Measuring Functioning and Well-Being is a comprehensive account of a broad range of self-reported functioning and well-being measures developed for the Medical Outcomes Study, a large-scale study of how patients fare with health care in the United States. This book provides a set of ready-to-use generic measures that are applicable to all adults, including those well and chronically ill, as well as a methodological guide to collecting health data and constructing health measures. As demand increases for more practical methods to monitor the outcomes of health care, this volume offers a timely and valuable contribution to the field. The contributors address conceptual and methodological issues involved in measuring such important health status concepts as physical, social, and role functioning; psychological distress and well-being; general health perceptions; energy and fatigue; sleep; and pain. The authors present psychometric results, explain how to administer, score, and interpret the measures, and offer suggestions for further research in health assessment. The measures can be used individually or as a set. Comprising the work of a number of highly respected scholars in the field of health assessment, the measures presented here should be useful in a variety of observational and experimental studies of health outcomes. Technically sophisticated, Measuring Functioning and Well-Being will be of great interest and value to the growing number of researchers, policymakers, and clinicians concerned with the management and evaluation of health care.

Table of Contents

  • Part One

    The New Era of Health Assessment

    • Chapter One

      Measures for a New Era of Health Assessment

      John. E. Ware, Jr.

    • Chapter Two

      The Medical Outcomes Study Framework of Health Indicators

      Anita L. Stewart

  • Part Two

    Creation of Databases on the Health of Individuals

    • Chapter Three

      Methods of Sampling

      William H. Rogers, Elizabeth A. McGlynn, Sandra H. Berry, Eugene C. Nelson, Edward Perrin, Michael Zubkoff, Sheldon Greenfield, Kenneth B. Wells, Anita L. Stewart, Sharon B. Arnold, and John E. Ware, Jr.

    • Chapter Four

      Methods of Collecting Health Data

      Sandra H. Berry

  • Part Three

    Generic Health Concepts and Measures

    • Chapter Five

      Methods of Constructing Health Measures

      Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr.

    • Chapter Six

      Physical Functioning Measures

      Anita L. Stewart and Caren J. Kamberg

    • Chapter Seven

      Psychological Distress/Well-Being and Cognitive Functioning Measures

      Anita L. Stewart, John E. Ware, Jr., Cathy D. Sherbourne, and Kenneth B. Wells

    • Chapter Eight

      Health Perceptions, Energy/Fatigue, and Health Distress Measures

      Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr.

    • Chapter Nine

      Social Functioning: Social Activity Limitations Measure

      Cathy D. Sherbourne

    • Chapter Ten

      Social Functioning: Family and Marital Functioning Measures

      Cathy D. Sherbourne and Caren J. Kamberg

    • Chapter Eleven

      Social Functioning: Sexual Problems Measures

      Cathy D. Sherbourne

    • Chapter Twelve

      Role Functioning Measures

      Cathy D. Sherbourne, Anita L. Stewart, and Kenneth B. Wells

    • Chapter Thirteen

      Pain Measures

      Cathy D. Sherbourne

    • Chapter Fourteen

      Sleep Measures

      Ron D. Hays and Anita L. Stewart

    • Chapter Fifteen

      Physical/Psychophysiologic Symptoms Measure

      Cathy D. Sherbourne, Harris M. Allen, Caren J. Kamberg, and Kenneth B. Wells

  • Part Four

    Short-Form Measures

    • Chapter Sixteen

      Developing and Testing the MOS 20-Item Short-Form Health Survey: A General Population Application

      John E. Ware, Jr., Cathy D. Sherbourne, and Allyson R. Davies

    • Chapter Seventeen

      Preliminary Tests of a 6-Item General Health Survey: A Patient Application

      John E. Ware, Jr., Eugene C. Nelson, Cathy D. Sherbourne, and Anita L. Stewart

  • Part Five

    The Validity of MOS Measures

    • Chapter Eighteen

      Methods of Validating MOS Health Measures

      Anita L. Stewart, Ron D. Hays, and John E. Ware, Jr.

    • Chapter Nineteen

      Construct Validity of MOS Health Measures

      Ron D. Hays and Anita L. Stewart

    • Chapter Twenty

      Summary and Discussion of MOS Measures

      Anita L. Stewart, Cathy D. Sherbourne, Ron D. Hays, Kenneth B. Wells, Eugene C. Nelson, Caren J. Kamberg, William H. Rogers, Sandra H. Berry, and John E. Ware, Jr.

  • Appendix

    Actual Patient Assessment Questionnaire (PAQ)

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