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1 Table 3.1(a) Comparison the Quality Disability Indices ADL s Thoroughnes s Thoroughnes s PULSES Prile (Moskowitz, 1957) ordinal 6 clinical staff many Barthel Index (Mahoney, 1955) ordinal 10 clinical staff many Katz Index ADL (Katz, 1959) ordinal 6 clinical staff many Kenny Self-Care Evaluation (Schoening, 1965) Physical Self-Maintenance (Lawton, 1969) Functional Status Rating System (Forer, 1981) Medical Outcomes Study Physical Functioning Measure (Stewart, 1992) ordinal 85 clinical staff several Guttman 6 -, staff few ordinal 30 clinical staff few ordinal 14 few

2 able 3.1(b) Comparison the Quality Disability Indices IADL s Rapid Disability Rating (Linn, 1982) Functional Status Index (Jette, 1980) Patient Evaluation Conference System (Harvey, 1981) Functional Activities Questionnaire (Pfeffer, 1982) Lambeth Disability Screening Q. (Patrick, 1981) ordinal 18 research staff (2 min) Thoroughnes s Thoroughnes s several ordinal 54 clinical interviewer several ordinal 79 clinical staff few ordinal 10 lay informant few ordinal 25 few +? Disability Interview Schedule ordinal 17 interviewer few OECD Disability Questionnaire (OECD, 1981) Health Assessment Questionnaire (Fries, 1980) Functional Independence Measure (Granger, 1987) ordinal 16 many ordinal 20 clinical, research -, staff (5-8 min) ordinal 18 clinical expert, interviewer many

3 Table 4.1 Comparison the Quality Social Health Measurements Measurement Social Relationship (McFarlane, 1981) ordinal 6 research, interviewer few Social Support Questionnaire (Sarason, 1983) ordinal 27 research several Rand Social Health Battery (RAND, 1978) ordinal 11 few MOS Social Support Survey (Sherbourne, 1991) ordinal 20 few Duke-UNC Functional Social Support Questionnaire (Broadhead, 1988) ordinal 8 clinical few Duke Social Support and Stress (Parkerson, 1989) ordinal 24 research few Katz Adjustment s (Katz, 1963) ordinal 205** clinical (45-60 min) many Social Functioning Schedule (Tyrer, 1979) ordinal 121 clinical expert few Interview Schedule for Social Interaction (Henderson, 1980) Social Adjustment - Self Report (Weissman, 1971) ordinal 52 research, clinical ordinal 42 clinical (15-20 min) interviewer (45-60 min) Social Maladjustment Schedule (Clare, 1978) ordinal 42 clinical, interviewer several interviewer (45 min) Social Dysfunction Rating (Linn, 1969) ordinal 21 research staff (30 min) Structured & d Interview to Assess Maladjustment (SSIAM) (Gurland, 1972) ordinal 60 clinical, research many few several interviewer several ** There are 205 in the 5 sections this instrument. The questions can be answered twice, once the patient and once a relative.

4 Table 5.1 Comparison the Quality Psychological Indices Measurement Numbe r Health Opinion Survey (Macmillan, 1957) ordinal 20 many Item Screening Score (Langner, 1962) ordinal 22 many Affect Balance (Bradburn, 1965) ordinal 10 many Four Single-Item Indicators Well-Being (Andrews, 1976) interval 1** several Life Satisfaction Index A (Neugarten, 1961) ordinal 20 many Philadelphia Geriatric Center Morale (Lawton, 1972) ordinal 22 clinical, few General Well-Being Schedule (Dupuy, 1977) ordinal 18 several Rand Mental Health Inventory (Ware, 1979) ordinal 38 few Health Perceptions Questionnaire (Ware, 1976) ordinal 33 several General Health Questionnaire (Goldberg, 1972) ordinal 60 ** Andrews describes several, singe-item rating scales.

