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Dimensions covered by the questionnaire General Well-Being 36 items - Physical Well-Being 12 items - Material Well-Being 12 items Interpersonal Relations 48 items - Parent-Child Relations 12 items - Extended Family Relations 12 items - Extramarital Relations 12 items Organizational Activity 24 items - Altruistic Behavior 12 items - Political Behavior 12 items Occupational Activity 36 items - Job characteristics 12 items - Occupational Relations 12 items Leisure and Recreational Activity 36...
Health And Labour Questionnaire
Health and Labour Questionnaire HLQ develop for collecting quantitative data about the relation between illness, treatment and work-performance. Absence from work, reduced productivity at paid work, unpaid labour production and impediments to paid and unpaid labour are four dimensions that are address in the Health and Labour Questionnaire. Author s Leona Hakkaart-van Roijen, Marie-Louise Essink-Bot amp Marc A. Koopmanschap. Purpose To collect quantative data on the relationship between illness...
Quality Of Life Profile For The Chronically Ill
Quality of Life Profile for the Chronically Ill PLC have been developed by Dr. Siegrist. Original instruments have been published in German. The purpose of this instrument is to assess Quality of Life in chronically ill patients. The PLC 7-dimensional, generic measure of HRQOL for adults. Abbreviated Name PLC Author s Prof.Dr.J. Siegrist Purpose To assess Quality of Life in chronically ill patients Time required Response Options Scoring Score Direction Number of Items Core modules 40 items...
Basic Validity and Reliability Studies of the Englishlanguage CSQ8
The initial CSQ scale development research phase is documented in Patient satisfaction in health and mental health services Attkisson amp Pascoe, 1983 . This compendium and several other contemporaneous publications by the UCSF group described experience bearing on the reliability and validity of the CSQ. This research documents and the scales' psychometric properties within various subpopulations and language groups. The various CSQ scales were found to have strong levels of internal...
This Is A Textual Representation Of The London Handicap Scale And Is Intended
This questionnaire is about the way your health affects your everyday life. Please read the instructions for each question and then answer by selecting the sentence which describes you best. When answering the questions, it may help to think about the things you have done over the last week and compare yourself with someone like you who is in good health. Getting Around. Think about how you get from one place to another, using any help aids or means of transport that you normally have...
London Handicap Scale
The London Handicap Scale is a six-item instrument that measures health status in patients with chronic, multiple, or progressive diseases, including evaluation of interventions deployed in their treatment, including rehabilitation. The scale generates a profile of handicaps on six different dimensions mobility, physical independence, occupation, social integration, orientation, and economic self-sufficiency and an overall handicap severity score. Each dimension has six levels, arranged in...
Quality Of Life Questionnaireevans
The Quality of Life Questionnaire QLQ was developed to provide a direct measure of life quality based on an individual's response to several ecological domains. In contrast to other similar measures, the QLQ's approach is based on the assumption that certain actions or behaviors of an individual in response to particular environmental situations can be considered to represent a good or poor quality of life. The QLQ was designed to provide a multidimensional measure of an individual's behavior...
Modified Barthel Index
Notes in parenthesis are to facilitate application 1. The patient is unable to attend to personal hygiene and is dependent in all aspects. Patient is totally dependent on assistance to brush teeth denture, comb hair, wash hands, wash face, shave and or apply make-up. 2. Assistance is required in all steps of personal hygiene. Patient may complete one or two of the above activities. Generally requires assistant to provide more effort than self for each of the activities, loosen dentures, shave...
P Qmg
Kid amp Kiddo-Kindl proxyV Ektrnverskn.' S-16 Jahre Ravens-Sieberer amp Bullinger 19SS Seite 3 7. Ist Ihr Kind gerade im Krankenhaus oder hat es eine l ngere Krankheit Ja Nein beantworten Sie bitte die n chsten 6 Fragen beantworten Sie bitte die n chsten 6 Fragen 2. war mein Kind wegen der Erkrankung traurig 3. kam mein Kind mit der Erkrankung gut zurecht 4. habe ich mein Kind wegen der Erkrankung so behandelt, als ob 5. wollte mein Kind, da keiner Erkrankung in der Schule etwas verpa t 'S Kid...
Global Quality Of Life Scale
A global quality of life question which asks patients to provide an overall evaluation of QOL on a 100-point category rating scale. Author s Michael Hyland amp Samantha C. Sodergren Purpose To assess patients' overall perspective on quality of life Mode of Administration Self-administered Scoring Global score Minimum score 0 Maximum score 100 Score Direction Higher scores show better QoL Number of Items 1 Original Language English Copyright Michael E. Hyland and Samantha C Sodergren Contact for...
