The knee injury and osteoarthritis outcome score koos is a questionnaire designed to assess short and. I am not particularly discouraged about the future. Sf36 is a set of generic, coherent, and easily administered qualityoflife measures. Finding the best outcome measures for research and quality assurance purposes in terms of validity, sensitivity to change, length and ease of completion is crucial. The short form 36 health survey is a 36item, patientreported survey of patient health. The sf 36 is a measure of health status and an abbreviated variant of it, the sf 6d, is commonly used in health economics as a variable in the qualityadjusted life year calculation to determine the costeffectiveness of a health treatment. Assessment of exhaustion and related risk factors in employees in. The text and responses of promis items cannot be altered in any way and still be considered a promis item. Modified school form 1 school register excel facebook group files.
Part i collected sociodemographic data, part ii evaluated the physical activities of patients before and after tka, and part iii assessed patient satisfaction with overall surgical outcome and with their physical activity level. Becks depression inventory questionnaire template download. All you need to do is to download the file and use the dropdown menus in the answer panels to complete the questionnaire. There are 40, 36, and 14 official language versions of. We do not recommend using the short form to examine subscale scores because they are less reliable. This may depend on the study aims andor clinic work flow. If you are accessing a translated version, usually you will see a link text this will download material. The development of the fsozu k6 consisted of two phases. Modified school form 2 sf2 daily attendance report of. Scoring the international physical activity questionnaire. The following questions concern the amount of pain you are currently experiencing in your knees.
German translation, crosscultural adaptation and validation. Translation and validation of the german version of the. The short form of the mental health continuum mhcsf is derived from the long form mhclf, which consisted of seven items measuring emotional wellbeing, six 3item scales or 18 items total that measured the six dimensions of ryffs. The sensitivity to change and absolute sensitivity for both sf12 and sf36 were comparable, but the reliability of sf36 was marginally greater. Derived from the medical outcomes study 36item short form health survey sf36 in 1996 sf12v1 modified in 2000 sf12v2 version currently used. Outcome is best assessed with both generic and diseasespecific instruments, but using many, lengthy questionnaires increases the burden, quality, and cost of data collection. Mar 15, 2006 the sensitivity to change and absolute sensitivity for both sf 12 and sf 36 were comparable, but the reliability of sf 36 was marginally greater. Researchers may broadly participate in the study in the use of eq5d questionnaires i.
The bournemouth questionnaire for neck pain patients was recently translated and validated into german and found to be more sensitive to change than other commonly used questionnaires. This study determined whether the sf12v2 was a valid and equivalent substitute for the sf36v2 health survey version 2 for the chinese. The australian whiplash disability questionnaire wdq was crossculturally translated, adapted, and tested for validity to be used in germanspeaking patients. Social security administration staff or others who help people apply for ssi will fill out this form for you. Activity levels and participation in physical activities. The selfadministered questionnaire evaluates actual pain intensity, problems in personal care, role performance, sleep disturbances, tiredness, social and leisure activities, emotional and concentration impairments with questions. The fsozu k6 showed very good reliability and excellent model fit indices for the onedimensional factorial structure of the scale. Its hard for me to find the words to describe what im thinking.
Eq5d3l, eq5d5l, and eq5dy in asian region is increasing. Acl anterior cruciate ligament injury, meniscus injury, chondral injury, etc. At the site you will also find an excel file which automatically calculates the results of the ipaq. Brief description of the mental health continuum short. As part of the medical outcomes study mos, a multiyear, multisite study to explain variations in patient outcomes, rand developed the 36item short form health survey sf36. The seven answers are added up to get a total score. See general information about how to correct material in repec for technical questions regarding this item, or to correct its authors, title, abstract. Knee injury and osteoarthritis outcome score koos koos is developed as an instrument to assess the patients opinion about their knee and associated problems. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Application for supplemental security income ssi form approved omb no. When you have your total score, look at the guidelines for scoringinterpretation below to see where your sleep difficulty fits.
