Overview of mos Clinician and Patient Instruments and Samples jo 5 1 Response Choices Used to Measure Endorsement, Frequency, and Intensity 69 6—1 Frequency and Percentage Distribution of Physical Functioning Items: paq Baseline Sample 94 6 2 Frequency and Percentage Distribution of Mobility Items: paq Baseline Sample 95 6 3 Item Scale Correlation Matrix, Physical Functioning: paq Base¬ line Sample 96 6 4 Frequency, Percentage, and Mean Physical Functioning Scale Scores for Respondents in Six Satisfaction Categories 97 6 5 Descriptive Statistics and Reliability Coefficients for Physical Functioning and Mobility Scales: paq Baseline Sample 98 6 6 Correlations among Physical Functioning Measures: paq Baseline Sample 99 7 1 Cognitive Functioning Categories Measured by peri and sip 109 7 2 Summary of Psychological Distress/Well Being Items across Studies 112 7 3 Summary of the Number of Items Assessing Hypothesized Sub scales of Psychological Distress/Well Being and Cognitive Functioning uj 7 4 Percentage Distribution of Psychological Distress/Well Being and Cognitive Functioning Items: paq Baseline Sample 120 7 5 Item Scale Correlation Matrix, Psychological Distress/Well Being and Cognitive Functioning, Six Scale Model: paq Baseline Sample 122 7 6 Item Scale Correlation Matrix, Psychological Distress/Well Being and Cognitive Functioning Five Scale Model: paq Baseline Sample 126 7 7 Item Scale Correlations Correlated for Overlap for the mh 1 5: Four Samples 129 7 8 Proportion of Components of Psychological Distress/Well Being Represented in Three Summary Indexes 130 7 9 Correlations of MHi 5 and MHi 17 with Measures of Cognitive Functioning and Psychological Distress/Well Being Subscales and Indexes 130 7 10 Summary of Number of Items in Final Psychological Distress/ Well Being and Cognitive Functioning Scales and Indexes 13 1 Tables xi 7 11 Content and Scoring of Final Psychological Distress/Well Being and Cognitive Functioning Scales and Indexes 132 7 12 Descriptive Statistics for Psychological Distress/Well Being and Cognitive Functioning Scales and Indexes: paq Baseline Sample 136 7 13 Internal Consistency Reliability for Psychological Distress/Well Being and Cognitive Functioning Scales and Indexes 137 7 14 Correlations Among Psychological Distress/Well Being and Cogni¬ tive Functioning Scales 138 8 1 General Health Perception Items Studied in the Health Insurance Experiment (hie) and the mos 152 8 2 Number of Items from Scales in Each Hypothesized Index 153 8 3 Percentage Distribution of Health Perceptions, Energy/Fatigue, and Health Distress Items: paq Baseline Sample 155 8—4 Item Scale Correlation Matrix, Health Perceptions, Energy/ Fatigue, and Health Distress: paq Baseline Sample 158 8 5 Common Variance of Items and Subscales and number of items from each subscale in Potential Indexes 161 8 6 Correlations between Health Perceptions and Health Distress Scales in Potential Indexes and Validity Variables 161 8 7 Correlations Between Potential Health Perceptions Indexes and Validity Variables 162 8 8 Content and Scoring of Health Perceptions, Energy/Fatigue, and Health Distress Scales and Indexes 164 8 9 Descriptive Statistics and Reliability Coefficients for Health Per¬ ceptions, Energy/Fatigue, and Health Distress Scales and indexes: paq Baseline Sample 169 8 10 Correlations among Health Perceptions, Health Distress, and Energy/Fatigue Scales ijo 8 11 Correlations between Health Perceptions, Health Distress, and Energy/Fatigue Scales and First Principal Factor 170 9 1 Percentage Distribution of Social Activity Limitations Items: paq Baseline Sample ijy 9 2 Item Scale Correlation Matrix, Social Activity Limitations Due to Health: paq Baseline Sample 180 9 3 Descriptive Statistics and Reliability Coefficient for Social Activity Limitations Due to Health Measure: paq Baseline Sample 181 10 1 Percentage Distribution of Family Functioning Items: paq Base¬ line Sample 188 10 2 Item Scale Correlation Matrix, Family Functioning: paq Baseline Sample 190 10 3 