From the Departments of Kinesiology (BS) and Pediatrics (AJM), University of British Columbia, Vancouver, BC, Canada.
Am J Phys Med Rehabil. 2019 Oct;98(10):937-941. doi: 10.1097/PHM.0000000000001256.
Those with limited language comprehension or literacy face problems completing written questionnaires evaluating their health or physical status on which treatment plans are based. This brief report describes how a picture-based version of the 10 items in the limitations of activities section of the short form 36 health survey questionnaire (SF-36) was developed iteratively and then piloted. Study participants were 101 community-living volunteers (58 female and 43 male volunteers aged 18-93 yrs) educated to postsecondary level (52), high school grades 10-12 (44), and grade 9 or less (5). They first completed the picture-based SF-36 LoA and described verbally and in writing what they understood each picture to mean and then completed the English text version of the SF-36 limitations of physical activities domain for comparison assessment. Additional feedback suggested where pictures could be altered to increase information capture. Subjects rated their health as 26.7% excellent, 25.7% very good, 29.8% good, 10.9% fair, and 6.9% poor. Analysis showed strong correlation between text-based SF-36 LoA questions and the picture-based visual score-VSF-36 LoA-(intraclass correlation coefficient = 0.98) with question 10 correlating highest (intraclass correlation coefficient = 0.90) and question 2 lowest (intraclass correlation coefficient = 0.82). The VSF-36 LoA is the first picture-based version of the SF-36; good correlation with the text-based version and global need warrants further development to aid those with limited literacy or language comprehension.
那些语言理解能力或读写能力有限的人在完成基于治疗计划的书面问卷评估他们的健康或身体状况时会遇到问题。本简要报告描述了如何迭代开发和试点 10 项简短形式 36 健康调查问卷（SF-36）活动受限部分的图片版本。研究参与者是 101 名居住在社区的志愿者（58 名女性和 43 名男性志愿者，年龄 18-93 岁），受过中学后教育（52 名）、高中 10-12 年级（44 名）和 9 年级或以下（5 名）。他们首先完成了基于图片的 SF-36 LoA，并口头和书面描述了他们对每张图片的理解，然后完成了英语文本版的 SF-36 身体活动受限领域，以进行比较评估。其他反馈建议了可以更改图片以增加信息捕获的地方。受试者将自己的健康状况评为 26.7%优秀、25.7%非常好、29.8%良好、10.9%一般和 6.9%差。分析表明，基于文本的 SF-36 LoA 问题与基于图片的视觉评分-VSF-36 LoA-之间存在很强的相关性（组内相关系数=0.98），问题 10 的相关性最高（组内相关系数=0.90），问题 2 的相关性最低（组内相关系数=0.82）。VSF-36 LoA 是 SF-36 的第一个基于图片的版本；与基于文本的版本和全球需求相关性良好，需要进一步开发，以帮助那些读写能力有限或语言理解能力有限的人。
