Psychometric properties of the SF-8 Health-Related Quality of Life Scale in Costa Ricanolder adults

  1. Román-Quirós, Rafael 1
  2. Blanco Molina, Mauricio 3
  3. Pinazo-Hernandis, Sacramento 2
  1. 1 Universidad de Iberoamérica (UNIBE)
  2. 2 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  3. 3 Universidad Nacional Costa Rica. UNA
Show affiliations +
Journal:
Research Square

ISSN: 2693-5015

Year of publication: 2024

Type: Article

DOI: 10.21203/RS.3.RS-3959368/V1 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Research Square

Abstract

Throughout the world, a widely adopted practice in research has been to assess individuals' overall health using a single question. This practice presents several challenges, such as the lack of clarity regarding what individuals consider when responding to such broad inquiries about their general health. Consequently, the information gathered by healthcare professionals regarding the self-perceived health of those they attend or study becomes ambiguous and difficult to compare, both among individuals and across different diseases. This limitation also hinders evidence-based decision making regarding health matters. This study tested a concise version of the most widely used instrument globally for self-assessment of health-related quality of life (HRQoL) in older Costa Ricans and yielded positive results. These findings provide scientific evidence to support the use of this 8-question instrument in older Costa Ricans. Additionally, similar to recent research in various countries, this study also revealed that the 8-question instrument measures an aspect beyond physical and mental health, challenging the traditional conceptualization of this measurement tool. This article discusses whether this third aspect, particularly in the case of older individuals, is indeed a social component rather than a general health component, as proposed in various studies.

€ View funding

Funding information

This research was funded by an academic support fund (Fondo de Apoyo Académico, FIDA) for 2017 from the Vice Presidency of Research at the Universidad Nacional in Costa Rica. The authors declare that no other funding or support has contributed to this research in the form of grants or otherwise.