Koos is intended to be used for knee injury that can result in post traumatic osteoarthritis oa. For each question, please circle the number that best describes your answer. On average, the mcs score of the sf12 increased by 6 points. In clinical settings, give respondents the optimal time needed to capture the most relevant perspective and complete data e. I amwe are applying for supplemental security income and any federally administered state supplementation under title xvi of the social. There were close and linear correlations between the sf36 and sf12 scores for both the pcs and mcs components, before and after surgery r 0. When requesting a correction, please mention this items handle. These measures rely upon patient selfreporting and are now widely utilized by. Furthermore, new determinants for nonrespondents of sf12 were found, such as type of living conditions, being worried about health. The optum sf12v2 health survey is a shorter version of the sf36v2 health survey that uses just 12 questions to measure functional health and wellbeing from the patients point of view taking only two to three minutes to complete, the sf12v2 is a practical, reliable and valid measure of physical and mental health. The result will appear on the second sheet entitled report. The questionnaire consisted of these three parts additional file 1.
This study determined whether the sf 12v2 was a valid and equivalent substitute for the sf 36v2 health survey version 2 for the chinese. Brief description of the mental health continuum short form. Furthermore, strict measurement invariance was detected allowing unbiased comparison of means and correlation coefficients and path coefficients between both sexes across the full lifespan from adolescence 1492 years. All material on this site has been provided by the respective publishers and authors. A brief form of the perceived social support questionnaire f. It is particularly useful in large population health surveys or. There were close and linear correlations between the sf 36 and sf 12 scores for both the pcs and mcs components, before and after surgery r 0. Certain identifying information is necessary to determine the location of an individuals record of military service. Part i included 4 questions that asked about place of residence urban vs. Six items for the short form were selected based on the maximization of coefficient alpha.
Clinical global impression cgi psychiatrist singapore. I will eventually post links to all of this material. Modified school form 1 school register pdf do 4, s. Mapping the sf12 to the euroqol eq5d index in a national us sample 2004. Didnt do work or other activities as carefully as usual. Quality of life assessment using the short form12 sf12. The scoring algorithm of the 12item shortform health survey sf12 was revised in the second version sf12v2, but information on its psychometric properties is lacking. Below is a list of all scales that are currently part of the facit measurement system. Evaluation of the clinical global impression scale among individuals with social anxiety disorder. The original sf36 stemmed from the medical outcome. A call was announced today for researchers to express their interest in participating in the new eq5d5l valuation study for the uk. Is the sf12 version 2 health survey a valid and equivalent. We evaluated a short, hiporiented core outcome measures index comihip, comprising six items pain, function, symptomspecific wellbeing, quality of life, and disability extracted from established.
Questionnaires and all related subscales, translations, and adaptations facit system are owned and ed by david cella, ph. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. The standard form 180, request pertaining to military records sf180 is used to request information from military records. Pdf using the 12item short form health survey sf12 to. The 36item short form health survey sf36 is a set of generic, coherent, and easily administered. I also have 18 different language translations on file. The short form of the mental health continuum mhcsf is derived from the long form mhclf, which consisted of seven items measuring emotional wellbeing, six 3item scales or 18 items total that measured the six dimensions of ryffs 1989 model of psychological wellbeing, and.
This information will help keep track of how you feel and how well you are able to do your usual activities. The scoring algorithm of the 12 item shortform health survey sf 12 was revised in the second version sf 12v2, but information on its psychometric properties is lacking. Sf 36 is a set of generic, coherent, and easily administered qualityoflife measures. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. About the ipss the international prostate symptom score ipss is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. If you are unsure how to answer a question, please give the best answer you can.
The sf36 is a measure of health status and an abbreviated variant of it, the sf6d, is commonly used in health economics as a variable in the qualityadjusted life year calculation to determine the costeffectiveness of a health treatment. Sf12 patient questionnaire hoag orthopedic institute. During the past 4 weeks, were you limited in the kind of work you do or other regular activities as a result of any emotional problems such as feeling depressed or anxious. The scoring scale is at the end of the questionnaire. The australian version of the sf12 explained 94% of the variation for physical. Five facet mindfulness questionnaire ffmq please rate each of the following statements with the number that best describes your own opinion of what is generally true for you. The selfadministered questionnaire evaluates actual pain intensity, problems in personal care, role performance, sleep disturbances, tiredness, social and leisure activities, emotional and.
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