國人生活品質評量(Ⅱ)：SF-36台灣版的常模與效度檢測

Assessment of Health-related Quality of Life in Taiwan (Ⅱ): Norming and Validation of SF-36 Taiwan Version

曾旭民(Hsu-Min Tseng) ； 盧瑞芬(Jui-Fen Rachel Lu) ； 蔡益堅(Yih-Jian Tsai)

《台灣公共衛生雜誌》 22卷6期 (2003/12) Pp. 512-518

https://doi.org/10.6288/TJPH2003-22-06-10

摘要

目標：建立SF-36台灣版的常模，及進行初步的效標效度檢定，同時亦與美國常模作一比較。方法：本研究以2001年國民健康調查12歲（含）以上之受訪者為分析樣本（N=18,142），其中共有17,515人進行SF-36的常模及效標效度檢定。結果：本研究發現SF-36台灣版與世界各國的研究結果相同，SF-36台灣版常模資料顯示，男性在各量表上的平均值明顯高於女性。分析年齡與常模分數之間的關係顯示，屬於身體生理健康領域的量表分數隨著年齡增加而遞減；但屬於心理健康領域下的量表則較不受年齡影響。以年齡作為效標，比較25-34歲與55-64歲兩組年齡層在SF-36的表現，其測試結果亦符合原始版本的假設。結論：本研究所顯示的常模資料立基於具有全國代表性的樣本，其結果可以作為日後使用SF-36台灣版的比較依據。在效度的研究上，則尚需更多SF-36台灣版研究者的努力，以增進SF-36台灣版的解釋力。

關鍵字

健康生活品質 ； SF-36台灣版 ； 常模 ； 效度

並列摘要

Objectives: This study aims to establish the norm of the SF-36 Taiwan version and to test criteria-validity underlying the scale construction. A comparison in norms was also made between US and Taiwan. Methods: The study sample was composed of 18,142 subjects aged 12 and above, collected from the 2001 Health Interview Survey. Norming and validation of SF-36 Taiwan version were performed on a valid sample of 17,515 subjects. Results: Our study results were consistent with those found in other language versions. Ale subjects tend to score significantly higher than female subject on all scales. As age increases, the scales in the physical health dimension tend to perform worse, however, the age effect on the scales in the mental health dimension is less pronounced. Using age as a criteria, preliminary results from the criteria validity testing performed on younger (25-34y/o) and older (55-64y/o) adults found similar patterns to the US version. Conclusion: The paper presents the norm of the SF-36 Taiwan version which can serve as a valuable reference for future comparisons. However, more research in validation will warrant and enhance the explanatory power of the SF-36 Taiwan version.

並列關鍵字

health-related quality of life ； SF-36 Taiwan version ； norm ； validity

參考文獻

Ju, J. F. R., Tseng, H. M., Tsai, Y. J.(2003).Assessment of Health-Related Quality of Life in Taiwan (I): Development and Psychometric Testing of SF-36 Taiwan Version.Taiwan J Public Health.22

American Psychological Association(1995).Standards for Educational and Psychological Tests.Washington, DC:American Psychological Association.

Awad, A. G., Voruganti, L. N.(2000).Intervention Research in Psychosis: Issues Related to the Assessment of Quality of Life.Schizophr Bull.26

Chang, D., Chun, C., Takeuchi, D., Shen, H.(2000).SF-36 Health Survey: Tests of Data Quality, Scaling Assumptions, and Reliability in a Community Sample of Chinese Americans.Med Care.38

Chie, W. C., Huang, C. S., Chen, J. H., Chang, K. J.(1999).Measurement of the Quality of Life During Different Clinical Phases of Breast Cancer.J Formos Med Assoc.98