常用健康相关生活质量调查问卷的可读性评估。
Readability estimates for commonly used health-related quality of life surveys.
作者信息
Paz Sylvia H, Liu Honghu, Fongwa Marie N, Morales Leo S, Hays Ron D
机构信息
Department of Health Services, UCLA School of Public Health, Los Angeles, CA 90095-1772, USA.
出版信息
Qual Life Res. 2009 Sep;18(7):889-900. doi: 10.1007/s11136-009-9506-y. Epub 2009 Jul 10.
PURPOSE
To estimate readability of seven commonly used health-related quality of life instruments: SF-36, HUI, EQ-5D, QWB-SA, HALex, Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the NEI-VFQ-25.
METHODS
The Flesch-Kincaid (F-K) and Flesch Reading Ease (FRE) formulae were used to estimate readability for every item in each measure.
RESULTS
The percentage of items that require more than 5 years of formal schooling according to F-K was 50 for the EQ-5D, 53 for the SF-36, 80 for the VFQ-25, 85 for the QWB-SA, 100 for the HUI, HALex, and the MLHFQ. The percentage of items deemed harder than "easy" according to FRE was 50 for the SF-36, 67 for the EQ-5D, 79 for the QWB-SA, 80 for the VFQ-25, 100 for the HUI, HALex, and the MLHFQ.
CONCLUSIONS
All seven surveys have a substantial number of items with high readability levels that may not be appropriate for the general population.
目的
评估七种常用的健康相关生活质量量表的可读性，这七种量表分别为：SF - 36、健康效用指数（HUI）、EQ - 5D、QWB - SA、健康活动水平指数（HALex）、明尼苏达心力衰竭生活问卷（MLHFQ）以及国家眼科研究所视觉功能问卷25项版（NEI - VFQ - 25）。
方法
采用弗莱什 - 金凯德（F - K）公式和弗莱什易读性公式（FRE）来评估每种量表中每个条目的可读性。
结果
根据F - K公式，需要超过5年正规学校教育才能理解条目的比例，EQ - 5D为50%，SF - 36为53%，VFQ - 25为80%，QWB - SA为85%，HUI、HALex和MLHFQ为100%。根据FRE公式，被认为比“易读”难度更大的条目的比例，SF - 36为50%，EQ - 5D为67%，QWB - SA为79%，VFQ - 25为80%，HUI、HALex和MLHFQ为100%。
结论
所有这七种调查都有大量条目具有较高的可读性水平，可能不适用于普通人群。
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