Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran

Authors: Ali Montazeri, Mariam Vahdaninia, Sayed Javad Mousavi, Mohsen Asadi-Lari, Sepideh Omidvari, Mahmoud Tavousi

Published in: Health and Quality of Life Outcomes | Issue 1/2011

Login to get access

Abstract

Background

The SF-12v2 is the improved version of the SF-12v1. This study aimed to validate the SF-12v2 in Iran.

Methods

A random sample of the general population aged 18 years and over living in Tehran, Iran completed the instrument. Reliability was estimated using internal consistency and validity was assessed using known-groups comparison and convergent validity. In addition the factor structure of the questionnaire was extracted by performing both exploratory and confirmatory factor analyses (EFA and CFA).

Results

In all, 3685 individuals were studied (1887male and 1798 female). Internal consistency for both summary measures was satisfactory. Cronbach's α for the Physical Component Summary (PCS-12) was 0.87 and for the Mental Component Summary (MCS-12) it was 0.82. Known-groups comparison showed that the SF-12v2 discriminated well between men and women and those who differed in age and educational status (P < 0.05). Furthermore, as hypothesized the physical functioning, role physical, bodily pain and general health subscales correlated higher with the PCS-12, while the vitality, social functioning, role emotional and mental health subscales correlated higher with the MCS-12. Finally the exploratory factor analysis indicated a two-factor structure (physical and mental health) that jointly accounted for 59.9% of the variance. The confirmatory factory analysis also indicated a good fit to the data for the two-latent structure (physical and mental health).