Cdc Healthrelated Quality Of Life Measure141
In public health and in medicine, the concept of health-related quality of life HRQOL refers to a person or group's perceived physical and mental health over time. Physicians have often used HRQOL to measure the effects of chronic illness in their patients to better understand how an illness interferes with a person's day-to-day life. Similarly, public health professionals use health-related quality of life to measure the effects of numerous disorders, short- and long-term disabilities, and...
Euroqol5d
EQ-5D is a standardised instrument for use as a measure of health outcome. Applicable to a wide range of health conditions and treatments, it provides a simple descriptive profile and a single index value for health status that can be used in the clinical and economic evaluation of health care as well as population health surveys. EQ-5D has been specially designed to complement other quality of life measures such as the SF-36, NHP, SIP or disease-specific measures. The current 3-level,...
Functional Status Questionnaire
The Functional Status Questionnaire FSQ can be used as a self-administered functional assessment for a patient. The FSQ provides information on the patient's physical, psychological, social and role functions. It can be used both to screen initially for problems and to monitor the patient over time. Abbreviated Name FSQ Author s Alan Jette Purpose To provide a comprehensive and feasible assessment of physical, psychological, social and role function in ambulatory patients. Population Adult Age...
Assessment Of Quality Of Life
Assessment Quality of Life AQoL has been developed by Graeme Hawthorne, Jeff Richardson amp Richard Osborne. Original instrument has been published in English. The AQoL is an Australian-developed quality of life QoL instrument. It consists of 15-questions, organized into 5 scales, measuring Illness, Independence, Social Relationships, Physical Senses and Psychological Wellbeing. Scores from these five dimensions can be used to provide a QoL profile for respondents. The main purpose of the AQoL,...
Scoring Instructions and Scale Characteristics
Nineteen item scores and an overall score based on the mean or median of the 19 item scores can be constructed. Internal consistency Cronbach's Alpha for the original 12 item PQoL scale is 0.88 or above for both ill and well older adults. In a study of patients with chronic obstructive pulmonary disease, the internal consistency of the 19 item PQoL was examined in 90 respondents. Guttman-Cronbach alpha 0.91 , with a range of corrected item-total correlations from 0.33 on the sleep item to 0.71...
Assessment
Assistive Technology Device Predisposition Assessment has been developed by Marcia Scherer and is the intellectual property of her institution, Institute for Matching Person amp Technology. Original instruments has been published in English. The Assistive Technology Device Predisposition Assessment collects information on physical capabilities, life satisfaction, feelings about having a disability, and temperament. The Institute for Matching Person amp Technology was formed to better match...
Dynamic body image
1. Clement U, Lowe B. Validation of the FKB-20 as scale for the detection of body image distortions in psychosomatic patients Psychother Psychosom Med Psychol 1996 Jul 46 7 254-9. The study examines the validity of a body image questionnaire FKB-20 assessing body image disturbances in a clinical sample n 405 outpatients of a psychosomatic clinic and two non-clinical samples n 141 medical students and n 208 sports students . The criterion group was constituted by 98 patients of the clinical...
Flanagans Quality Of Life Scale
The Quality of Life Scale QOLS was developed in the United States during the 1970's to measure the quality of life. The original QOLS contained 15 items representing 5 conceptual domains of QOL physical and material well being, relationships with other people, social and civic activities, personal development, and recreation. The Flanagan QOLS used a seven-point likert-type scale that measured satisfaction with needs met. The seven responses were delighted 7 , pleased 6 , mostly satisfied 5 ,...
Quality Of Wellbeing Scale Selfadministered
The Quality of Well-Being scale QWB is relatively long and complex it has some branching and probe questions and requires a trained interviewer. UCSD Health Outcomes Assessment Program therefore developed a self-administered QWB referred to as the Quality of Well-Being scale, Self-Administered QWB-SA that addresses some of these issues. There are several strengths of the QWB-SA 1 Includes assessment of symptoms in addition to various areas of functioning 2 The expanded list of symptoms now...
Quality Of Life Inventory
The QOLI assesses an individual's quality of life through self-report of the importance they attach to each of 16 life domains on a 3-point rating scale as well as their current satisfaction with each domain on a 6-point rating scale . Importance scores are multiplied by satisfaction scores for each domain, and then these scores are summed to determine an overall current quality of life for each individual. This measure is very quick to complete, and has been normed in a community sample of...