Content and Scoring of Family Functioning Measures 191 xii Tables 10 4 Descriptive Statistics and Reliability Coefficients for Family Functioning Measures: paq Baseline Sample 193 11 1 Sexual Functioning Problems Associated with mos Chronic Conditions 196 11 2 Percentage with Sexual Functioning Problems: paq Baseline Sam¬ ple of Men and Women 201 11 3 Item Scale Correlations for Sexual Problems Scale Corrected for Overlap of Men and Women 202 11 4 Descriptive Statistics and Reliability Coefficients for mos Sexual Problems Scales: paq Baseline Sample 203 11 5 Mean Sexual Problems Scores for Three Patient Groups 203 12 1 Hypothesized Results for Two Role Functioning Scales 212 12 2 Percentage Limited on Role Functioning Items: paq Baseline Sample 213 12 3 Item Scale Correlation Matrix, Role Functioning: paq Baseline Sample 214 12—4 Content of Final Role Functioning Scales 215 12 5 Descriptive Statistics and Reliability Coefficient for Role Function¬ ing Measures: paq Baseline Sample 216 12 6 Correlations between Role Functioning Measures and Validity Variables 216 12 7 Mean Role Functioning Scores for Three Clinical Groups 217 13 1 mos Pain Items 224 13 2 Percentage Distribution of Pain Items: paq Baseline Sample 227 13 3 Item Scale Correlation Matrix, Pain: paq Baseline Sample 229 13—4 Content and Scoring of Pain Measures 230 13 5 Descriptive Statistics and Reliability Coefficients for Pain Mea¬ sures: paq Baseline Sample 231 13 6 Correlations among Pain Measures 232 13 7 Correlations between Pain Measures and Selected Validity Variables 233 14 1 Dimensions of Sleep Identified in Literature Review 237 14 2 Percentage Distribution of Sleep Items: paq Baseline Sample 246 14 3 Item Scale Correlations, Sleep 24* 14 4 Item Total Correlations of Twelve Sleep Items Corrected for Overlap 248 14 5 Items Used to Score the 6 Item Overall Sleep Problems Index 249 14 6 Summary of Sleep Subscales and Overall Indexes 251 14 7 Content and Scoring of Final Sleep Measures 252 14—8 Descriptive Statistics and Reliability Coefficients for Sleep Measures: paq Baseline Sample 254 Tables xiii 14 9 Intercorrelations among Sleep Measures 254 14 10 Correlations between Sleep Measures and Eighteen Other Health Measures 256 15 1 Percentage Distribution of General Physical and Psycho physiologic Symptoms: paq Baseline Sample 267 15 2 Item Scale Correlation Matrix, Physical/Psychophysiologic Symp¬ toms: paq Baseline Sample 268 15 3 Correlations among Physical/Psychophysiologic Symptom Items 270 15—4 Correlations of Symptoms Items with Physical and Mental Health Factors 270 15 5 Descriptive Statistics and Reliability Coefficient for Physical/ Psychophysiologic Symptom Measure zji 16 1 Descriptive Statistics and Item Scale Correlations for Five Health Scales: Combined Samples 284 16 2 Summary of Reliability and Validity Results: Combined Samples 284 16—3 Frequency Distribution for Physical and Role Functioning Scales: Combined Sample 286 16—4 Frequency Distribution for Current Health Perceptions: Com¬ bined Sample 287 16 5 Frequency Distribution for Mental Health Scale: Combined Sample 288 16 6 Correlations between Health Scales and Sociodemographic Variables: Combined Samples 289 17 1 Definitions of mos 6 Item General Health Survey Measures 292 17 2 Frequency and Percentage of Respondents and Mean Physical Functioning Scores at Each Scale Level of Physical Functioning 293 17 3 Frequency and Percentage of Respondents and Mean Social Activity Limitations Due to Health Scores at Each Level of Social Functioning 294 17^1 Frequency and Percentage of Respondents and Mean Role Func¬ tioning Scores at Each Level of Role Functioning 29 t 17 5 Frequency and Percentage of Respondents Reporting Physical and Emotional Causes for Role Limitations 29 y 17 6 Mean Role Scale Scores for Respondents Reporting Physical and Emotional Causes for Their Role Limitations 296 17 7 Frequency and Percentage of Respondents and Mean Pain Severity Scores for Each Level of Bodily Pain 297 17 8 Frequency and Percentage