| Author: | Wu, Chun-man Edwin |
| Title: | The study of the Chinese SF 36 in evaluation of the health related quality of life change in physiotherapy out-patients in Hong Kong |
| Degree: | M.Sc. |
| Year: | 1998 |
| Subject: | Hong Kong Polytechnic University -- Dissertations Physical therapy -- China -- Hong Kong Questionnaires -- China -- Hong Kong Backache -- Patients -- Psychology Quality of life -- China -- Hong Kong -- Evaluation Health status indicators -- China -- Hong Kong |
| Department: | Multi-disciplinary Studies Department of Rehabilitation Sciences |
| Pages: | x, 110 leaves : ill. ; 31 cm |
| Language: | English |
| Abstract: | The measurement of health outcome is a world-wide trend. Physiotherapists are confident that their treatment have more than physiological impacts on their patients. But little is known about the impacts of Physiotherapy on health outcome. In order to evaluate these unmeasured impacts, a commonly used generic health-related quality of life questionnaire, the Standard Chinese Version of Short Form (SF) 36 was used and its validity and reliability were studied. The objectives of this study were to test the criterion validity and test and re-test reliability (part one: instrument validation) of the Standard Chinese Version of SF 36 (Chinese SF 36). By means of this version, study of the change of health-related quality of life in selected Physiotherapy out-patients with back pain in Hong Kong was carried out (part two of the study-field testing). The pre-and post-test design (self-controls) to monitor the health-related quality of life change was used. Part one: a separate sample of 26 chronic back pain patients (mean age = 41.31; pain duration > 6 months) was identified for testing the criterion validity and test and re-test reliability of Chinese SF 36. It was carried out in the Physiotherapy Department of Prince of Wales Hospital. Part two: the Chinese SF 36 were successfully administered to a total of 59 patients (mean age = 41.17) in five different out-patient units in Hong Kong (one private clinic and four hospitals) during their first and the last treatment sessions of Physiotherapy. Convenience sampling with 7 months duration was adopted. The sample target was back pain patients. Simple demographic data were collected and parametric statistical analysis was used. The results were that the Chinese SF 36 measured the construct of health with discriminant power when subject to comparison with a suggested criterion measure- the Chinese General Health Questionnaire (Chinese GHQ 30). The Chinese SF 36 has domains of mental health, social functioning and vitality and they had demonstrated good correlations with the Chinese GHQ 30while the remaining 5 domains such as general health, physical functioning, role-physical, role-emotional and bodily pain showed relatively poor correlations. The precision (the coefficient of variation) of data were observed to be quite stable. The internal consistency: the Cronbach's alpha from 0.9397 to 0.9480 (all Cronbach's alpha > 0.7) and the item total correlations, all > 0.4 except three items. The stability (test & re-test reliability) of the Chinese SF 36 remained high (corr. = 0.91; p = 0.001) and no statistically significant difference was detected (p = 0.088 i.e. >0.05). In evaluation of health related quality of life change in back pain patients (part two-field testing), the Chinese SF 36 might be able to detect the change statistically significantly (p=0.002) though which factors brought about this change remained uncertain. The overall results in this study suggested that the Chinese SF 36 has been a promising tool in evaluating health related quality of life of Physiotherapy back pain patients in Hong Kong. |
| Rights: | All rights reserved |
| Access: | restricted access |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| b14421896.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 3.6 MB | Adobe PDF | View/Open |
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