Bibliographic References

  • Jylha M, Guralnik JM, Ferrucci L, Jokela J, Heikkinen E (1998) Is Self-Rated Health Comparable across Cultures and Genders? Journals Gerontol Ser B: Psychol Sci Social Sci 53B(3):S144–S152. https://doi.org/10.1093/geronb/53B.3.S144
  • Finch BK, Hummer RA, Reindl M, Vega WA (2002) Validity of Self-rated Health among Latino(a)s. Am J Epidemiol 155(8):755–759. https://doi.org/10.1093/aje/155.8.755
  • Jürges H (2007) True health vs response styles: Exploring cross-country differences in self-reported health. Health Econ 16(2):163–178. https://doi.org/10.1002/hec.1134
  • Choi JH, Miyamoto Y (2022) Cultural Differences in Self-Rated Health: The Role of Influence and Adjustment. Jpn Psychol Res 64(2):156–169. https://doi.org/10.1111/jpr.12405
  • Jylhä M (2009) What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med 69(3):307–316. https://doi.org/10.1016/j.socscimed.2009.05.013
  • Krause NM, Jay GM (1994) What Do Global Self-Rated Health Items Measure? Med Care 32(9):930–942. https://doi.org/10.1097/00005650-199409000-00004
  • Peersman W, Cambier D, De Maeseneer J, Willems S (2012) Gender, educational and age differences in meanings that underlie global self-rated health. Int J Public Health 57(3):513–523. https://doi.org/10.1007/s00038-011-0320-2
  • Vivaldi F, Barra E (2012) Bienestar Psicológico, Apoyo Social Percibido y Percepción de Salud en Adultos Mayores. Terapia psicológica 30(2):23–29. https://doi.org/10.4067/S0718-48082012000200002
  • Kaplan RM, Hays RD (2022) Health-Related Quality of Life Measurement in Public Health. Annu Rev Public Health 43(1):355–373. https://doi.org/10.1146/annurev-publhealth-052120-012811
  • Ruotolo I, Berardi A, Sellitto G, Panuccio F, Polimeni A, Valente D, Galeoto G (2021) Criterion Validity and Reliability of SF-12 Health Survey Version 2 (SF-12v2) in a Student Population during COVID-19 Pandemic: A Cross-Sectional Study. Depress Res Treat 2021(6624378):1–10. https://doi.org/10.1155/2021/6624378
  • López-García E, Banegas JR, Pérez-Regadera G, Gutiérrez-Fisac A, Alonso JL, J., Rodríguez-Artalejo F (2003) Valores de referencia de la versión española del Cuestionario de Salud SF-36 en población adulta de más de 60 años. Med Clin 120(15):568–573. https://doi.org/10.1016/s0025-7753(03)73775-0
  • Ware J, Kosinski M, Dewey J, Gandek B (2001) How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. QualyMetric, Boston
  • Namjoo S, Mirzaei M, Foroughan M, Harouni GG (2021) Psychometric properties of the Short Form-8 Health Survey (SF-8) among diabetes and non-diabetes Iranian older people. Health Promotion Perspect 11(3):337–343. https://doi.org/10.34172/hpp.2021.43
  • Tomás JM, Galiana L, Fernández I (2018) The SF-8 Spanish Version for Health-Related Quality of Life Assessment: Psychometric Study with IRT and CFA Models. Span J Psychol 21:E1. https://doi.org/10.1017/sjp.2018.4
  • Wirtz MA, Schulz A, Brähler E (2021) Confirmatory and bi-factor analysis of the Short Form Health Survey 8 (SF-8) scale structure in a German general population sample. Health Qual Life Outcomes 19(1):1–12. https://doi.org/10.1186/s12955-021-01699-8
  • Sugimoto M, Takegami M, Suzukamo Y, Fukuhara S, Kakehi Y (2008) Health-related quality of life in Japanese men with localized prostate cancer: Assessment with the SF-8. Int J Urology: Official J Japanese Urol Association 15(6):524–528. https://doi.org/10.1111/j.1442-2042.2008.02046.x
  • Muñoz DI, Gomez OL, Ballesteros LC (2014) Factores correlacionados con la calidad de vida en pacientes diabéticos de bajos ingresos en Bogotá. Revista de Salud Pública 16(2):246–259. https://doi.org/10.15446/rsap.v16n2.38964
  • Lucumí DI, Gomez LF, Brownson RC, Parra DC (2015) Social capital, socioeconomic status, and health-related quality of life among older adults in Bogotá (Colombia). J Aging Health 27(4):730–750. https://doi.org/10.1177/0898264314556616
  • Lang L, Zhang L, Zhang P, Li Q, Bian J, Guo Y (2018) Evaluating the reliability and validity of SF-8 with a large representative sample of urban Chinese. Health Qual Life Outcomes 16(1):16, 2–8. https://doi.org/10.1186/s12955-018-0880-4
  • Barceló Reyna R, Ornelas Contreras M, Blanco Vega H (2021) Utilización del Cuestionario de Salud SF-36 en personas mayores. Revisión sistemática. Ansiedad y Estrés 27(2–3):95–102. https://doi.org/10.5093/anyes2021a13
  • Programa Estado de la Nación (2022) Envejecimiento poblacional: un logro en desarrollo humano con importantes retos. https://estadonacion.or.cr/envejecimiento-poblacional-un-logro-en-desarrollo-humano-con-importantes-retos/
  • United Nations Economic Comission for Latin America and the Caribbean (2018) Envejecimiento, personas mayores y Agenda 2030 para el Desarrollo Sostenible. Perspectiva regional y de Derechos Humanos. United Nations. https://repositorio.cepal.org/bitstream/handle/11362/44369/1/S1800629_es.pdf
  • Araya-Marín N, Barrantes-Valverde K, Fernández-Castro M, Rodríguez M, García-Castro JD (2017) Propiedades psicométricas del cuestionario de salud sf-36 en estudiantes universitarios de San Ramón, Alajuela—Sede Occidente, Universidad de Costa Rica. InterSedes 18(38). https://doi.org/10.15517/isucr.v18i38.32670
  • Valdivieso-Mora E, Ivanisevic M, Shaw LA, Garnier-Villarreal M, Green ZD, Salazar-Villanea M, Moncada-Jiménez J, Johnson DK (2018) Health-Related Quality of Life of Older Adults in Costa Rica as Measured by the Short-Form-36 Health Survey. Gerontol Geriatric Med 4:2333721418782812. https://doi.org/10.1177/2333721418782812
  • Blanco- Molina M, Castro-Rojas MD, Ortega-Moreno R (2023) Envejecimiento saludable: Un primer acercamiento a la revisión de indicadores subjetivos de salud en zonas urbanas y rurales en Costa Rica. Interdisciplinaria 40(2):281–298. https://doi.org/10.16888/interd.2023.40.2.17
