BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet
Test: Nottingham Health Profile (NHP)
Domain: Biological, Psychological, Social
Assessment Tool Category: Quality of Life
Variations/Translations: Translated into multiple languages.
Method of Delivery: Self administration by persons 16+ years of age.
Description: The Nottingham Health Profile is a generic quality of life survey used to measure subjective physical, emotional, and social aspects of health. Part I of the survey measures six dimensions of health including: physical mobility, pain, social isolation, emotional reactions, energy, and sleep. Between 3 and 8 items are associated with each dimension. Part II of the survey consists of Yes/No statements about seven areas of life that are most affected by health status (Hunt, McEwan, & McKenna, 1985).
Scoring/Interpretation: Scores range from 0 to 100. A higher score indicates a poorer level of health (American Thoracic Society, 2007).
Time to Administer: 5-10 minutes
Availability: Copyrighted by Galen Research; contact Galen Research for written permission of use.
Validity (Quantitative): The NHP has both face and biological validity, as it is sensitive to differences between groups and to changes over time, can be administered easily and quickly, and can be used in a number of different populations, including the elderly. Content validity was established through semi-structured cognitive debriefing interviews during initial development of survey (Hunt & McEwan, 1980). The concurrent validity was measured through comparison to other questionnaires and ratings given by medical professionals (e.g., correlation coefficient = 0.74 when compared with McGill Pain Questionnaire; = 0.65 when compared with a physiotherapist’s disability rating) (McDowell & Newell, 1996). The discriminant validity of the NHP is high. All six sections of the NHP showed significant differences (p < 0.001) between four groups of elderly people with distinct health statuses (McDowell & Newell, 1996).
Reliability (Quantitative): Reliability has been evaluated using test/re-test methods; the NHP was found to have high reliability as an indicator of subjective physical, emotional, and social health status (McEwan, 1993). Test-retest correlation coefficients at four weeks ranged from 0.75 to 0.88 for the six sections of Part I and from 0.44 to 0.86 (0.55-0.89 in a second group) for the seven items in Part II. Spearman correlations among domain scores ranged from 0.32 (sleep and social isolation) to 0.70 (pain and physical mobility). The intraclass correlation coefficient was found to be 0.95, with an effect size of 0.52 (McDowell & Newell, 1996).
American Thoracic Society. (2007). Nottingham Health Profile. Retrieved Mar. 30, 2009, from http://www.atsqol.org/sections/instruments/ko/pages/nott.html.
Hunt, S.M., & McEwan, J. (1980). The development of a subjective health indicator. Sociology of Health and Illness, 2(3), 231-246.
Hunt, S. M., McEwan, J., & McKenna, S. P. (1985). Measuring health status: a new tool for clinicians and epidemiologists. Journal of the Royal College of General Practitioners, 35(273), 185-188.
McEwan, J. (1993). The Nottingham Health Profile. In S. J. Walker & R. M. Rosser (Eds.), Quality of Life Assessment: Key Issues in the 1990s (2nd ed.). New York, NY: Springer.