of Respondents and Mean MHi 32. Scores for Each Level of Psychological Distress 299 xiv Tables 17 9 Frequency and Percentage of Respondents and Mean Current Health Scores for Each Level of Self Rated Health 299 17 10 Correlations among Single Item Measures and with Full Length mos Scales 302 18—1 Overview of Approaches to Testing Validity 311 19 1 Summary of Most Direct Health Measures Included in Construct Validity Studies 327 19 2 Correlations between Each Health Measure and Purest Measure of Physical and Mental Health 332 19 3 Scale Index Correlations for Health Measures 334 19 4 Standardized Parameter Estimates for Hypothesized Confirmatory Factor Analysis Model 33 j 19 5 Correlations of Health Measures with Socially Desirable Response Set 337 19 6 Correlations between Health Measures and Utilization Variables 338 20 1 Summary of Functioning and Well Being Concepts 346 20 2 Measures of Functioning and Well Being Constructed for the mos: Number of Items in Different Sets 350 20 3 Definitions of 149 Item mos Functioning and Well Being Profile (mosfwbp) Measures 352 20—4 Definitions of 20 Item mos Short Form General Health Survey Measures 357 20 5 Definitions of mos 6 Item General Health Survey Measures 357 20 6 Characteristics of mosfwbp Measures: paq Baseline Sample 358 20 7 Correlations among Selected Measures 3 62 20 8 Characteristics of mos 6 Item General Health Survey Measures: paq Baseline Sample 364 20 9 Characteristics of mos 20 Item Short Form General Health Sur¬ vey Measures: mos Screening Sample 364 20 10 Comparison of Concepts of Functioning and Well Being Included in mos and Other Health Surveys 36j 20 11 Summary of Main State of the Art Improvements in the MOSFWBP 566
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spellingShingle Measuring functioning and well-being the medical outcomes study approach
National Study of Medical Care Outcomes (U.S.)
Indicateurs de santé
Santé publique - Enquêtes - Méthodes statistiques
Soins médicaux - Évaluation
Data Collection methods
Health Status Indicators
Health Surveys
Health status indicators
Health surveys Statistical methods
Medical care Evaluation
Outcome and Process Assessment (Health Care)
Gesundheitsstörung (DE-588)4071810-4 gnd
Messung (DE-588)4038852-9 gnd
Gesundheit (DE-588)4020754-7 gnd
subject_GND (DE-588)4071810-4
(DE-588)4038852-9
(DE-588)4020754-7
title Measuring functioning and well-being the medical outcomes study approach
title_auth Measuring functioning and well-being the medical outcomes study approach
title_exact_search Measuring functioning and well-being the medical outcomes study approach
title_full Measuring functioning and well-being the medical outcomes study approach Anita L. Stewart ... ed.
title_fullStr Measuring functioning and well-being the medical outcomes study approach Anita L. Stewart ... ed.
title_full_unstemmed Measuring functioning and well-being the medical outcomes study approach Anita L. Stewart ... ed.
title_short Measuring functioning and well-being
title_sort measuring functioning and well being the medical outcomes study approach
title_sub the medical outcomes study approach
topic National Study of Medical Care Outcomes (U.S.)
Indicateurs de santé
Santé publique - Enquêtes - Méthodes statistiques
Soins médicaux - Évaluation
Data Collection methods
Health Status Indicators
Health Surveys
Health status indicators
Health surveys Statistical methods
Medical care Evaluation
Outcome and Process Assessment (Health Care)
Gesundheitsstörung (DE-588)4071810-4 gnd
Messung (DE-588)4038852-9 gnd
Gesundheit (DE-588)4020754-7 gnd
topic_facet National Study of Medical Care Outcomes (U.S.)
Indicateurs de santé
Santé publique - Enquêtes - Méthodes statistiques
Soins médicaux - Évaluation
Data Collection methods
Health Status Indicators
Health Surveys
Health status indicators
Health surveys Statistical methods
Medical care Evaluation
Outcome and Process Assessment (Health Care)
Gesundheitsstörung
Messung
Gesundheit
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