Abstract
Measures of social psychological health states were developed and tested for dimensionality, internal consistency, and generalizability on samples of ambulatory hypertensive and diabetic patients. Despite the existence of several measures of health status, none had been tested solely on ambulatory chronically ill patients. Therefore, to insure that sensitive, reliable measures were available to measure patients' responses to nursing interventions designed to increase ambulatory chronically ill patients' participation in their care of themselves, these measures were developed. The two scales were found to be reliable, generalizable, and valid, in that they were correlated with existing measures of symptom severity, psychological, and functional health status. The question of whether disease specific measures of health status are preferrable to more general measures is discussed.
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References
Berg RL (ed): Health status indexes.Chicago Hospital Research and Educational Trust, 1973.
Navarro V (ed): Sociomedical health indicators.International Journal of Health Services 6:393–537, 1976.
Elinson J et al:Health Goals and Health Indicators: Policy Planning and Evaluation. Boulder, Colorado, Westview Press, 1977.
Jette AM: Health status indicators: Their utility in chronic disease evaluation research.Journal of Chronic Disease 33:567–579, 1979.
Chen M, Bryant B: The measurement of health—A critical and selective overview.Journal of Epidemiology 4(4):257–264, 1975.
Bice T: Comments on health indicators: Methodological perspectives.International Journal of Health Services 6(3):509–519, 1976.
Boruch R, & Gomez H: Sensitivity bias and theory in impact evaluation.Professional Psychology:411–434, 1977.
Mechanic D:Future Issues in Health Care, Social Policy and the Rationing of Medical Services. Collier Mac-Millan Publishers, 1979, pp 146–158.
Mechanic D: Sociocultural and social-psychological factors affecting personal responses to psychological disorder.Journal of Health and Social Behavior 16:393–404.
Hyman M: Social psychological factors affecting disability among ambulatory patients.Journal of Chronic Disease 28:199–216, 1975.
Renne KS: Measurement of social health in a general population survey.Social Science Research 3:25–44, 1974.
Greenblatt HN:Measurement of Social Well-Being in a General Population Survey. Berkeley, California, California State Department of Health, Human Population Laboratory, 1975.
Lerner M: Conceptualization of health and social well-being.Health Services Research 8:6–12, 1973.
Leighton AH:Foundations for a Theory of Man in Relation to Culture. New York, Basic Books, 1959.
Donald CA et al:Conceptualization and Measurement of Health for Adults in the Health Insurance Study (Vol 4) (Social Health R-1987/4-HEW). Washington, DC, US Government Printing Office, 1978.
Katz MM, Lyerly SB: Methods for measuring adjustment and social behavior in the community: I: Rationale, description, discriminative validity and scale development.Psychological Reports 13:503–535, 1963.
Paykel ES, Weissman M, Prusoff BA et al: Dimensions of social adjustment in depressed women.The Journal of Nervous and Mental Disease 152:158–172, 1971.
Gurland BJ, Yorkston NJ, Stone AR, et al: The structured and scaled interview to assess maladjustment (SSIAM).Archives of General Psychiatry 27:259–267, 1972.
Dohrenwend BS, Dohrenwend BP, Cook D: Ability and disability in role functioning in psychiatric patient and non-patient groups. In JD Wing, H Hafner (eds),Roots of Evaluation. London, Oxford University Press, 1973.
Bergner M, Bobbitt RA, Corter WB, et al: The sickness impact profile: Development and final revision of a health status measure.Medical Care 19:787–805, 1981.
Parkerson GR, Gelbach SH, Wagner EH, et al: The Duke—UNC health profile: An adult health status instrument for primary care.Medical Care 19:806–828, 1981.
Brook RH, et al: Overview of adult health status measures fielded in Rand's health insurance study.Medical Care 17:1–55, 1979.
Ware JE, Jr: Scale for measuring general health perceptions.Health Services Research 11:396–415, 1976.
Goldberg D, et al: A comparison of two psychiatric screening tests.British Journal of Psychiatry 29:61–67, 1976.
Goldberg D:The Detection of Psychiatric Illness by Questionnaire. London, Oxford University Press, 1972.
Tennant C: The general health questionnaire: A valid index of psychological impairment in Australian populations.Medical Journal of Australia 2:392–394, 1977.
Derogatis L, et al: SCL-90: An outpatient psychiatric rating scale—a preliminary report.Psychopharmacology Bulletin 9:13–18, 1973.
Guttman L: Multiple group methods for common-factor analysis: Their basis, computation, and interpretation.Psychometrika 17:209–222, 1952.
Guttman L: Some necessary conditions for common-factor analysis.Psychometrika 19:149–161, 1954.
Cohen Frances: Personality, Stress and the Development of Physical Illness in George C Stone et al, (eds).Health Psychology, Jessey-Bass Publishers, Washington, 1979, pp 77–111.
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Given, C.W. Measuring the social psychological health states of ambulatory chronically ill patients: Hyper tension and diabetes as tracer conditions. J Community Health 9, 179–195 (1984). https://doi.org/10.1007/BF01326699
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DOI: https://doi.org/10.1007/BF01326699