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The Nottingham Health Profile: an analysis of its sensitivity in differentiating illness groups
C Jenkinson1, R Fitzpatrick, M Argyle
1Nuffield College, Oxford, England.
Social Science & Medicine (1982)
|January 1, 1988
Summary
The Nottingham Health Profile (NHP) effectively identifies chronically ill individuals in populations. Despite some domain overlap, it remains a sensitive tool for health status assessment.
Area of Science:
- Health outcomes research
- Psychometrics
- Public health
Background:
- The Nottingham Health Profile (NHP) has faced criticism regarding its sensitivity and domain distinctiveness for population surveys.
- Concerns include a modal response of zero and insufficient differentiation between measured health domains.
Purpose of the Study:
- To evaluate the sensitivity and domain distinctiveness of the NHP for population surveys.
- To address criticisms regarding the NHP's suitability for identifying chronically ill individuals.
Main Methods:
- Analysis of data from population surveys utilizing the NHP.
- Statistical examination of response patterns and domain interrelationships.
Main Results:
- The NHP is demonstrated to be sufficiently sensitive for detecting variations within and between illness groups.
- The instrument's design is suitable for uncovering chronically ill individuals in populations.
- A confounding of the mobility and pain domains was identified.
Conclusions:
- The NHP is a sensitive instrument for population surveys, particularly for identifying chronic illness.
- While generally effective, the mobility and pain domains require careful consideration due to overlap.
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