Short Health Scale

Slaven Abdovic, Ana Mocic Pavic, Milan Milosevic, Mladen Persic, Irena Senecic-Cala, Sanja Kolacek
2015 Inflammatory Bowel Diseases  
Inflammatory bowel disease (IBD) presents a growing medical and epidemiological problem. In respect to patients, health-related quality of life (HRQOL) emerged as informative means to evaluate the impact of disease burden on health. The Short Health Scale (SHS), a disease-specific HRQOL instrument with only 4 questions (symptoms, functioning, worry, and general well-being), was demonstrated as valid, reliable, and responsive in adults. Aim of this study was to assess its psychometric properties
more » ... in children with IBD. Methods: In a multicentric prospective study, HRQOL was assessed in 104 children with IBD by generic (PedsQL) and disease-specific questionnaires (IMPACT-III (HR) and SHS), which were cross-culturally adapted for Croatian. Forty-one patients completed the questionnaires at the second visit 6 to 12 months later. Of them, 27 patients changed from remission to active disease or vice versa and were included in responsiveness to change analysis. Results: Patients in remission had significantly better scores for symptoms (P ¼ 0.022) and functioning (P ¼ 0.003) than those with active disease. Each of the 4 SHS questions was strongly correlated with the corresponding dimensions of PedsQL and IMPACT-III (HR) questionnaires (r s ¼ 0.50-0.72, P , 0.001). Reliability was confirmed with Cronbach's a ¼ 0.74. Patients who changed from remission to active disease or vice versa showed significant change in following SHS scores: symptoms (P ¼ 0.032), functioning (P ¼ 0.008), and worry (P ¼ 0.021). Conclusions: SHS appears to be valid, reliable, and responsive tool to measure HRQOL in children with IBD. Simplicity of use, compactness, and the possibility of immediate interpretation make SHS well suited for both clinical practice and research studies. (Inflamm Bowel Dis 2015;21:818-823)
doi:10.1097/mib.0000000000000324 pmid:25742398 fatcat:gta6ufkivvhzdb4aznu7cbjey4