Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin

Health-related quality of life (HRQOL) is considered an important outcome indicator in substances abuse studies. However, psychometric properties of HRQOL measures are largely unknown in people who abuse heroin. Therefore, the present study aimed to examine data quality, scaling properties, reliabil...

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Main Authors: En-Chi Chiu, I-Ping Hsueh, Cheng-Hsi Hsieh, Ching-Lin Hsieh
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664612003075
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author En-Chi Chiu
I-Ping Hsueh
Cheng-Hsi Hsieh
Ching-Lin Hsieh
author_facet En-Chi Chiu
I-Ping Hsueh
Cheng-Hsi Hsieh
Ching-Lin Hsieh
author_sort En-Chi Chiu
collection DOAJ
description Health-related quality of life (HRQOL) is considered an important outcome indicator in substances abuse studies. However, psychometric properties of HRQOL measures are largely unknown in people who abuse heroin. Therefore, the present study aimed to examine data quality, scaling properties, reliability, and construct validity of the 36-Item Short Form healthy survey (SF-36) in people who abuse heroin. Methods: A total of 469 people who abuse heroin participated in the study. Data quality was determined by data completeness. Scaling properties were evaluated by item frequency distribution, equivalence of item means and standard deviations, item-internal consistency, and item-discriminant validity (calculating scaling success). Internal consistency was examined using Cronbach's α. Construct validity was examined by investigating convergent validity and divergent validity among the eight scales of the SF-36. Results: The results of data quality showed low missing rates (0.0–3.8%) and high completion rates in the scales (91.9–98.7%). The results of scaling assumptions showed good item frequency distribution on each item, roughly equivalent item means and standard deviations within a scale, good item-internal consistency (>0.4) and good scaling success rates (77.5–100%), except on the two scales of bodily pain (BP) and social functioning (SF). Three scales showed ceiling and/or floor effects [i.e., physical functioning (PF), role limitations due to physical problems (RP), and role limitations due to emotional problems (RE)]. Cronbach's α was acceptable (>0.7), except for the BP and SF scales. Construct validity was partially supported by the results of convergent validity and divergent validity. Conclusion: The results confirmed good data quality; satisfactory scaling assumptions and internal consistency (except for the BP and SF scales); and generally acceptable construct validity. However, the PF, RP, and RE scales showed ceiling and/or floor effects. Therefore, the BP, SF, PF, RP, and RE scales should be used with cautions in measuring HRQOL in people who abuse heroin.
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spelling doaj.art-ff3eea2fc07247a98ae4cecc372b69562022-12-22T01:01:03ZengElsevierJournal of the Formosan Medical Association0929-66462014-04-01113423424110.1016/j.jfma.2012.05.010Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroinEn-Chi Chiu0I-Ping Hsueh1Cheng-Hsi Hsieh2Ching-Lin Hsieh3School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, TaiwanSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, Taipei Veterans General Hospital, Taoyuan Branch, Taoyuan, TaiwanSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, TaiwanHealth-related quality of life (HRQOL) is considered an important outcome indicator in substances abuse studies. However, psychometric properties of HRQOL measures are largely unknown in people who abuse heroin. Therefore, the present study aimed to examine data quality, scaling properties, reliability, and construct validity of the 36-Item Short Form healthy survey (SF-36) in people who abuse heroin. Methods: A total of 469 people who abuse heroin participated in the study. Data quality was determined by data completeness. Scaling properties were evaluated by item frequency distribution, equivalence of item means and standard deviations, item-internal consistency, and item-discriminant validity (calculating scaling success). Internal consistency was examined using Cronbach's α. Construct validity was examined by investigating convergent validity and divergent validity among the eight scales of the SF-36. Results: The results of data quality showed low missing rates (0.0–3.8%) and high completion rates in the scales (91.9–98.7%). The results of scaling assumptions showed good item frequency distribution on each item, roughly equivalent item means and standard deviations within a scale, good item-internal consistency (>0.4) and good scaling success rates (77.5–100%), except on the two scales of bodily pain (BP) and social functioning (SF). Three scales showed ceiling and/or floor effects [i.e., physical functioning (PF), role limitations due to physical problems (RP), and role limitations due to emotional problems (RE)]. Cronbach's α was acceptable (>0.7), except for the BP and SF scales. Construct validity was partially supported by the results of convergent validity and divergent validity. Conclusion: The results confirmed good data quality; satisfactory scaling assumptions and internal consistency (except for the BP and SF scales); and generally acceptable construct validity. However, the PF, RP, and RE scales showed ceiling and/or floor effects. Therefore, the BP, SF, PF, RP, and RE scales should be used with cautions in measuring HRQOL in people who abuse heroin.http://www.sciencedirect.com/science/article/pii/S0929664612003075druge abusehealth status indicatorsheroinpsychometricsquality of life
spellingShingle En-Chi Chiu
I-Ping Hsueh
Cheng-Hsi Hsieh
Ching-Lin Hsieh
Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
Journal of the Formosan Medical Association
druge abuse
health status indicators
heroin
psychometrics
quality of life
title Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
title_full Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
title_fullStr Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
title_full_unstemmed Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
title_short Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin
title_sort tests of data quality scaling assumptions reliability and construct validity of the sf 36 health survey in people who abuse heroin
topic druge abuse
health status indicators
heroin
psychometrics
quality of life
url http://www.sciencedirect.com/science/article/pii/S0929664612003075
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