Modified school form 2 sf2 daily attendance report of. Version 2 of the sf 12 differs from version 1 in several ways. To address criticism of the layout and wording of some items, version 2 of the sf 36 changed the dicohotomous answers for the role questions to 5point scales, and slightly altered the wording of several items 7, figure 1. Medical outcome short form 36 health survey clintools. Export block descriptors page 2 1 export block descriptor.
We refer to it as a generic health survey because it can be used across age 18 and older, disease, and treatment group, as opposed to a. The sf12 is the abridged practical version of the 36item short form health survey sf36 that is developed as an applicable instrument for measuring healthrelated quality of life 1, 2. Exports are used to export block descriptor data from the ewon. As the sf 12v2 could not be resolved into the physical and mentalcomponent summary score pcs and mcs, respectively in the general population of singapore, this study aims to determine.
Validity of a revised short form12 health survey version 2. Use line 12, remarks, to provide any information deemed necessary to support or explain federal cash to report multiple grants, also use ffr attachment10acash receiptscumulative amount of actual cash received from the federal ffr data. The pdf forms available on this portion of the site are for sample purposes only and cannot be submitted with your application package. The resulting shortform survey instrument provides a solution to the problem faced by many investigators who must restrict survey length. Sf12 patient questionnaire hoag orthopedic institute. How to score version 2 of the sf12 health survey with a supplement documenting version 1. Generic patientreported outcome pro measures like the sf12 assess general health and wellbeing or healthrelated quality of life hrqol, including the impact of any and all illnesses on a broad range of functional domains. This information will help keep track of how you feel and how well you are able to do your usual activities. Therefore, the aim of our study was to evaluate the psychometric properties of the korean version of the sf 12 v2 in the general population and to provide sf 12 v2 domain scores according to the general characteristics of the study population. Attach supporting documents as specified in agency instructions. We compared the correlation between the physical pcs and mental mcs component summary measures of the sf12 and sf36 among 356 primary care patients using pearson. I dont know what other variations might exist in the items, but the itemranges, at least, match the old us version, where choices. We followed the method described in the sf12v2 manual to. Sf 12v2tm health survey sf 12 v2 standard, us spanish version 2.
The sf12 health survey encompasses all eight sf36 scales physical function, rolephysical, bodily pain, general health, vitality, social functioning, roleemotional and mental health and can be administered in 23 minutes ware et al. Our results encourage using sf12v2 to assess healthrelated quality of life. Application for federal assistance sf424 applicant federal debt delinquency explanation the following field should contain an explanation if the applicant organization is. Validity of a revised short form12 health survey version. Undocumented migrants attending a ngo based in hamburg, germany, were asked to fill in the sf12v2, a standardized questionnaire measuring. Version 2 of the sf12 differs from version 1 in several ways. Stata module to validate sf12 input and calculate sf12 version 2 t scores, statistical software components s458125, boston college department of economics, revised 19 dec 2016. The 12item medical outcomes study short form health.
Modified school form 1 school register pdf do 4, s. The sf 12 health survey is a reduced form of the sf 36 health survey version 1that was developed to be administered easily to the patients. Certain identifying information is necessary to determine the location of an individuals record of military service. Normative data of the sf12 health survey with validation.
If you are unsure how to answer a question, please give the best answer you can. Four of the eight health concepts are measured using two items. The sf12 is the abridged practical version of the 36item short form health survey sf36 that is developed as an applicable instrument for measuring healthrelated quality of life 1,2. The psychometric properties of the korean short form12 health survey, version 2 sf12 v2 have not been assessed in the general population. As part of the medical outcomes study mos, a multiyear, multisite study to explain variations in patient outcomes, rand developed the 36item short form health survey sf36.
How to score version 2 of the sf12 health survey with a. The sf 12 and sf 8 health survey are also available from the author. The sf12 measures physical and mental health by means of two summary scores. Application for federal assistance sf 424 applicant federal debt delinquency explanation the following field should contain an explanation if the applicant organization is delinquent on any federal debt. The 12 item short form health survey sf 12 was developed for the medical outcomes study mos, a multiyear study of patients with chronic conditions.
We refer to it as a generic health survey because it can be used across age 18 and older. Modified school form 1 school register excel facebook group files. Ware je, kosinski m, and keller sd a 12item shortform health survey. Pdf version 2 of the sf12 health survey researchgate. I dont use sf36, but i fixed up a scoring program a few years ago. Two crosssectional telephone surveys with the chinese hk sf12 health survey and a structured questionnaire in 2008 and 2009. Imputation of sf12 health scores for respondents with. Modifications to the sf 36 wording over time are indicated in the manual 6, table 3. These measures rely upon patient selfreporting and are now widely utilized by. Sf12v2 is a shortened form 12 items of the sf36v2 health survey. This increase is clinically meaningful as there is a general consensus that changes of 23 points in sf12 scores are clinically relevant 29. Sf12 health survey this survey asks for your views about your health.
If this message is not eventually replaced by the proper contents of the document, your pdf viewer may not be able to display this type of document. We compared the correlation between the physical pcs and mental mcs component summary measures of the sf 12 and sf 36 among 356 primary care patients using pearson coefficients r. Sf 12 health survey this survey asks for your views about your health. It is particularly useful in large population health surveys or. The 12item short form health survey sf12 was developed for the medical outcomes study mos, a multiyear study of patients with chronic conditions. Application for federal assistance sf424 add attachments delete attachments. The short form12 version 2 sf12v2 is a shorter version of the short form36 version 2 sf36v2 for assessing healthrelated quality of life.
