The Duke Health Measures
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A set of six validated instruments to measure health and its determinants developed over the past 35 years by Duke.

The Duke Health Measures have been developed and validated over the past 35 years in the Duke University School of Medicine Department of Family Medicine and Community Health as part of a long-term effort to measure and study the relationship between health and its determinants. The original initiative was measurement of health in terms of physical, mental, and social function, which are the principal components of health outlined by the World Health Organization in 1959.

Pattern Health is the exclusive licensor of the Duke Health Measures.

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The Duke Health Measures are comprised of the following instruments:

Duke and Duke-8 Health Profiles

The Duke Health Profile (Duke) and Duke Health Profile-8 (Duke-8) are validated self-report instruments for measuring generic health-related quality of life (HRQOL) during a 1-week period of time.

The instruments can be completed by the respondent or by an interviewer.

The Duke Health Profile is comprised of 17 questions and contains six health measures (physical, mental, social, general, perceived health, and self-esteem), and four dysfunction measures (anxiety, depression, pain, and disability).

The Duke Health Profile-8 is comprised of 8 questions and contains five health measures (physical, mental, social, general, and perceived health), and one dysfunction measure (disability).

Each instrument is user-friendly because of its small number of brief, easy-to-understand questions, and because there are only three response options for each question.

The questions were selected from the 63 questions on the Duke-University of North Carolina (Duke-UNC) Health Profile developed by Parkerson et al. (1981).

Duke — Duke Health Profile

Scores: Overall, physical, mental, social, general, perceived health, self-esteem, anxiety, depression, pain, and disability
Formats: Print/PDF, Web, App

Duke-8 — Duke Health Profile-8

Scores: Overall, physical, mental, social, general, perceived health, and disability
Formats: Print/PDF, Web, App

Pattern Health is the exclusive licensor of the Duke and Duke-8 measures.

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Duke Population Health Profile (Duke-PH)

The Duke Population Health Profile (Duke-PH) is 15-item self-report questionnaire for measuring personal health-related quality of life, health determinants, health outcomes, and overall population health. Score reports can be generated for each individual respondent and for their population group combined.It can be completed by the respondent or by an interviewer

Scores: Overall population health, quality of life, determinants, outcomes
Formats: Print/PDF, Web, App

Pattern Health is the exclusive licensor of the Duke-PH measure.

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Duke Anxiety-Depression Scale (Duke-AD)

The Duke Anxiety-Depression Scale (Duke-AD) is a seven-item self-report questionnaire for detecting the risk of major anxiety and/or depression at a given point in time.The Duke-AD measures psychological symptoms (nervousness, depressed feelings), self-esteem (give up too easily, comfortable around people), somatic symptoms (sleeping, fatigue), and cognition (difficulty concentrating).

It can be completed by the respondent or by an interviewer. It is user-friendly because of its small number of brief, easy-to-understand questions, with only three response options for each question

The Duke-AD is a subscale of the 17-item Duke Health Profile.

Scores: Overall anxiety and/or depression
Formats: Print/PDF, Web, App

Pattern Health is the exclusive licensor of the Duke-AD measure.

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Duke Severity of Illness Checklist (DUSOI)

The Duke Severity of Illness Checklist (DUSOI) is a ten-item checklist that may be completed by clinical providers and auditors to produce validated quantitative severity scores (by diagnosis, overall, and for comorbidity) based on clinical judgment. The DUSOI is useful in controlling for the severity of illness in clinical studies and indicating the outcome of medical care in terms of reduction in the severity of illness following medical interventions.

Scores: Overall, per-diagnosis and comorbidity severity
Formats: Print/PDF, Web, App

Pattern Health is the exclusive licensor of the DUSOI measure.

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Duke Social Support and Stress Scale (DUSOCS)

The Duke Social Support and Stress Scale (DUSOCS) is a validated, 24-item self-report questionnaire for measuring family and nonfamily social support and stress. Six categories of family are used (spouse or significant other, children/grandchildren, parents/grandparents, brothers/sisters, other blood relatives, and relatives by marriage); four categories of nonfamily members are included (neighbors, coworkers, church members, and other friends). The DUSOCS also allows the identification of one’s most supportive and most stressful relationships.

Scores: Overall social support, family support, nonfamily support, overall social stress, family stress, nonfamily stress
Formats: Print/PDF, Web, App

Pattern Health is the exclusive licensor of the DUSOCS measure.

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Supported implementation options include:

1. Pattern’s eCOA solution.

Next-gen solution with Duke Health Measures pre-built and approved.

2. Third-party eCOA solution.

Custom option for those with an existing eCOA system.

3. Paper-based
solution.

The simple but effort-intensive option.

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About the Author
George R. Parkerson, Jr., M.D.

My principal research interest is measurement of health as self-reported by individuals. This includes health-related quality of life, determinants of health, and health-related outcomes. At the present time I am conducting a study to validate the new Duke Population Health Profile (Duke-PH), a 15-item patient self-report survey that measures individual quality of life, social determinants of health, and outcomes. In the past, I helped develop the Duke-UNC Health Profile (1981), the Duke Health Profile (1990), the Duke Severity of Illness Checklist (1989), the Duke Social Support and Stress Scale (1989), the Duke Anxiety-Depression Scale (1997), and the Duke Case-Mix System (1997).