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Published in: Quality of Life Research 7/2009

Open Access 01-09-2009

Readability estimates for commonly used health-related quality of life surveys

Authors: Sylvia H. Paz, Honghu Liu, Marie N. Fongwa, Leo S. Morales, Ron D. Hays

Published in: Quality of Life Research | Issue 7/2009

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Abstract

Purpose

To estimate readability of seven commonly used health-related quality of life instruments: SF-36, HUI, EQ-5D, QWB-SA, HALex, Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the NEI-VFQ-25.

Methods

The Flesch–Kincaid (F–K) and Flesch Reading Ease (FRE) formulae were used to estimate readability for every item in each measure.

Results

The percentage of items that require more than 5 years of formal schooling according to F–K was 50 for the EQ-5D, 53 for the SF-36, 80 for the VFQ-25, 85 for the QWB-SA, 100 for the HUI, HALex, and the MLHFQ. The percentage of items deemed harder than “easy” according to FRE was 50 for the SF-36, 67 for the EQ-5D, 79 for the QWB-SA, 80 for the VFQ-25, 100 for the HUI, HALex, and the MLHFQ.

Conclusions

All seven surveys have a substantial number of items with high readability levels that may not be appropriate for the general population.
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Metadata
Title
Readability estimates for commonly used health-related quality of life surveys
Authors
Sylvia H. Paz
Honghu Liu
Marie N. Fongwa
Leo S. Morales
Ron D. Hays
Publication date
01-09-2009
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 7/2009
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9506-y

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