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Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review

Background: Suboptimal health status (SHS) measurement has now been recognized as an essential construct in predictive, preventive, and personalized medicine. Currently, there are limited tools, and an ongoing debate about appropriate tools. Therefore, it is crucial to evaluate and generate conclusi...

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Autores principales: Alzain, Mohamed Ali, Asweto, Collins Otieno, Hassan, Sehar-un-Nisa, Saeed, Mohammed Elshiekh, Kassar, Ahmed, Alsaif, Bandar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967625/
https://www.ncbi.nlm.nih.gov/pubmed/36836533
http://dx.doi.org/10.3390/jpm13020299
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author Alzain, Mohamed Ali
Asweto, Collins Otieno
Hassan, Sehar-un-Nisa
Saeed, Mohammed Elshiekh
Kassar, Ahmed
Alsaif, Bandar
author_facet Alzain, Mohamed Ali
Asweto, Collins Otieno
Hassan, Sehar-un-Nisa
Saeed, Mohammed Elshiekh
Kassar, Ahmed
Alsaif, Bandar
author_sort Alzain, Mohamed Ali
collection PubMed
description Background: Suboptimal health status (SHS) measurement has now been recognized as an essential construct in predictive, preventive, and personalized medicine. Currently, there are limited tools, and an ongoing debate about appropriate tools. Therefore, it is crucial to evaluate and generate conclusive evidence about the psychometric properties of available SHS tools. Objective: This research aimed to identify and critically assess the psychometric properties of available SHS instruments and provide recommendations for their future use. Methods: Articles were retrieved by following the guidelines of the PRISMA checklist, and the robustness of methods and evidence about the measurement properties was assessed using the adapted COSMIN checklist. The review was registered in PROSPERO. Results: The systematic review identified 14 publications describing four subjective SHS measures with established psychometric properties; these included the Suboptimal Health Status Questionnaire-25 (SHSQ-25), Sub-health Measurement Scale Version 1.0 (SHMS V1.0), Multidimensional Sub-health Questionnaire of Adolescents (MSQA), and the Sub-Health Self-Rating Scale (SSS). Most studies were conducted in China and reported three reliability indices: (1) the internal consistency measured by Cronbach’s α value ranged between 0.70 and 0.96; (2) the test–retest reliability; and (3) the split-half reliability coefficient values ranged between 0.64 and 0.98, and between 0.83 and 0.96, respectively. For the values of validity coefficients in the case of SHSQ-25 > 0.71, the SHMS-1.0 ranged from 0.64 to 0.87, and the SSS ranged from 0.74 to 0.96. Using these existing and well-characterized tools rather than constructing original tools is beneficial, given that the existing choice demonstrated sound psychometric properties and established norms. Conclusions: The SHSQ-25 stood out as being more suitable for the general population and routine health surveys, because it is short and easy to complete. Therefore, there is a need to adapt this tool by translating it into other languages, including Arabic, and establishing norms based on populations from other regions of the world.
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spelling pubmed-99676252023-02-27 Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review Alzain, Mohamed Ali Asweto, Collins Otieno Hassan, Sehar-un-Nisa Saeed, Mohammed Elshiekh Kassar, Ahmed Alsaif, Bandar J Pers Med Review Background: Suboptimal health status (SHS) measurement has now been recognized as an essential construct in predictive, preventive, and personalized medicine. Currently, there are limited tools, and an ongoing debate about appropriate tools. Therefore, it is crucial to evaluate and generate conclusive evidence about the psychometric properties of available SHS tools. Objective: This research aimed to identify and critically assess the psychometric properties of available SHS instruments and provide recommendations for their future use. Methods: Articles were retrieved by following the guidelines of the PRISMA checklist, and the robustness of methods and evidence about the measurement properties was assessed using the adapted COSMIN checklist. The review was registered in PROSPERO. Results: The systematic review identified 14 publications describing four subjective SHS measures with established psychometric properties; these included the Suboptimal Health Status Questionnaire-25 (SHSQ-25), Sub-health Measurement Scale Version 1.0 (SHMS V1.0), Multidimensional Sub-health Questionnaire of Adolescents (MSQA), and the Sub-Health Self-Rating Scale (SSS). Most studies were conducted in China and reported three reliability indices: (1) the internal consistency measured by Cronbach’s α value ranged between 0.70 and 0.96; (2) the test–retest reliability; and (3) the split-half reliability coefficient values ranged between 0.64 and 0.98, and between 0.83 and 0.96, respectively. For the values of validity coefficients in the case of SHSQ-25 > 0.71, the SHMS-1.0 ranged from 0.64 to 0.87, and the SSS ranged from 0.74 to 0.96. Using these existing and well-characterized tools rather than constructing original tools is beneficial, given that the existing choice demonstrated sound psychometric properties and established norms. Conclusions: The SHSQ-25 stood out as being more suitable for the general population and routine health surveys, because it is short and easy to complete. Therefore, there is a need to adapt this tool by translating it into other languages, including Arabic, and establishing norms based on populations from other regions of the world. MDPI 2023-02-08 /pmc/articles/PMC9967625/ /pubmed/36836533 http://dx.doi.org/10.3390/jpm13020299 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Alzain, Mohamed Ali
Asweto, Collins Otieno
Hassan, Sehar-un-Nisa
Saeed, Mohammed Elshiekh
Kassar, Ahmed
Alsaif, Bandar
Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title_full Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title_fullStr Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title_full_unstemmed Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title_short Psychometric Properties of Suboptimal Health Status Instruments: A Systematic Review
title_sort psychometric properties of suboptimal health status instruments: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967625/
https://www.ncbi.nlm.nih.gov/pubmed/36836533
http://dx.doi.org/10.3390/jpm13020299
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