Data For Research
beta

The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection

  • John E. Ware,, Cathy Donald Sherbourne
  • Medical Care, Vol. 30, No. 6 (Jun., 1992), pp. 473-483

  • Published by: Lippincott Williams & Wilkins
  • Stable URL: http://www.jstor.org/stable/3765916
  • Abstract: A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The SF-36 includes one multi-item scale that assesses eight health concepts: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health (psychological distress and well-being); 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The survey was constructed for self-administration by persons 14 years of age and older, and for administration by a trained interviewer in person or by telephone. The history of the development of the SF-36, the origin of specific items, and the logic underlying their selection are summarized. The content and features of the SF-36 are compared with the 20-item Medical Outcomes Study short-form.
  • Subjects: health, psychology
  • Keyterms: functioning, scale, concept, survey, measure, limitation, physical, outcome, activity, mental, score, emotional, patient, measuring, status, include, perception, struct, general, validity, chronic, questionnaire, measurement, disease, bodily
  • CiteRank: 13
  • Times cited by articles in JSTOR: 420

Top Words
Word Count
the322
of251
and168
health129
in115
a97
to91
for61
or41
items40
with39
is32
as29
physical29
functioning28
Top Bigrams
Bigram Count
### ###173
the ###88
### #75
## #74
of the61
# ###54
# ##52
### and48
### the41
# the33
and ###33
## ##27
in the26
health ###25
of ###21
Top Trigrams
Trigram Count
# ## #45
### ### #28
### ### ###25
of the ###22
### ### and14
### and ###13
et al #13
medical outcomes study13
### et al13
### ### the13
### ## #12
the medical outcomes12
the ### ###11
the past ##10
and ### the10
Top Quadgrams
Quadgram Count
### et al #13
the medical outcomes study11
during the past ##9
the past ## ###8
med ### ### #8
stewart ### ware ###7
# med care ###7
outcomes study approach #6
# journal of chronic6
and ### the medical6
### ware ### eds6
# during the past6
daily activities as a6
medical outcomes study approach6
### the medical outcomes6
Top Keyterms
Keyterm Weight
functioning1.0
scale0.808
concept0.712
survey0.63
measure0.612
limitation0.601
physical0.596
outcome0.535
activity0.514
mental0.507
score0.471
emotional0.47
patient0.467
measuring0.441
status0.411

References

Geigle R, Jones SB. Outcomes measurement: a re- port from the front. Inquiry1990; 27:7

McDermott W. Absence of indicators of the influ- ence of physicians on a society's health. Am J Med 1981; 70:833

Cluff LE. Chronic Disease, Function and the Qual- ity of Care. Journal of Chronic Disease1981;34:299

Tarlov AR. Shattuck lecture: the increasing supply of physicians, the changing structure of the health-ser- vices system, and the future practice of medicine. N Engl J Med1983;308:1235.

Schroeder SA. Outcome assessment 70 years later: are we ready? N Engl J Med1987; 216:160.

Ellwood PM. Outcomes management: a technol- ogy of patient experience. N Engl J Med1988; 318:1549

American Cancer Society. Proceedings of the Working Conference on Methodology in Behavioral and Psychological Cancer Research-1983. Cancer 1984; 53(suppl):2217

Wenger NK, Mattson ME, Furberg CD, et al. As- sessment of quality of life in clinical trials of cardiovas- cular therapies. New York: Le Jacq Publishing Com- pany, 1984

Lohr KN, Ware JE. Advances in health assess- ment. Journal of Chronic Disease1987;40(suppl):1S

Lohr KN. Advances in health status assessment: overview of the conference. Medical Care1989; 27:3

Ware JE. Standards for validating health mea- sures: definition and content. Journal of Chronic Dis- ease1987;40(6):473

Brook RH, Ware JE, Davies-Avery A, et al. Over- view of adult health status measures fielded in RAND's health insurance study. Medical Care1979:17(suppl):1

Bergner M, Bobbitt RA, Carter WB, Gilson BS. The sickness impact profile: development and final re- vision of a health status measure. Medical Care 1981; 19:787

Stewart AL, Ware JE, eds. Measuring function- ing and well-being: the medical outcomes study ap- proach. Duke University Press (in press)

Campbell A, Converse PE, Rodgers WL. The quality of american life: perceptions, evaluations, and satisfactions. :Russell Sage Foundation, 1976

Spitzer WO, Dobson AJ, Hall J, et al. Measuring the quality of life of cancer patients: a concise QL-index for use by physicians. Journal of Chronic Diseases 1981; 34:585

Coates A, Gebski V, Stat M, et al. Improving the quality of life during chemotherapy for advanced breast cancer. N Engl J Med1987; 10:1490