Conclusion

Although the findings could not be generalized to the Iranian population, overall the findings suggest that the SF-12v2 is a reliable and valid measure of health related quality of life among Iranians and now could be used in future health outcome studies. However, further studies are recommended to establish its stability, responsiveness to change, and concurrent validity for this health survey in Iran.
Appendix
Available only for authorised users
Literature
1.
Ware JE, Kosinski M, Keller SD: A 12-item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care 1996, 34: 220–233. 10.1097/00005650-199603000-00003PubMedCrossRef
2.
Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Kassa S, Lepleg A, Prieto L, Sullivan M: Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. J Clin Epidemiol 1998, 51: 1171–1178. 10.1016/S0895-4356(98)00109-7PubMedCrossRef
3.
Jayasinghe UW, Proudofoot J, Barton CA, Amoroso C, Holton C, Davies GP, Beilby J, Harris FM: Quality of life of Australian chronically-ill adults: patient and practice characteristics matter. Health and Quality of Life Outcome 2009, 7: 50. 10.1186/1477-7525-7-50CrossRef
4.
Kontodimopoulos N, Pappa E, Niakis D, Tountas Y: Validity of SF-12 summary scores in a Greek general population. Health and Quality of Life Outcomes 2007, 5: 55. 10.1186/1477-7525-5-55PubMedCentralPubMedCrossRef
5.
Gandhi SK, Salmon JW, Zhao SZ, Lambert BL, Gore PR, Conrad K: Psychometric evaluation of the 12-item Short Form Health Survey (SF-12) in osteoarthritis and rheumatoid arthritis clinical trials. Clinical Therapeutics 2001, 2: 1080–1098. 10.1016/S0149-2918(01)80093-XCrossRef
6.
Maurischat C, Herschbach P, Peters A, Bullinger M: Factorial validity of the Short-Form 12 (SF-12) in patients with diabetes mellitus. Psychology Science Quarterly 2008, 50: 7–20.
7.
Kodraliu G, Mosconi P, Groth N, Carmosino G, Perilli A, Gianicolo EA, Rossi A, Apolone G: Subjective health status assessment: evaluation of the Italian version of the SF-12 Health Survey. Results from the MiOS Project. J Epidemiol Biostat 2001, 6: 305–316. 10.1080/135952201317080715PubMedCrossRef
8.
Hoffman CH, McFarland BH, Kinzie D, Bresler L, Rakhlin D, Wolf S, Kovas AE: Psychometric properties of a Russian version of the SF-12 Health Survey in a refugee population. Comprehensive Psych 2005, 46: 390–397. 10.1016/j.comppsych.2004.12.002CrossRef
9.
Lam CL, Tse EY, Gandek B: Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res 2005, 14: 539–547. 10.1007/s11136-004-0704-3PubMedCrossRef
10.
Ware JE, Kosinski M, Turner-Bowker DM, Gandek B: How to score version 2 of the SF-12 HEALTH Survey. Lincoln, RI: Quality Metric Incorporated; 2002.
11.
Cheak-Zamora NC, Wyrwich KW, McBride TD: Reliability and validity of the SF-12v2 in the medical expenditure panel survey. Qual Life Res 2009, 18: 727–735. 10.1007/s11136-009-9483-1PubMedCrossRef
12.
Fong DY, Lam CL, Mak K, Lo WS, Lai YK, Ho SY, Lam TH: The Short Form Health Survey was a valid instrument in Chinese adolescents. J Clin Epidemiol 2010, 63: 1020–1029. 10.1016/j.jclinepi.2009.11.011PubMedCrossRef
13.
Monteagudo Piqueras O, Hernando Arizaleta L, Palomar Rodriguez JA: Reference values of the Spanish version of the SF-12v2 for the diabetic population. Gac Sanit 2009, 23: 526–532. 10.1016/j.gaceta.2008.11.005PubMedCrossRef
14.
Linde L, Srensen J, stergaard M, Hrslev-Petersen K, Rasmussen C, Jensen DV, Hetland ML: What factors influence the health status of patients with rheumatoid arthritis measured by the SF-12v2 Health Survey and the Health Assessment Questionnaire? J Rheumatol 2009, 36: 2183–2189. 10.3899/jrheum.090134PubMedCrossRef
15.
Brown TM, Lee WC, Joshi AV, Pashos CL: Health-related quality of life and productivity impact haemophilia patients with inhibitors. Haemophilia 2009, 15: 911–917. 10.1111/j.1365-2516.2009.02032.xPubMedCrossRef
16.
Lee CE, Browell LM, Jones DL: Measuring health in patients with cervical and lumbosacral spinal disorders: is the 12-item short-form health survey a valid alternative for the 36-item short-form health survey? Arch Phys Med Rehabil 2008, 89: 829–833. 10.1016/j.apmr.2007.09.056PubMedCrossRef
17.
Yang M, Wallenstein G, Hagan M, Guo A, Chang J, Kornstein S: Burden of premenstrual dysphoric disorder on health-related quality of life. L Womens Health 2008, 17: 13–121.
18.
Sutton D, Raines DA: Health-related quality of life following a surgical weight loss intervention. Appl Nurs Res 2010, 23: 52–56. 10.1016/j.apnr.2008.01.001PubMedCrossRef
19.
McBride O, Adamson G, Bunting BP, McCann S: Assessing the general health of diagnostic orphans using the Short Form Health Survey (SF-12v2): a latent variable modeling approach. Alcohol Alcohol 2009, 44: 67–76.PubMedCrossRef
20.
Sloan RA, Sawada SS, Martin CK, Church T, Blair SN: Associations between cardiorespiratory fitness and health-related quality of life. Health Qual Life Outcomes 2009, 28: 47. 10.1186/1477-7525-7-47CrossRef
21.
Asadi-Lari M, Vaez-Mahdavi MR, Faghihzadeh S, Montazeri A, Farshad A, Kalantari N, Maher A, Golmakani MM, Salehi GH, Motevallian SA, Malek-Afzali H: The application of urban health equity assessment and response tool (Urban HEART) in Tehran; concepts and framework. Medical Journal of the Islamic Republic of Iran 2010, 24: 115–125.
22.
Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B: The Short Form Health Survey: translation and validation study of the Iranian version. Qual Life Res 2005, 14: 875–882. 10.1007/s11136-004-1014-5PubMedCrossRef
23.
Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S: The Iranian version of 12-item Short-Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health 2009, 9: 341. 10.1186/1471-2458-9-341PubMedCentralPubMedCrossRef
24.
Saris-Baglama RN, Dewey CJ, Chisholm GB, Plumb E, Kosinski M, Bjorner JB, Ware JE: QualityMetric Health Outcomes Scoring Software 2.0: User's Guide. Lincoln, R.I: QualityMetric Incorporated; 2007.
25.
Nunnally JC, Bernstein IR: Psychometric Theory. 3rd edition. New York: McGraw-Hill; 1994.
26.
Campbell DT, Fiske DW: Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin 1959, 56: 81–105. 10.1037/h0046016PubMedCrossRef
27.
Marsh HW, Hau K, Wen Z: In search of golden rules: comment on hypothesis testing approaches to setting cut-off values for fit indexes and dangers in over generalizing Hu and Bentler's findings. Structural Equation Modelling 2004, 11: 320–341. 10.1207/s15328007sem1103_2CrossRef
28.
Byrne BM: Structural Equation Modelling. Mahwah, NJ: Lawrence Erlbaum Associates Publishers; 1998.
29.
Gandek B, Ware JE: Methods for validating and norming translations of health status questionnaires: The IQOLA Project approach. J Clin Epidemiol 1998, 51: 953–959. 10.1016/S0895-4356(98)00086-9PubMedCrossRef
30.
Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, Gandek B, Wagner A, Aaronson N, Bech P, Fukuhara S, Hassa S, Ware JE: Translating health status questionnaires and evaluating their quality: The IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol 1998, 41: 913–923. 10.1016/S0895-4356(98)00082-1CrossRef
31.
Lim LLY, Seubsman S, Sleigh A: The SF-36 health survey: tests of data quality, scaling assumptions, reliability and validity in healthy men and women. Health Qual Life Outcomes 2008, 6: 52. 10.1186/1477-7525-6-52PubMedCentralPubMedCrossRef
32.
Ware JE, Kosinski M, Keller SK: SF-36 Physical and Mental Summary Scales: S User's Manual. Boston, MA: The Health Institute; 1994.
33.
Fleishman JA, Selim AJ, Kazis LE: Deriving SF-12v2 physical and mental health summary scores: a comparison of different scoring algorithms. Qual Life Res 2010, 19: 231–241. 10.1007/s11136-009-9582-zPubMedCrossRef
Metadata
Title
The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran
Authors
Ali Montazeri
Mariam Vahdaninia
Sayed Javad Mousavi
Mohsen Asadi-Lari
Sepideh Omidvari
Mahmoud Tavousi
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-12

Other articles of this Issue 1/2011

Health and Quality of Life Outcomes 1/2011 Go to the issue

Short report

Health status of older adults with Type 2 diabetes mellitus after aerobic or resistance training: A randomised trial

Research

Development of a patient reported outcome measure for fatigue in motor neurone disease: the Neurological Fatigue Index (NFI-MND)

Research

Development and validation of the impact of dry eye on everyday life (IDEEL) questionnaire, a patient-reported outcomes (PRO) measure for the assessment of the burden of dry eye on patients

Research

Do diabetes and depressed mood affect associations between obesity and quality of life in postmenopause? Results of the KORA-F3 Augsburg population study

Research

The impact of burning mouth syndrome on health-related quality of life

Research

Reliability and validity of a single item measure of quality of life scale for adult patients with cystic fibrosis