5 Table 6.1 Comparison the Quality Depression Measurements Measurement Beck Depression Inventory (Beck, 1961) ordinal 21 clinical, interviewer, The Self-rating Depression (Zung, 1965) ordinal 20 clinical Center for Epidemiologic Depression (National Institute for Mental Health, 1972) Geriatric Depression (Brink, 1982) ordinal 30 clinical, many ordinal 20 many (8-10 min) Depression Adjective Check-Lists (Lubin, 1965) ordinal 32 research (3 mins per list) Hamilton Rating for Depression (Hamilton, 1960) Montgomery-Åsberg Depression Rating (Montgomery, 1979) Carroll Rating for Depression (Carroll, 1981) many ordinal 21 clinical expert many ordinal 10 research expert several ordinal 52 clinical, research several

6 Table 8.1 Comparison the Quality Pain s Measurement Visual Analogue Pain Rating (Various authors, 1974) McGill Pain Questionnaire (Melzack, 1975) Items ratio 1 clinical (30 sec) ordinal, interval 20 clinical (15-20 min) Brief Pain Inventory (Cleeland, 1982) ordinal 11 clinical Medical Outcomes Study Pain Measures (Sherbourne, 1992) Low Back Pain Disability Questionnaire (Fairbank, 1980) many many several ordinal 12 few ordinal 60 clinical (< 5 min) Back Pain Classification (Leavitt, 1978) interval 13 clinical (5-10 min) few several Self-rating Pain and Distress (Zung, 1983) ordinal 20 clinical few Illness Behavior Questionnaire (Pilowky, 1975) ordinal 52 clinical many Pain Perception Prile (Tursky, 1976) ratio 37 research expert few

7 Table 7.1 Comparison the Quality Mental Status Tests Measurements Items Dementia Rating (Mattis, 1973) ordinal 22 research expert several Cognitive Capacity Screening Exam (Jacobs, 1977) ordinal 30 clinical expert (5-15 min) Clock Drawing Test (Various authors, 1986) ordinal 1** clinical, several many Alzheimer's Disease Assessment (Rosen, 1983) ordinal 21 expert several Information-Memory-Concentration Test (Blessed, 1968) ordinal 29 clinical, staff many Dementia (Blessed, 1968) ordinal 22 research interviewer several Mental Status Questionnaire (Kahn, 1960) ordinal 10 clinical, Short Portable Mental Status Questionnaire (Pfeiffer, 1975) ordinal 10, Mini-Mental Status Examination (Folstein, 1975) ordinal 30 clinical, Clifton Assessment Procedures for the Elderly (Pattie, 1975) Cambridge Mental Disorders the Elderly Examination (CAMDEX) (Roth, 1986) interviewer several interviewer many interviewer many ordinal 12 clinical staff several ordinal 57 research, clinical expert (80 min) several ** The Clock test may include clock drawing, clock setting and clock reading.

8 Table 9.1 Comparison the Quality General Health Measurements and Quality Life s Measurements Items Arthritis Impact Measurement (Meenan, 1980) Guttman 45 clinical many Physical and Mental Impairment--Function Evaluation (PAMIE) (Gurel, 1972) ordinal 77 clinical staff few Functional Assessment Inventory (Crewe, 1981) ordinal 40 clinical staff few Functional Living Index-Cancer (Schipper, 1984) ordinal 22 clinical, research EORTC Quality Life Questionnaire (EORTC, 1993) ordinal 30 clinical, research (< 10 min) (12 min) Quality Life Index (Spitzer, 1980) ordinal 5 clinical (2 min) COOP Charts for Primary Care Practice (Nelson, 1987) ordinal 9 clinical (< 5 min) Functional Status Questionnaire (Jette, 1986) ordinal 34 clinical, (15 min) several several many many several DUKE Health Prile (Parkerson, 1990) ordinal 17 clinical few McMaster Health Index Questionnaire (Chambers, 1976) ordinal 59 clinical, Sickness Impact Prile (Bergner, 1976) interval 136 research, Nottingham Health Prile (Hunt, 1981) interval 45 clinical, (20 min) (20-30 min) Short-Form-36 Health Survey (Ware, 1990) ordinal 36 (5-10 min) Short-Form-20 Health Survey (Stewart, 1987) ordinal 20 (3-4 min) several many several Self-Evaluation Life Function (Linn, 1984) ordinal 54 clinical few Multilevel Assessment Instrument (Lawton, 1982) ordinal 147 interviewer (50 min) few

9 OARS Multidimensional Functional Assessment Questionnaire (OARS, 1975) Comprehensive Assessment and Referral Evaluation (Gurland, 1977) ordinal 144 clinical interviewer (45 min) ordinal 329 (CORE- CARE) many clinical interviewer many Disability and Distress (Rosser, 1978) ratio 2 research expert several EUROQOL Quality Life (EuroQol Group, 1990) Quality Well-Being (Bush and Kaplan 1973) ratio 18 research interviewer (7 min) ratio 5 research few many

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