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A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

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A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey L. Spritzer, Wil J. Dixon DRU-1437-PIAbstractThis paper describes a microcomputer that can be used to generate SAS code that for scoring SF-36 Health

Survey, one of the most widely used measures of health-related quality of life today. The generated SAS code scores the 8 SF-36 scales as well as the A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

SF-36 physical and mental health composite scores. In addition, the program produces code that provides US general population normative scores, age a

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

nd gender adjusted to one's sample. The significance of the difference between the sample and the general population on each SF-36 scale score is also

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Surveyx.35247.40694444442A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyThe SF-36 taps eight health concepts:

physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotiona A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

l well-being, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of percei

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

ved change in health. These 36 items were adapted from longer instruments completed by patients participating in the Medical Outcomes Study (MOS), an

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey; Stewart, Sherbourne, Hays, etal., 1992).Scoring the Eight SF-36 ScalesWe recommend that responses be scored as described below (the RAND method). A

somewhat different scoring procedure for the pain and general health scales was advocated by New England Medical Center (NEMO investigators (Ware, Sno A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

w, Kosinski,, & Gandek, 1993). Although only our scoring recommendations for these scales are described here, the SAS program generator we provide sco

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

res these two scales both ways. Pain scale scores scored the RAND versus NEMC way correlated 0.99 in the MOS, with a mean difference of 3.33 (NEMC sco

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyMC scoring yields higher general health scores on average). For further information about the scoring differences, see Hays, Sherbourne, and Mazel (19

93).Scoring the SF-36 is a two-step process. First, pre-coded numeric values are recoded per the scoring key given in Table 1. Note that all items are A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highes

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

t possible scores are set at 0 and 100, respectively. Scores represent the percentage of total possible score achieved. In step 2, items in the same s

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Surveyssing data) are not taken into account when calculating the scale scores. Hence, scale scores represent the average for all items in the scale that th

e respondent answered. If all items in a scale are missing, then the scale score is also missing.Example: Items 20 and 32 are used to score the measur A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

e of social functioning. Each of the two items has 5 response choices. However, a35247.40694444443high score (response choice 5) on item 20 indicates

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

extreme limitations insocial functioning, while a high score (response choice 5) on item 32 indicates the absence of limitations in social functioning

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey, respectively. Responses 1 through 5 for item 32 should be recoded to values of 0, 25, 50, 75, and 100, respectively. Table 2 shows that these two re

coded items should be averaged together to form the social functioning scale. If the respondent is missing one of the two items, theperson's score wil A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

l be equal to that of the nonmissing item.Table 3 presents information on the reliability, central tendency and variability of the scales in the MOS w

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

hen scored using this method.To use the enclosed programs, it is necessary to have a SAS dataset withthe SF-36 items in it. The program, sf36.exe, is

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Surveytems, you need to create an ASCII file that specifies the variable names you have assigned to the 36 SF-36 items in your study. When sf36.exe is execu

ted, you will be asked for the name of the input file: WHAT FILE CONTAINS THE INPUT SETUP?Notice that the input file (sf36.ini consists of a list of 3 A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

6 variable names, each entered on a separate row beginning in column one (see Table 4). The variable names need to be listed to correspond with the or

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

der of items presented in the Appendix. For example, the first item reads "In general, would you say your health is: Excellent, Very good. Good, Fair,

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Surveyr your data set so that the generated SAS code will include rename statements linking your SAS names to the SAS names used in the generated code (the

generated code uses names 11 through 136 following the order of items in the Appendix).If you use the same SAS names as assumed in the program (11 thr A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

ough136), you can use the sf36.in file (see Table 4) as the input file when you execute sf36.exe. If you use different SAS names, you will have to cre

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

ate afile that reflects these differences (see $f36.ex, Table 5, for an example of a35247.40694444444different input file). Note that you should not u

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Surveyvariables.The program assumes that your dataset includes a continuous measureof AGE (named "AGE") and a gender variable called "MALE" (coded 0 female,

1 = male).The sf36.exe program produces a file, sf36.sas, that contains SAS code for scoring the sf-36 scales. For the pain and general health scales A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

, both the RAND and NEMC scoring are provided. Scale scores are created for persons that answer any of the items in a scale (Note that NEMC only creat

A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health Survey

es scores for person who answer half or more of the items in a scale.)The SAS code in sf36.sas assumes that the name of the SAS datasetthat includes t

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

35247.4069444444A Microcomputer Program (sf36.exe) that Generates SAS Code for Scoring the SF-36 Health SurveyRon D. Hays, Cathy D. Sherbourne, Karen

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