Context: Module 17 - TheMeasurementGroup.com

Main Purpose	The purpose of this module is to assess health related quality of life in HIV disease.
Description	SF-21 consists of 8 subscales: physical functioning, role functioning, pain, current health perceptions, emotional well-being, cognitive functioning/distress, energy/fatigue, and social functioning. This module includes the SF-21 plus additional self-report items to assess disability days, symptoms, and an overall health rating as recommended by Ron Hays. Data are collected on two letter-sized pages.
Target Projects for Form	Projects treating individual clients or patients. Projects assessing changes in health related quality of life.
Major Evaluation Function	Measuring change and outcome for client-focused projects. Predictor of responses to treatment. Assessment for treatment needs.
Comments	This instrument will be supplemented with the Karnofsky Performance Status Index, the well-known single item clinical rating. Karnofsky ratings will replace SF-21 ratings for patients at the most advanced stages of HIV disease.
Implementation	Module 17 Current Version (dated 1/5/96) Activation Number: 17603. Module 17 (Spanish) Current Version (dated 6/18/97) Activation Number: 63253.
Citation(s)	Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 17: Brief Health and Functioning Questionnaire. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.
Source Citation(s)	Bozzette, S. A., Hays, R. D., Wu, A. W., Berry, S. H., and Kanouse, D. (1995). Derivation and psychometric properties of a brief health-related quality of life instrument for HIV disease. Journal of Acquired Immunodeficiency Syndromes and Retrovirology, 8, 253-265.