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ORIGINAL ARTICLE Table of Contents   
Year : 2013  |  Volume : 38  |  Issue : 1  |  Page : 22-26
Validity and reliability of MOS short form health survey (SF-36) for use in India

1 Department of Community and Occupational Health, Research Institute SHARE, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands
2 Department of Development Studies, International Institute for Population Sciences (IIPS),Mumbai, India

Correspondence Address:
Richa Sinha
Melkzwamsingel 16, 3451HN Vleuten
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-0218.106623

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Background: Health is defined as the state of complete physical, mental and social well-being than just the absence of disease or infirmity. In order to measure health in the community, a reliable and validated instrument is required. Objectives: To adapt and translate the Medical Outcomes Study Short-Form Health Survey (SF-36) for use in India, to study its validity and reliability and to explore its higher order factor structure. Materials and Methods: Face-to-face interviews were conducted in 184 adult subjects by two trained interviewers. Statistical analyses for establishing item-level validity, scale-level validity and reliability and tests of known group comparison were performed. The higher order factor structure was investigated using principal component analysis with varimax rotation. Results: The questionnaire was well understood by the respondents. Item-level validity was established using tests of item internal consistency, equality of item-scale correlations and item-discriminant validity. Tests of scale-level validity and reliability performed well as all the scales met the required internal consistency criteria. Tests of known group comparison discriminated well across groups differing in socio-demographic and clinical variables. The higher order factor structure was found to comprise of two factors, with factor loadings being similar to those observed in other Asian countries. Conclusion: The item-and scale-level statistical analyses supported the validity and reliability of SF-36 for use in India.

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