  • Pinazo-Hernándis S, Blanco-Molina M, Ortega-Moreno R (2022) Aging in Place: Connections, Relationships, Social Participation and Social Support in the Face of Crises Situations. Int J Environ Res Public Health 19(24):16623. https://doi.org/10.3390/ijerph192416623
  • Tomás J, Sancho P, Blanco-Molina M, Pinazo-Hernandis S (2022) Measurement invariance of the self-care Scale for older people in Costa Rica and Spain. Educ Gerontol 49(3):190–200. https://doi.org/10.1080/03601277.2022.2096307
  • Blanco-Molina M, Pinazo-Hernandis S, Montoro-Rodriguez J, Tomas JM (2021) Testing a Proactive Model of Successful Aging Among Older Adults in Costa Rica and Spain. Int J Aging Hum Dev 93(1):619–635. https://doi.org/10.1177/0091415020974621
  • Ware JE, Snow KK, Kosinski M, Gandek B (1993) SF-36 Health Survey Manual and Interpretation Guide. New England Medical Center, the Health Institute
  • Pavot W, Diener E, Suh EM (1998) The Temporal Satisfaction with Life Scale. J Pers Assess 70(2):340–354. https://doi.org/10.1207/s15327752jpa7002_11
  • Galiana L, Oliver A, Tomás JM, Sancho P, Gutiérrez M (2015) Un estudio en mayores que acuden a programas universitarios. Eur J Invest Health Psychol Educ 5(3):335–344. https://doi.org/10.1989/ejihpe.v5i3.136. Propiedades psicométricas de la versión española de la Escala Temporal de Satisfacción con la Vida (Temporal Satisfaction With Life Scale, TSLS)
  • Akyurek G, Efe A, Aki E (2019) Psychometric properties of the temporal satisfaction with life scale among Turkish people. Psychiatry Clin Psychopharmacol 29(2):204–211. 10.1080/24750573.2018.14 45898
  • Carrillo A, Etchemendy E, Baños RM (2021) Past, present, and future life satisfaction: the role of age, positive and negative mood. Curr Psychol 40:629–638. 10.1007/s12144-018-9981-9
  • Broadhead WE, Gehlbach SH, Degruy FV, Kaplan BH (1988) The DukeUNC Functional Social Support Questionnaire: Measurement for Social Support in Family Medicine Patients. Med Care 26(7):709–723
  • Bellón Saameño JA, Delgado Sánchez A, de Luna del Castillo J D., Claret L, P (1996) Validez y fiabilidad del cuestionario de apoyo social funcional Duke-UNC-11. Atención primaria: Publicación oficial de la Sociedad Española de Familia y Comunitaria 18(4):153–163
  • Cornwell EY, Waite LJ (2009) Social Disconnectedness, Perceived Isolation, and Health among Older Adults. J Health Soc Behav 50(1):31–48. https://doi.org/10.1177/002214650905000103
  • Tomás Miguel JM, Llinares G, Gutiérrez Sanmartín L, Requena MS, P., Germes O, A (2016) Predicción del bienestar hedónico y eudaimónico en envejecimiento con éxito. EJIHPE: Eur J Invest Health Psychol Educ 6(3):167–176
  • Lubben J, Gironda M, Lee A (2002) Refinements to the Lubben Social Network Scale: The LSNS-R. Behav Measurements Letter 7(2):2–11. http://bmdshapi.com/newsletters/7-2-winter-2002.pdf
  • Lubben J, Gironda M (2003) Measuring social networks and assessing their benefits. In: Phillipson C, Allan G, Morgan D (eds) Social networks and social exclusion: Sociological and policy perspectives. Ashgate Publishing Company, pp 20–34
  • Boston College (2023) Lubben Social Network Scale. https://www.bc.edu/content/bc-web/schools/ssw/sites/lubben/description.html
  • University of West Ontario (2023) Biopsychosocial assessment tools for the elderly. https://instruct.uwo.ca/health-sciences/9641/Assessments/Social/LSNS-R.html
  • Marsh HW, Hau KT, Wen Z (2004) In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler's (1999) findings. Struct Equ Model 11(3):320–341. https://doi.org/10.1207/s15328007sem1103_2
  • Gwozdz W, Sousa-Poza A (2010) Ageing, health and life satisfaction of the oldest old: An analysis for Germany. Social Indicators Research, 97, 397–417. https://link.springer.com/article/10.1007/s11205-009-9508-8
  • Pruchno R, Carr D (2017) Successful Aging 2.0: Resilience and Beyond. J Gerontol B 72(2):201–203. https://doi.org/10.1093/geronb/gbw214
  • Carstensen LL (2006) The Influence of a Sense of Time on Human Development. Sci (New York N Y) 312(5782):1913–1915. https://doi.org/10.1126/science.1127488
  • Kunzmann U, Little TD, Smith J (2000) Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin Aging Study. Psychol Aging 15(3):511–526. https://doi.org/10.1037/0882-7974.15.3.511
  • Smith J, Borchelt M, Maier H, Jopp D (2002) Health and Well-Being in the Young Old and Oldest Old. J Soc Issues 58(4):715–732. https://doi.org/10.1111/1540-4560.00286
  • Kahana E, Kelley-Moore J, Kahana B (2012) Proactive aging: A longitudinal study of stress, resources, agency, and well-being in late life. Aging Ment Health 16(4):438–451. https://doi.org/10.1080/13607863.2011.644519
  • Alfaro Vargas N, Espinoza Herrera R (2021) Personas mayores en Costa Rica: Un acercamiento a las percepciones sobre su calidad de vida. Revista ABRA 41(63):99–124. https://doi.org/10.15359/abra.41/63.5
  • Dalstra JAA, Kunst AE, Mackenbach JP, EU Working Group on Socioeconomic Inequalities in Health (2006) A comparative appraisal of the relationship of education, income and housing tenure with less than good health among the elderly in Europe. Soc Sci Med 62(8):2046–2060. https://doi.org/10.1016/j.socscimed.2005.09.001
  • Kunst AE, Bos V, Lahelma E, Bartley M, Lissau I, Regidor E, Mielck A, Cardano M, Dalstra JAA, Geurts JJM, Helmert U, Lennartsson C, Ramm J, Spadea T, Stronegger WJ, Mackenbach JP (2005) Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol 34(2):295–305. https://doi.org/10.1093/ije/dyh342
  • Rodríguez Sepúlveda SE (2017) Percepción de la calidad de vida en anciano con dolor crónico secundario a patología osteoarticular y musculoesquelética. Gerokomos 28(4):168–172. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2017000400168