Assessment Of Quality Of Life Aqol1
Please circle the alternative that best describes you during the last week. 1 Concerning my use of prescribed medicines A. I do not or rarely use any medicines at all. B. I use one or two medicinal drugs regularly. C. I need to use three or four medicinal drugs regularly. D. I use five or more medicinal drugs regularly. 2 To what extent do I rely on medicines or a medical aid NOT glasses or a hearing aid. For example walking frame, wheelchair, prosthesis etc. A. I do not use any medicines and...
Coopwonca Charts
The Dartmouth Primary Care Cooperative Information Project COOP chart system has been developed and refined for over a decade for the purpose of making a brief, practical and valid method to assess the functional status of adults and adolescents. The system was developed by the Dartmouth COOP Project, a network of community medical practices that cooperate on primary care research activities. The charts are similar to Snellen charts, which are used medically to measure visual acuity quickly in...
Health Activities And Limitations Index
The HALex was developed by the National Center for Health Statistics as a composite health status measure that can be calculated by using the responses to the National Health Interview Survey. Abbreviated Name HALex Author s Pennifer Erickson Purpose To offer a method of utility assessment using existing values from the National Health Interview Survey NHIS and a utility algorithm to derive preferences Type of Instrument Quality of Life Utility Self- Telephone-administered 15-20 minutes Global...
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Day and Jutai described the basic psychometric properties of the PIADS, based on a sample of eyewear devices users n 307 . Internal consistency was assessed using Cronbach's alpha. Values were .95 for the PIADS total score and .92, .88, and .87 for the Competence, Adaptability, and Self-esteem subscales, respectively. Sixty respondents completed the PIADS twice, about a month apart. None of the f tests comparing the two assessments reached significant differences p values ranging from .77 to...
Perceived Quality Of Life Scale
The Perceived Quality of Life Scale PQoL is a measure based on a model defining quality of life as on evaluation of major categories of fundamental life needs. Scale items were developed using human needs theory Maslow, 1943 Doyal and Gough, 1991 and interviews with different populations of older adults, well persons, and persons with disabilities to establish the content of the instrument. The measure is consistent with the needs based theory of quality of life Hunt and McKenna, 1992 and the...
Multidimensional Health Locus Of Control Scale
Health Locus of Control HLC asesses the degree to which individuals believe that their health is controlled by internal or external factors. Whether a person is internal or external is based on a series of statements. The statements are scored and summed to determine whether the individual has internal or external health beliefs. This is called the unidimensional HLC Scale that was developed by Wallston. Questioning the idea of locus of control as a unidimensional construct. Dr. Hanna Levenson...
Administration of the PIADS
The PIADS is a self-report measure that can be easily administered individually, in a group, or via telephone. The procedure is the same whether the PIADS is administered individually or in a group, although it is important to preserve the confidentiality of the individuals during group administration. Each respondent must be provided with a pen or pencil and a flat surface to write on. Every effort must be made to ensure that the respondent is comfortable during the administration of the...
Analysing the KINDLR Questionnaire
The following instructions for analysing the six sub-scales that make up the KINDLR questionnaire and for determining the total score, contain general information about the analysis and describe the necessary steps from data entry through to analysis. These steps are the same for all forms - Kiddy, Rid and Riddo - and for the children's teenagers' and parents' versions of the KINDLr questionnaire. Formulas will then be described for summarising the items and for converting the results into...
The Haqdi
The HAQ indicates the extent of the respondent's functional ability. It has been widely used for research purposes in both experimental and observational studies, as well as in clinical settings. The HAQDI is sensitive to change and is a good predictor of future disability and costs. It has been shown to be reliable and valid in different languages and contexts. Test-retest correlations have ranged from 0.87 to 0.99. Correlations between interview and questionnaire format have ranged from 0.85...
Mos Social Support Survey
The MOS-Social Support Survey MOS-SSS is a self-report scale of perceived availability of people who are helpful or supportive with various aspects of life when the respondent is ill. It was developed as part of the Medical Outcomes Study, a two-year longitudinal study of patients with treatable chronic conditions. The MOS-SSS measures emotional informational support, tangible support, positive social interaction, and affectionate support. Abbreviated Name MOS-SSS Author s Cathy Sherbourne and...
