Abstract
Purpose
To assess the measurement properties (acceptability, validity, reliability and responsiveness), of the MOS 36-Item Short-Form
Health Survey (SF-36), the EQ-5D, the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Musculoskeletal Functional Assessment
Instrument (MFA), in patients who have undergone limb reconstruction surgery (LRS).
Health Survey (SF-36), the EQ-5D, the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Musculoskeletal Functional Assessment
Instrument (MFA), in patients who have undergone limb reconstruction surgery (LRS).
Results
101 LRS patients were recruited with 95 responding at baseline and 71 at a 12-month follow-up. Response rates at baseline
were over 94%. In three instruments, there was evidence of floor or ceiling effect, the exception being the EQ-5D. Cronbach’s
α statistics of internal consistency reliability were acceptable at ≥0.80 for all dimensions of the MFA, the SF-MPQ PRI(S)
and seven of the SF-36 dimensions. When comparing mean changes in scores between baseline and 12 months, the most responsive
measure was the SF-36 with an average Standardised Response Mean of 0.48 for those who reported their health as better. Statistically
significant differences were observed between the health change groups (‘worse’, ‘better’ and ‘same’) for four dimensions
of the SF-36, the two summary scores and the SF-6D.
were over 94%. In three instruments, there was evidence of floor or ceiling effect, the exception being the EQ-5D. Cronbach’s
α statistics of internal consistency reliability were acceptable at ≥0.80 for all dimensions of the MFA, the SF-MPQ PRI(S)
and seven of the SF-36 dimensions. When comparing mean changes in scores between baseline and 12 months, the most responsive
measure was the SF-36 with an average Standardised Response Mean of 0.48 for those who reported their health as better. Statistically
significant differences were observed between the health change groups (‘worse’, ‘better’ and ‘same’) for four dimensions
of the SF-36, the two summary scores and the SF-6D.
- Content Type Journal Article
- Pages 1-13
- DOI 10.1007/s11136-011-0090-6
- Authors
- M. Burton, Centre for Health and Social Care Research, Sheffield Hallam University, Montgomery House, Collegiate Campus, Sheffield, S10 2BP UK
- S. J. Walters, Department of Medical Statistics and Clinical Trials, School for Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA UK
- M. Saleh, Department of Trauma and Orthopaedics, University of Sheffield, Sheffield, UK
- J. E. Brazier, Department of Health Economics, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK
- Journal Quality of Life Research
- Online ISSN 1573-2649
- Print ISSN 0962-9343