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The following two abstracts refer to papers published by
researchers in the Health Services Research Unit, Oxford
University.  I hope they may be of interest.
 
Peto V, Jenkinson C, Fitzpatrick R, Greenhall R. The
development and validation of a short measure of
functioning and well being for individuals with
Parkinsons disease. Quality of Life Research 1995; 4:
241-248.
 
Abstract:  Parkinsons disease is a common degenerative
neurological condition.  A number of general health
status measures exist but these may not address areas
salient to specific diseases.  We report here the
development and validation of a short 39 item health
status questionnaire for use in Parkinsons disease.
Questionnaire items, generated from in-depth interviews
with people with Parkinsons disease, were developed into
a 65 item questionnaire.  Data from a postal survey using
the 65 item questionnaire were statistically analysed to
produce a shorter questionnaire with 39 items and 8
scales addressing different dimensions of Parkinsons
disease.  A second postal survey was conducted in order
to assess the reliability and validity of the new 39 item
questionnaire.  The final questionnaire, referred to here
as the 39 item Parkinsons Disease Questionnaire (PDQ-
39), proved to have satisfactory internal and test-retest
reliability, and construct validity in relation to other
measures, reported by respondents with Parkinsons
disease.
 
 
Jenkinson C, Peto V, Fitzpatrick R, Greenhall R, Hyman N.
Self reported functioning and well being in patients with
Parkinsons disease: comparison of the Short Form Health
Survey (SF-36) and the Parkinsons Disease Questionnaire
(PDQ-39). Age and Ageing (in press).
 
Abstract:  The purpose of this paper is to document the
impact of Parkinsons disease upon patients using both a
generic health status measure (SF-36), and a disease
specific measure, the 39 item Parkinsons Disease
Questionnaire (PDQ-39).  Comparing the results of the SF-
36 in this population with a similar aged group selected
randomly from two general practices it is evident that
the disease has considerable impact on general levels of
functioning and well being.  Furthermore, other areas not
contained on the SF-36 were found to be salient to
Parkinsons patients.  It is suggested that the disease
specific measure will be of value, ideally alongside a
generic measure, in studies aimed to determine the impact
of a treatment regime upon this patient group or to
monitor the long term progress of cohorts of patients
with this illness.  The paper highlights the need for
careful consideration of measures for evaluation.
 
Viv Peto
Email ([log in to unmask])
Health Services Research Unit
Public Health & Primary Care Dept
University of Oxford,
Radcliffe Infirmary
Oxford  OX2 6HE, UK