• Code follow-up/repeated assessments of client health, progression of disease, and Health-Related Quality of Life.

Content Domain - Health items as above in an abbreviated format. Changes since last assessment.

Operational Data Items

• Page 1: ID Letters/ID Numbers, Site, Sub-Provider, Date, Staff Code, Client Gender, How Questionnaire is Completed, General Health, Overall Health, Health Kept You From Daily Activities, Health Interfered with Social Activities, Health Interfered with Certain Types of Work, Bodily Pain Interfered with Normal Work, Health Ratings (two items), Health As A Limiting Factor (four items: Vigorous Activities, Moderate Activities, Walking or Climbing Uphill, and Eating, Dressing, Bathing, or Using the Toilet).
• Page 2: ID Letters/ID Numbers, Site, Sub-Provider, Date, Staff Code, Client Gender, How Questionnaire is Completed, How Much of the Time Respondent Affected by Issues During the Past 4 Weeks (nine items: Limited by Physical Health, Attention Problems, Reasoning Problems, Feeling Calm, Feeling Downhearted, Feeling Tired, Having Enough Energy, Been Happy, Forgetting Things), Amount of Bodily Pain.

Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1996). Module 18: Abbreviated Health and Functioning Questionnaire. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Source Citation - Bozzette, S. A., Hays, R. D., Berry, S. H., Kanouse, D. E., & Wu, A. W. (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.