Spanish Health Distress ScaleClick here for English version (opens in new window)
ScoringScore each item as the number circled. If two consecutive numbers are circled, score the higher (more distress) number. If the numbers are not consecutive, do not score the item. The scale score is the mean of the four items. If more than 1 item missing, set the value of the scale to missing. Scores range from 0-5; higher score indicating more distress about health. CharacteristicsTested on 551 Spanish-speaking subjects with chronic disease.
Source of Psychometric DataStanford Spanish Chronic Disease Self-Management study (Tomando Control de su Salud). Psychometrics reported in: Lorig KR, Ritter PL, & González VM, Hispanic chronic disease self-management: A randomized community-based outcome trial. Nursing Review, 52(6):361-9, 2003. CommentsThis is the Spanish translation of the modified English version of the Medical Outcomes Study health distress scale. Reprinted with permission, Duke University Press. ReferencesLorig KR, Ritter PL, & González VM, Hispanic chronic disease self-management: A randomized community-based outcome trial. Nursing Review, 52(6):361-9, 2003. To download this scale and scoring instructions, right click the link below with your mouse and "Save as" to you hard disk or desktop (for Windows), or double click (Mac):
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