Illness Behavior Questionnaire
Illness Behavior Questionnaire IBQ includes seven scales that evaluate abnormal illness behavior, which Pilowsky defined as the persistence of an inappropriate or maladaptive mode of perceiving, evaluating or acting in relation to one's own state of health despite the fact that a doctor has provided a lucid and accurate appraisal of the situation and management to be followed. The seven scales of the Illness Behavior Questionnaire are 1 the general hypochondriasis scale, which assesses the...
Patient Generated Index
The Patient Generated Index is a self-administered quality of life scale. The questionnaire quantifies the effect of a medical condition on the patients' quality of life in such a way that has meaning and relevance in the context of their daily lives. Abbreviated Name PGI Author s Danny Ruta amp Andrew Garratt Purpose To measure individualised quality of life Population Adult Age Range 16 to 85 years Type of Instrument Quality of life Mode of Administration Rater Time required Response Options...
Bowel Control
1. The patient is bowel incontinent. The patient needs to wear dipers, or absorbent pads. 2. The patient needs help to assume appropriate position, and with bowel movement facilitatory techniques. Despite assistance, patient may be soiled frequently and necessitates wearing absorbent pads. 3. The patient can assume appropriate position, but cannot use facilitatory techniques, or clean self without assistance, and has frequent accidents. Assistance is required with incontinence aids, such as...
Perceived Quality Of Life Scale Information For Users
Copyright 1992 by Donald L. Patrick All rights reserved This document describes the development, scoring, and potential uses of the Perceived Quality of Life Scale PQoL , a measure based on a model defining quality of life as evaluation of major categories of fundamental life needs. Scale items were developed using human needs theory Maslow, 1943 Doyal and Gough, 1991 and interviews with different populations of older adults, well persons, and persons with disabilities to establish the content...
Pictured Childs Quality Of Life Self Questionnaire
Pictured Child's Quality of Life Self Questionnaire was developed by Sabine Manificat, and Alice Dazord in French. The purpose of this questionnaire is to assess the child's subjective Quality of Life. The mode of administiration of this instrument is by the participant his herself. It is 26 items for 3 to 5 years old children, and 33 items for 6 to 11 years old children. Abbreviated Name AUQUEI Autoquestionnaire de qualit de vie enfant imag Author s Sabine Manificat, Alice Dazord Purpose To...
Nottingham Health Profile
The Nottingham Health Profile contains two parts Part I contains 38 items that cover 6 domains of experience pain, physical mobility, sleep, emotional reactions, energy, and social isolation. Part II includes perceived problems in 7 areas of life paid employment, jobs around the house, personal relationships, social life, sex life, hobbies, and holidays. Author s S Hunt, J McEwen, SP McKenna Purpose To provide a brief indication of a patient's perceived emotional social and physical health...
Kidscreen
The KIDSCREEN instruments are a family of generic quality of life measures that have been designed and normed for children and adolescent aged between 8 to 18 years. It was developed simultaneously in several European countries taking children's concepts of health and well-being into consideration. KIDSCREEN can be used as a screening, monitoring and evaluation tool in representative national and European health surveys. Three KIDSCREEN instruments are available in child and adolescent as well...
Body Image Questionnaire
Body Image Questionnaire has been developed by Ulrich Clement, amp Bernd L we. Original instruments has been published in German. This instrument purpose is assess body image disturbances. The BIQ consists of 20 items assessing the dynamic body image and rejected body image. Abbreviated Name FKB20 Fragebogen zum K rperbild Author s Ulrich Clement, Bernd L we Purpose To assess body image disturbances Population Adult Age Range years Type of Instrument Quality of Life Psychosocial Psychological...
Info Ydq
Dimensions covered by the questionnaire Dimensions covered by the questionnaire Self-administered 2 minutes Likert scale Scores by dimension - PCS Physical Component Summary - MCS Mental Component Summary Higher scores show better QoL 1. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey construction of scales and preliminary tests of reliability and validity. Med Care 1996 34 220-33. Regression methods were used to select and score 12 items from the Medical Outcomes Study...
Duke Social Support And Stress Scale Dusocs
Copyright 8 1986-2003 by Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA A supportive person is one who is helpful, who will listen to you, or who will back you up when you are in trouble. INSTRUCTIONS Please look at the following list and decide how much each person or group of persons is supportive for you at this time in your life. Check T your answer. How supportive are these people now 1. Your wife, husband, or significant other person 2. Your...
