Use of relevancy ratings by target respondents to develop health-related quality of life measures: an example with African-American elderly.

Cunningham WE; Burton TM; Hawes Dawson-JKington RSHays RD

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Use of relevancy ratings by target respondents to develop health-related quality of life measures: an example with African-American elderly.

机译：Use of relevancy ratings by target respondents to develop health-related quality of life measures: an example with African-American elderly.

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BACKGROUND: Health-related quality of life (HRQOL) instruments assess functioning and well-being. Generic HRQOL measures are intended to be relevant to everyone whereas population-targeted measures are designed to be relevant to a particular population. METHODS: We asked 99 African-American elderly (mean age 72, 33% female, 47% less than high school education) to rate the relevancy of 33 HRQOL items drawn largely from existing instruments. We assessed the reliability of the relevancy ratings across respondents, rank-ordered the items by relevancy, and tested the significance of difference in relevancy ratings for each item compared to the average of all other items. We also examined the associations of the relevancy ratings with sociodemographic and clinical characteristics. RESULTS: The relevancy ratings were reliable (intraclass correlation = 0.71) and relevancy was generally distinct from HRQOL and demographic characteristics. Items assessing spirituality and weight-related health status were rated as significantly more relevant than other types of items. Generic HRQOL items were not rated as highly relevant. CONCLUSIONS: HRQOL measures assessing spirituality and weight-related concepts are important for future studies of HRQOL in African-American elderly. The method of identifying these concepts used in this study should be valuable in developing new measures targeted to other sociodemographically or clinically defined subgroups.

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来源
《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |1999年第8期|749-768|共20页
作者
Cunningham WE; Burton TM; Hawes Dawson-JKington RSHays RD;
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Department of Medicine, UCLA, USA. wcunningham@mednet.ucla.edu;

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正文语种英语
中图分类预防医学、卫生学;
关键词
Blacks; Health Status Indicators; Quality of Life; 黑人; 卫生状况指标; 生活质量;

Use of relevancy ratings by target respondents to develop health-related quality of life measures: an example with African-American elderly.

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