Parameters:
(1) physical function (8)
(2) social function (3)
(3) psychologic function (6)
(4) general well-being (3)
Physical function:
(1) itching
(2) insomnia due to itching
(3) skin pain
(4) fever and/or chills
(5) malaise
(6) side effects caused by treatment
(7) interference with daily activities caused by disease
(8) interfere with your ability to work or do household jobs
Social function - How much does the disease interfere with:
(1) your mate or family
(2) social activities with friends, neighbors, or groups of people
(3) sexual activity
Psychologic function:
(1) embarrassment by skin appearance
(2) feeling sad, nervous or irritable
(3) worry about getting sicker or dying
(4) difficulty in following your doctor's instructions (taking medications, putting treatment on skin, showing up on time for appointments, missing appointments, etc.)
(5) financial hardship due to cost of treatment cause
(6) dissatisfaction with treatment
General well-being:
(1) overall condition of your skin
(2) overall state of health
(3) overall quality of life
|
Function Responses
|
Well-Being Responses
|
Points
|
|
a lot
|
poor
|
0
|
|
some
|
fair
|
1
|
|
a little
|
good
|
2
|
|
none
|
excellent
|
3
|
|
not relevant
|
NA
|
X
|
total score =
= SUM(points for all scorable items)
average score =
= (total score) / (number of scorable items)
percent of ideal function =
= (average score) * 100% / 3
Interpretation:
• minimum: 0
• maximum: 60
• maximum average score: 3
• The higher the score the better the quality of life.
