PMID- 8560303 OWN - NLM STAT- MEDLINE DCOM- 19960227 LR - 20220409 IS - 0277-9536 (Print) IS - 0277-9536 (Linking) VI - 41 IP - 10 DP - 1995 Nov TI - German translation and psychometric testing of the SF-36 Health Survey: preliminary results from the IQOLA Project. International Quality of Life Assessment. PG - 1359-66 AB - International translation and psychometric testing of generic health outcome measures is increasingly in demand. Following the methodology developed by the International Quality of Life Assessment group (IQOLA) we report the German work with the SF-36 Health Survey. The form was translated using a forward-backward method with accompanying translation quality ratings and pilot tested in terms of translation clarity and applicability. Psychometric evaluation included Thurstone's test of ordinality and equidistance of response choices in 48 subjects as well as testing of reliability, validity, responsiveness and discriminative power of the form in crossectional studies of two samples of healthy persons and longitudinal studies of two samples of pain patients totalling 940 respondents. Quality ratings of translations were favorable, suggesting a high quality of both forward and backward translations. In the pilot study, the form was well understood and easily administered, suggesting high clarity and applicability. Thurstone's test revealed ordinality (in over 90% of the cases) and rough equidistance of response choices also as compared to the American original. On item and scale level, missing data were low and descriptive statistics indicated acceptable distribution characteristics. In all samples studied, discriminative item validity was high (over 90% scaling successes) and Cronbach's alpha reliabilities were above the 0.70 criterion with exception of one scale. Furthermore convergent validity, responsiveness to treatment and discriminative power in distinguishing between healthy and ill respondents was present. The preliminary results suggest that the SF-36 Health Survey in its German form may be a valuable tool in epidemiological and clinical studies. However further work as concerns responsiveness and population based norms is necessary. FAU - Bullinger, M AU - Bullinger M AD - Institute for Medical Psychology, University of Munich, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Soc Sci Med JT - Social science & medicine (1982) JID - 8303205 SB - IM MH - Back Pain MH - Chronic Disease MH - *Cross-Cultural Comparison MH - Cross-Sectional Studies MH - Female MH - Germany MH - *Health Status MH - *Health Surveys MH - Humans MH - Longitudinal Studies MH - Male MH - Migraine Disorders MH - Outcome Assessment, Health Care MH - Pilot Projects MH - *Psychometrics MH - Quality of Life MH - Reproducibility of Results MH - Self-Assessment MH - *Surveys and Questionnaires MH - *Translations MH - United States EDAT- 1995/11/01 00:00 MHDA- 1995/11/01 00:01 CRDT- 1995/11/01 00:00 PHST- 1995/11/01 00:00 [pubmed] PHST- 1995/11/01 00:01 [medline] PHST- 1995/11/01 00:00 [entrez] AID - 027795369500115N [pii] AID - 10.1016/0277-9536(95)00115-n [doi] PST - ppublish SO - Soc Sci Med. 1995 Nov;41(10):1359-66. doi: 10.1016/0277-9536(95)00115-n.