Mcmaster Health Index Questionnaire
The McMaster Health Index Questionnaire MHIQ have been developed by Larry W. Chambers. Original instruments have been published in English. The purpose of these instruments are to supplement clinical ratings of health status, with QoL measures based on physical, social and emotional functions. The MHIQ focussed on emotional as well as physical aspects of the illness. Abbreviated Name MHIQ Author s Larry W. Chambers Purpose To supplement clinical ratings of health status, with QoL measures based...
Instructions For Scoring The Quality Of Life Scale
This form of the Quality of Life Scale QOLS has 16 items rather than the 15 found in the original Flanagan version. Item 16, Independence, doing for yourself' was added after a qualitative study indicated that the instrument had content validity in chronic illness groups but that it needed an item that reflected the importance to these people of remaining independent and able to care for themselves. The instrument is scored by summing the items to make a total score. Subjects should be...
Medical Outcomes Study Mos 12item Short Form
The SF-12 is a multipurpose short-form SF generic measure of health status. It was developed to be a much shorter, yet valid, alternative to the SF-36 for use in large surveys of general and specific populations as well as large longitudinal studies of health outcomes. The 12 items in the SF-12 are a subset of those in the SF-36 SF-12 includes one or two items from each of the eight health concepts. Thus, the SF-12 measures eight concepts commonly represented in widely used surveys physical...
Ferrans And Powers Quality Of Life Index
The Quality of Life Index QLI was developed by Ferrans and Powers to measure quality of life in terms of satisfaction with life. Quality of life is defined by Ferrans as a person's sense of well-being that stems from satisfaction or dissatisfaction with the areas of life that are important to him her. The QLI measures both satisfaction and importance of various aspects of life. Importance ratings are used to weight the satisfaction responses, so that scores reflect the respondents' satisfaction...
Kindl
The KINDL -questionnaire with 24 items it is a short, methodologically suitable psychometrically sound and flexible measure to assess health related quality of life in children. The questionnaire can be completed both by children and adolescents, and also by their parents Proxyversion . The KINDL -questionnaire is available for different age groups and stages of 4 - 7 years, 8 - 11 years, 12 - 16 years, Parents. A paper-pencil version and a computer assisted version CAT-SCREEN is available. The...
Health Status Questionnaire 20
The Health Status Questionnaire 2.0 HSQ 2.0 , an assessment from Pearson Assessments, is an outcomes measurement tool that yields a profile of scores on eight health attributes, an index of health status change, and an indication of risk for the presence of a depressive disorder. This instrument is designed to be easily administered via self-report, personal interview, or telephone interview. Designed as a general outcomes measure to be used in all settings that provide primary or mental health...
Health And Daily Living Form
The Health and Daily Living Form HDLF is a structured assessment for patient and community groups that assesses health related factors such as alcohol consumption, drinking problems, and depression. It is a structured assessment procedure that can be administered either as an interview or as a questionnaire, and can be used with both patient and community groups. The HDLF includes items covering socio-demographic factors as well as sets of indices that tap health-related and social functioning,...
General Health Questionnaire
The General Health Questionnaire GHQ is a self-administered screening test, designed to identify short-term changes in mental health depression, anxiety, social dysfunction and somatic symptoms . It is a pure state measure, responding to how much a subject feels that their present state over the past few weeks is unlike their usual state. It does not make clinical diagnoses and should not be used to measure long-standing attributes. The GHQ focuses on the client's ability to carry out normal...
Further Reading
Bullinger, Mv Mackensen, S., Kirchberger, I. 1994 KINDL - ein Fragebogen zur gesundheitsbezogenen Lebensqualit t van Rindern. Zeitschrift f r Gesundheitspsychologie 2 64-67 Bullinger, M., Bahner, U. 1997 . Zeitschrift f r Gesundheitswissenschaft. Bullinger, M., Kirchberger, I. 1998 . SF-36 Fragebogen zum. Gesundheitszustand. Hogefre, G ttingen. Hays, R.D., Hayashi, T., Carson, S. amp Ware, J.E. 1988 . User's Guide for the Multitrait Analysis Program MAP . Santa Monica, CA The RAND Corporation,...
Kid Kindl K.sps
Sub-scale score - lowest possible score Sub-scales transformed to 100 -x 100 The calculations described here may be found in the SPSS file kidkindlk.sps or the corresponding files for other versions on the disc for data analysis. The calculation of sub-scale scores for the parents' version of the Kiddy KINDLR is essentially the same as described above for the other KINDLP versions. However the 22 additional items Items 25 to 46 form a separate strb-scale known as Kiddy Parents. Here the...