The Performance of Three Measures of Health Status in an Outpatient Diabetes Population

• DOI: 10.1111/j.1464-5491.1993.tb00134.x
• Publication Date: 2009-07-30T10:57:06Z
• Authors: M.J. Bardsley; S. Astell; A. McCallum; P.D. Home
• Keywords: Nottingham Health Profile

Both the late complications of diabetes and means used to prevent them have a significant impact on lives people with condition. Measuring quality life is therefore important in assessing clinical need evaluating success management. Three approaches measuring health status were compared 284 randomly selected out‐patients attending hospital service. The measures Nottingham Health Profile (NHP), four categories an anglicized version Sickness Impact (the Functional Limitations (FLP)), scale Positive Well‐being (PWB). results found be independent questionnaire order place completion. distributions scores NHP FLP scales highly skewed, majority cases scoring zero. related ( p < 0.001) age, but not otherwise type diabetes. Patients angina, circulatory problems, neuropathy scored significantly higher (up several dimensions/ FLP, PWB scale. Severe visual impairment (worse than 6/36) was only 0.005) ‘Mobility’ ‘Ambulation’ ‘Home management’. Validation by interview gave satisfactory all dimensions except ‘Energy’, ‘Recreations pastimes’. No statistically association observed between interviewer's assessments, it did correlate tau = 0.45, some social psychological dimensions/categories NHP/FLP. In conclusion physical disability. provide useful assessment general diabetes, are biased towards identifying minority patients who already developed more severe problems.