Psychology RootsNottingham Health Profile
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About Nottingham Health Profile
Scale Name
Nottingham Health Profile
Author Details
Sonja Hunt
Translation Availability
English
Background/Description
The Nottingham Health Profile (NHP), developed by Sonja Hunt in 1981, is a self-administered questionnaire designed to provide a brief indication of perceived physical, social, and emotional health problems, originally for primary medical care but also used in health surveys and clinical trials as an outcome measure. Published in Social Science & Medicine (1981), the NHP includes Part I (38 yes/no items across six sections: physical abilities [PA, 8 items], pain [P, 8 items], sleep [S, 5 items], social isolation [SI, 5 items], emotional reactions [ER, 9 items], energy level [EL, 3 items]) and optional Part II (7 items on handicap effects: occupation, housework, relationships, social life, sex life, hobbies, holidays). Part I takes ~10 minutes to complete.
Items were derived from 768 patient interviews and existing indices like the SIP, with severity scaled via paired comparisons by 1,200 outpatients. Section scores (0–100, higher = more problems) use weighted sums, though unweighted counts correlate highly (r > 0.98). Part II scores sum positive responses (0–7). Validated with ~1,000–2,000 patients (mean age ≈ 18–70 years, mixed gender, U.K.-based), it correlates with health measures. Used in primary care and research to assess health problems, access requires the NHP manual from the authors or publisher.
Administration, Scoring and Interpretation
- Obtain the NHP from Hunt (1981) or the NHP manual, ensuring ethical permissions.
- Explain to participants (adults 18+ in primary care or surveys) that the questionnaire indicates health problems, emphasizing confidentiality and voluntary participation.
- Administer Part I (38 items) via self-report, with patients answering yes/no to items reflecting general health; optional Part II as needed.
- Estimated completion time is ~10 minutes.
- Ensure a supportive environment; provide health resources (e.g., referrals) and adapt for accessibility (e.g., large print, assistance) if needed.
Reliability and Validity
The NHP demonstrates robust psychometric properties (Hunt, 1981). Internal consistency is high (Cronbach’s alpha ≈ 0.80–0.90 per section, N ≈ 1,000–2,000). Test-retest reliability is moderate to high (r ≈ 0.75–0.85 over 1–2 weeks). Inter-rater reliability is not applicable due to self-report.
Convergent validity is supported by correlations with the SIP (r ≈ 0.60–0.80) and SF-36 (r ≈ 0.50–0.70). Discriminant validity is evidenced by section-specific scores reflecting distinct problems (e.g., PA vs ER). Factor analysis confirms the six-section structure, supporting construct validity. The NHP reliably assesses health perceptions. Pairing with the SF-36 or MOS measures enhances comprehensive assessment.
Available Versions
45-Items
Reference
Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M., Williams, J., & Papp, E. (1980). A quantitative approach to perceived health status: a validation study. Journal of Epidemiology & Community Health, 34(4), 281-286.
Important Link
Scale File:
Frequently Asked Questions
What does the NHP measure?
It measures perceived physical, social, and emotional health problems.
Who is the target population?
Adults (18+) in primary care, surveys, or clinical trials.
How long does it take to administer?
Approximately 10 minutes.
Can it inform interventions?
Yes, it assesses health problems to guide primary care and trial outcomes.
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