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The Short Health Scale A Simple, Valid, Reliable, and Responsive Way of Measuring Subjective Health in Patients With Irritable Bowel Syndrome
University of Gothenburg, Sweden.
University of Gothenburg, Sweden.
University of Gothenburg, Sweden; University of Gothenburg, Sweden.
University of Gothenburg, Sweden; University of Gothenburg, Sweden.
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2015 (English)In: Journal of Clinical Gastroenterology, ISSN 0192-0790, E-ISSN 1539-2031, Vol. 49, no 7, 565-570 p.Article in journal (Refereed) Published
Abstract [en]

Goals:To evaluate validity, reliability, and responsiveness of the Short Health Scale (SHS) in irritable bowel syndrome (IBS) patients.Background:Subjective health assessment is central when treating patients with IBS. The Short Health Scale is a quick 4-item questionnaire covering most aspects of subjective health that has been validated for inflammatory bowel disease.Study:To test validity, 451 patients with IBS (mean age, 38 y; 81% females) completed the SHS and questionnaires assessing IBS symptom severity (IBS-SSS), gastrointestinal (GI)-specific anxiety (VSI), and quality of life (IBSQOL). To evaluate reliability and responsiveness to changes, the questionnaires were repeated after 2 weeks in 18 patients, and after 12 weeks in 212 patients who had completed a patient-education program.Results:Validity was documented with (1) gradually increasing mean scores for all 4 SHS items with increasing IBS-SSS (Pless than0.0001), and (2) correlations between the 4 SHS items and the corresponding items from the other subjective health assessment tools [item 1 (symptom burden): =0.67, item 2 (daily function): =-0.44 to -0.46, item 3 (disease-related worry): =-0.51 to 0.57, item 4 (general well-being): =-0.34 to -0.46, Pless than0.0001]. Reliability was confirmed (Spearman greater than0.7 and intraclass correlations greater than0.7). Responsiveness was good with responders to the patient-education program (IBS-SSS reduction 50 points) having significant reductions in 3 of the SHS items (Pless than0.05), and borderline change for the fourth SHS item (P=0.06).Conclusions:SHS is a health measure that shows promising evidence of validity, reliability, and responsiveness in IBS patients. It is quickly completed and evaluated, which supports its usefulness in the busy clinical practice.

Place, publisher, year, edition, pages
Lippincott, Williams andamp; Wilkins: No Hybrid Open Access , 2015. Vol. 49, no 7, 565-570 p.
Keyword [en]
irritable bowel syndrome; validation; reliability; responsiveness; questionnaire; subjective health assessment
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-120643DOI: 10.1097/MCG.0000000000000209ISI: 000358209900005PubMedID: 25216385OAI: diva2:847595

Funding Agencies|Swedish Medical Research Council [13409, 21691, 21692]; Marianne and Marcus Wallenberg Foundation, University of Gothenburg; Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg; Faculty of Medicine, University of Gothenburg; Abbvie; Ferring; Danone; AstraZeneca

Available from: 2015-08-20 Created: 2015-08-20 Last updated: 2015-08-20

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Hjortswang, Henrik
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Division of Neuro and Inflammation ScienceDepartment of GastroentorologyFaculty of Medicine and Health Sciences
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