Focus on Research Method
Using standardized survey items with older adults hospitalized for chronic illness
Version of Record online: 24 JUL 2007
Copyright © 2007 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 30, Issue 4, pages 468–481, August 2007
How to Cite
Fox, M. T., Sidani, S. and Streiner, D. (2007), Using standardized survey items with older adults hospitalized for chronic illness. Res. Nurs. Health, 30: 468–481. doi: 10.1002/nur.20201
- Issue online: 24 JUL 2007
- Version of Record online: 24 JUL 2007
- Manuscript Accepted: 21 JAN 2007
- Canadian Institutes of Health Research
- Nursing Care Partnership of the Canadian Nurses Foundation and the Collaborative Research Program: Rehabilitation & Long-Term Care, Canadian Health Services Research Foundation.
- standardized instruments;
- hospitalized elderly;
- question response model;
- cognitive interview;
- numeric response
We used the stages of the question response model as a framework to discuss the challenges in administering standardized measures to older adults hospitalized with chronic illnesses. Items with complex content and those with negative stems were associated with difficulties during the comprehension stage. Present experience with the subject of the item was a barrier to retrieving past experiences. The lack of relevance of an item's content to the respondent's situation was associated with problems during the judgment stage. The numeric response format of the items was an obstacle during the response stage. Strategies to enhance the validity of the surveys included breaking up, rephrasing, and contextualizing items, and using descriptive response options. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30:468–481, 2007.