NCHS:Health, United States. U.S. Department of Health and Human Services, 1989

McHorney CA, Ware JE, Rogers W, et al. The validity and relative precision of MOS short- and long- form health status scales and Dartmouth COOP charts: results from the Medical Outcomes Study. Med Care (in press)

Ware JE, Sherbourne C, Davies A. A general pop- ulation application: developing and testing the MOS 20-item short-form health survey. In: Stewart AL, Ware JE, eds. Measuring functioning and well-being: the med- ical outcomes study approach. Duke University Press (in press)

Stewart AL, Hays RD, Ware JE. The MOS short- form general health survey: reliability and validity in a patient population. Med Care1988;26:724

Stewart AL, Ware JE, Brook RH, Davies-Avery A. conceptualization and measurement of health for adults in the health insurance study, volume II, physi- cal health in terms of functioning. Santa Monica, CA: The RAND Corporation. publication no. R-1987/2- HEW, 1978

Donald CA, Ware JE. The measurement of social support. In: Greenley JR, ed. Research in community and mental health. Greenwich, CT: JAI Press, 1984:325

Veit CT, Ware JE. The structure of psychological distress and well-being in general populations. J Con- sult Clin Psychol1983;51: 730

Davies AR, Ware JE. Measuring health percep- tions in the health insurance experiment. Santa Monica, CA: The RAND Corporation. publication no. R-271 1- HHS, 1981

Stewart AL, Kamberg CJ. Physical functioning measures. In: Stewart AL, Ware JE, eds. Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press, 1992:86

Sherbourne CD, Stewart AL, Wells KB. Role functioning measures. In: Stewart AL, Ware JE, eds. Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham, NC: Duke Uni- versity Press, 1992:205

Sherbourne CD. Pain measures. In: Stewart AL, Ware JE, eds. Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press, 1992:220

Sherbourne CD. Social functioning: social activ- ity limitations measures. In: Stewart AL, Ware JE, eds. Measuring functioning and well-being: The Medical Outcomes Study Approach. Durham, NC: Duke Uni- versity Press, 1992:173

Read LJ, Quinn RJ, Hoefer MA. Measuring over- all health: an evaluation of three important approaches. Journal of Chronic Diseases1987;40(suppl):7S

Fowler FJ, Wennberg JE, Timothy RP, et al. Symptom status and quality of life following prostatec- tomy. JAMA1988;259(20):3018

Berwick DM, Murphy JM, Goldman PA, et al. Performance of a five-item mental health screening test. Med Care1991;29:169-175

Croog SH, Levine S, Testa MA, et al. The effects of antihypertensive therapy on quality of life. N Engl J of Med1986; 314:1657

Wu AW, et al. A health status questionnaire us- ing 30 items from the medical outcomes study: prelimi- nary validation in persons with early HIV infection. Med Care1991;29:786

Wachtel T, Piette J, Mor V, et al. Quality of life in persons with AIDS, as measured by the Medical Out- come Study's instruments. Ann Int Med (in press)

Likert R. A technique for the measurement of attitudes. Archives of Psychology1932; 140:1-55

International Resource Center for Health Care Assessment. How to score the SF-36 short-form health survey. Boston: The Health Institute, 1992

Nelson E, Wasson J, Kirk A, et al. Assessment of function in routine clinical practice: description of the COOP chart method and preliminary findings. Journal of Chronic Diseases1987, 40(suppl): 55S

Liang MH, Fossel AH, Larson MG. Comparison of five health status instruments for orthopedic evalua- tion. Med Care1990;28:632

Weinstein MC, Berwick DM, et al. A comparison of three psychiatric screening tests using receiver oper- ating characteristic (ROC) analysis. Med Care 1989; 27:593

Brook RH, Fink A, Kosecoff J, et al. Educating physicians and treating patients in the ambulatory set- ting: where are we going and how will we know when we arrive? Ann Int Med1987; 107:392

Anderson JSC, Sullivan F, Usherwood TP. The Medical Outcomes Study Instrument (MOSI)-use of a new health status measure in britain. J Fam Pract (in press)

Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med1979; 9:139

Bindman AB, Keane D, Lurie N. Measuring. health changes among severely ill patients: the floor phenomenon. Med Care1990;28:1142

Katz MM, Lyerly SB. Methods for measuring ad- justment and social behavior in the community. I. ratio- nale, description, discriminative validity and scale de- velopment. Psychological Reports, 1963; 13:503

Selected: 6,428,186

JSTOR is part of ITHAKA, a not-for-profit organization helping the academic community use digital technologies to preserve the scholarly record and to advance research and teaching in sustainable ways.
©2000-2010 ITHAKA. All Rights Reserved. JSTOR®, the JSTOR logo, and ITHAKA® are registered trademarks of ITHAKA.