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Quality of life in older people: A structured review of generic self-assessed health instruments

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Abstract

Objective: To review evidence relating to the measurement properties of multi-item generic patient or self-assessed measures of health in older people. Methods: Systematic literature searches to identify instruments. Pre-defined criteria relating to reliability, validity and responsiveness. Results: 122 articles relating to 15 instruments met the inclusion criteria. The most extensive evidence was found for the SF-36, COOP Charts, EQ-5D, Nottingham Health Profile (NHP) and SIP. Four instruments have evidence of both internal consistency and test–retest reliability – NHP, SF-12, SF-20, SF-36. Four instruments lack evidence of reliability – HSQ-12, IHQL, QWB, SQL. Most instruments were assessed for validity through comparisons with other instruments, global judgements of health, or clinical and socio-demographic variables. Five instruments lack evidence of responsiveness – GQL, HSQ-12, IHQL, QLI and QWB. Conclusion: There is good evidence for reliability, validity and responsiveness for the SF-36, EQ-5D and NHP. There is more limited evidence for the COOP, SF-12 and SIP. The SF-36 is recommended where a detailed and broad ranging assessment of health is required, particularly in community dwelling older people with limited morbidity. The EQ-5D is recommended where a more succinct assessment is required, particularly where a substantial change in health is expected. Instrument content should be assessed for relevance before application. The concurrent evaluation of generic instruments in older people is recommended.

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Authors and Affiliations

  1. National Centre for Health Outcomes Development, Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Oxford, OX3 7LF, United Kingdom

    K. L. Haywood & R. Fitzpatrick

  2. Norwegian Centre for Health Services Research, Nasjonalt junnskapssenter for helsetjenesten, Postboks 7004, St. Olavs plass, Norway

    A. M. Garratt

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  2. A. M. Garratt
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  3. R. Fitzpatrick
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Correspondence to K. L. Haywood.

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Haywood, K.L., Garratt, A.M. & Fitzpatrick, R. Quality of life in older people: A structured review of generic self-assessed health instruments. Qual Life Res 14, 1651–1668 (2005). https://doi.org/10.1007/s11136-005-1743-0

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  • DOI: https://doi.org/10.1007/s11136-005-1743-0

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