The sf 36 provides greater precision than the sf 12 by providing more detailed information in physical and mental scales, and more robust assessment of the 8 scales. To assess how well the sf36, a wellvalidated generic quality of life qol instrument, compares with its shorter adaptation, the sf12, in capturing differences in qol among patients with and without obesity. Taking only two to three minutes to complete, the sf12v2 is a practical, reliable and valid measure of physical and mental health. Construction of scales and preliminary tests of reliability and validity medical care, 1996. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. This module should be installed from within stata by typing ssc install sf12. To obtain pcs and mcs scores, a dedicated procedure was used, described in the sf36 summary scales manual 18. Therefore, the aim of our study was to evaluate the psychometric properties of the korean version of the sf12 v2 in the general population and to provide sf12 v2 domain scores according to the general characteristics of the study population. Sf 87final to gsa for print1119, change to purpose and pa. We intend to make the bengali sf12v2 widely available as a pdf additional file 1 to the.
Stata module to validate sf12 input and calculate sf12. It provides normative data, from a large scale social survey, the. Application for federal assistance sf 424 add attachments delete attachments. The optum sf12v2 health survey is a shorter version of the sf36v2 health survey that uses just 12 questions to measure functional health and wellbeing from the patients point of view taking only two to three minutes to complete, the sf12v2 is a practical, reliable and valid measure of physical and mental health. A random sample of the general population aged 18 years and over living in tehran, iran completed the instrument.
During the past 4 weeks, were you limited in the kind of work you do or other regular activities as a result of any emotional problems such as feeling depressed or anxious. The optum sf12v2 health survey is a shorter version of the sf36v2 health survey that uses just 12 questions to measure functional health and wellbeing from the patients point of view. As the sf12v2 could not be resolved into the physical and mentalcomponent summary score pcs and mcs, respectively in the general population of singapore, this study aims to determine. Those who are interested in using the survey are required to contact the qualitymetric incorporated and primary author. The physical health component of bengali sf 12v2 had convergent. To establish the normative values of the sf12 health surveyversion 2 sf12v2 for the chinese adult population in hong kong hk and to determine factors associated with variations in scores. Sf12v2tm health survey sf12 v2 standard, us spanish version 2.
The sf12 is a selfreported outcome measure assessing the impact of health on an. Create subtitles quickly inside after effects, with a dynamic background. Mar 07, 2011 the sf 12 is the abridged practical version of the 36item short form health survey sf 36 that is developed as an applicable instrument for measuring healthrelated quality of life 1,2. Jan 30, 2008 to assess how well the sf 36, a wellvalidated generic quality of life qol instrument, compares with its shorter adaptation, the sf 12, in capturing differences in qol among patients with and without obesity. This is a generic assessment of healthrelated quality of life hr qol from the clientpatients perspective. Changes in the administration of the sf12 are based on more than 10 years of experience with findings. Changes in the administration of the sf 12 are based on more than 10 years of experience with findings. Assessing the reliability of the short form 12 sf12 health survey in.
Export block can be used in the following situations. Sf36 is a set of generic, coherent, and easily administered qualityoflife measures. Sf12v2tm health survey sf 12 v2 standard, us spanish version 2. I can send a copy to anyone who wants one it is only lightly. Reliability was estimated using internal consistency and validity was assessed using knowngroups comparison and convergent validity. It is a practical, reliable and valid measure of physical and mental health that can be completed in five to ten minutes. The primary outcome was the short form health survey v2 sf 12 mental health component score mcs. Assessment of the sf36 version 2 in the united kingdom. How to score the sf12 physical and mental health summary scales find, read and cite all the research you need on researchgate. Only rows that are correct are used for calculating the sf12 t scores. The instrument contains eight subscales as original 36item questionnaire. During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities. Comparing the sf12 and sf36 health status questionnaires in.
Applicantattach an additional list of programproject congressional districts if needed. Normative data of the sf12 health survey with validation using. Modifications to the sf36 wording over time are indicated in the manual 6, table 3. The optum sf12v2 health survey is a shorter version of the sf36v2 health survey that uses just 12 questions to measure. Ware je, kosinski m, and keller sd a 12 item shortform health survey. Comparing the sf12 and sf36 health status questionnaires. Assessment of psychometric properties of the korean sf12 v2. The optum sf36v2 health survey asks 36 questions to measure functional health and wellbeing from the patients point of view. The short form 12 version 2 sf 12v2 is a shorter version of the short form36 version 2 sf 36v2 for assessing healthrelated quality of life. Survey is administered as a questionnaire and can be selfadministered or completed through an interview.
The psychometric properties of the korean short form 12 health survey, version 2 sf 12 v2 have not been assessed in the general population. The sf 12v2 is the improved version of the sf 12v1. Comparing versions 1 and 2 of the sf 12 the utah health status survey 2001 used an updated version version 2 of the sf 12 to measure health status. The sf36v2 version currently in use was developed in 1998. How to score version 2 of the sf12 health survey with a supplement documenting version 1 ware, john e on. If you are applying for a grant, please complete and submit your. The sf12 health survey is a reduced form of the sf36 health survey version 1that was developed to be administered easily to the patients. Nov 14, 2002 the website says that it is the version in the uk manual. Assessment of psychometric properties of the korean sf12. The standard form 180, request pertaining to military records sf180 is used to request information from military records. The 12item medical outcomes study short form health survey. To address criticism of the layout and wording of some items, version 2 of the sf36 changed the dicohotomous answers for the role questions to 5point scales, and slightly altered the wording of several items 7, figure 1. This paper introduces the uk sf36ii and assesses the internal consistency reliability and construct validity of the measure.
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