Functional Status II(R): A Measure of Child Health Status

Few measures are available to assess the health status of the growing numbers of children who now survive long-term with chronic physical disorders. A Functional Status Measure, FS I, that had considerable promise for measuring individual child health status and characterizing populations was develo...

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Bibliographic Details
Published in:Medical care 1990-11, Vol.28 (11), p.1041-1055
Main Authors: Ruth E. K. Stein, Jessop, Dorothy Jones
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Age groups
Biological and medical sciences
Child
Child health services
Child psychology
Child, Preschool
Children
Chronic Disease
Chronic diseases
Demography
Diseases
Factor Analysis, Statistical
Female
Health care statistics
Health status
Health Status Indicators
Humans
Infant
Infant, Newborn
Male
Medical sciences
Miscellaneous
New York City
Pediatrics
Psychometrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Sampling Studies
Surveys and Questionnaires
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Summary:Few measures are available to assess the health status of the growing numbers of children who now survive long-term with chronic physical disorders. A Functional Status Measure, FS I, that had considerable promise for measuring individual child health status and characterizing populations was developed in 1978. This paper describes a revised version of that measure. Data were collected using a new sample of 732 children (aged 0 to 16 years) with and without chronic physical conditions in order to assess the psychometric properties of the new instrument. The FS II(R) has both a long (43-item) and a short (14-item) version. The long version has a total score derived from a one factor solution and a two factor solution consisting of General Health and Stage Specific factors for each age group. The 14-item version of FS II(R) uses a common core of items across the entire age span. Internal consistency estimates (alphas) for the factor-based and 14-item versions are all >0.80. At each age, long and short versions behave similarly in a wide range of tests of discriminant, construct, and content validity-strong support that they constitute a common measure. The FS II(R) has excellent psychometric properties and provides concise measures of health status of children spanning the entire childhood age range from 0 to 16 years. It has particular strengths for the measurement of health status of children with chronic physical conditions who are not disabled.
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-199011000-00006