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University of Michigan
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Clinical Health Measurement

Oct 3, 10, 17, 24, 31, 2001

The use of Rating Scales and questionnaires

Many instruments for assessing various aspects of health are in the form of questionnaires. Responses to the individual items are summed with or without weighting to produce a score(s) for each subject. In this workshop, we consider the structure and properties of such health status indicators and the uses to which these instruments are most profitably put.

A good overview of the kind of material to be covered is available in McDowell and Newell (1996), who recognize seven dimensions that can be used to characterize various aspects of health (or lack thereof):
(1) Physical disability and handicap
(2) Social Health
(3) Psychological well-being
(4) Depression
(5) Mental Status
(6) Pain
(7) General health status and quality of life
Most of the scales used to assess these dimensions of health consist of a series of questions or statements to which the respondent provides an answer or an ordinal rating. These are then combined to yield a score indicating the amount or extent of handicap, depression, or pain.

Literally thousands of instruments of this kind have been developed. the purpose of this workshop is to describe some of the uses to which such instruments may be put, and to discuss some criteria that can be used in evaluating and selecting among them. It will surprise no one that an instrument which performs well in one setting may fail to do so in another, but specific examples may help fix ideas, and some of the untoward consequences of using the wrong tool for the job will be illustrated.


Instructors:

Chuck Kowalski is Faculty Associate at CSCAR and Professor in the School of Dentistry at The University of Michigan. He has extensive statistical consulting experience in biomedical contexts, including work with pharmaceutical companies, the Nijmegen Growth Study, the Lancaster Cleft Palate Clinic, the Veterans Administration Medical Center, the National Football League, the Department of Antiquities (Cairo), and (especially longitudinal) data analysis, and has recently worked on pain measurement, categorical data analysis, and bioequivalence studies. Currently Chair of U-M's Institutional Review Board II/Health, he also is interested in research ethics, especially with respect to study design and risk/benefit analysis.

Audience:

Anyone interested in modern methods for handing non-response and missing data in statistical analysis. This workshop will emphasize concepts and applications over technical details.

Prerequisite:

Familiarity with basic statistical concepts, including probability distributions, estimations, maximum likelihood and regression

Provisions:

Enrollees will receive lecture notes, and a bibliography.

Date:

October 3, 10, 17, 24, 31, 2001.

Time:

3:00 p.m. - 5:00 p.m.

Location:

Room G 390 in the School of Dentistry, the University of Michigan.

Fee:

$150 for University affiliated faculty, staff and students; $300 for others. Fees can be paid by check or billed to a University of Michigan Account.

Registration:

To register call CSCAR at 734-764-7828. If you are are using a UM account please have the legacy account number (short code) ready when calling to register. Please make checks to CSCAR-University of Michigan and send to: CSCAR, Suite 1210, Buhr Bldg., 837 Greene, 48104

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