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Standardization of physical measurements in European health examination surveys-experiences from the site visits.

Tolonen, H; Mäki-Opas, J; Mindell, JS; Trichopoulou, A; Naska, A; Männistö, S; Giampaoli, S; ... EHES Pilot Project; + view all (2017) Standardization of physical measurements in European health examination surveys-experiences from the site visits. European Journal of Public Health , 27 (5) pp. 886-891. 10.1093/eurpub/ckw271. Green open access

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Abstract

BACKGROUND: Health examination surveys (HESs) provide valuable data on health and its determinants at the population level. Comparison of HES results within and between countries and over time requires measurements which are free of bias due to differences in or adherence to measurement procedures and/or measurement devices. METHODS: In the European HES (EHES) Pilot Project, 12 countries conducted a pilot HES in 2010-11 using standardized measurement protocols and centralized training. External evaluation visits (site visits) were performed by the EHES Reference Centre staff to evaluate the success of standardization and quality of data collection. RESULTS: In general, standardized EHES protocols were followed adequately in all the pilot surveys. Small deviations were observed in the posture of participants during the blood pressure and height measurement; in the use of a tourniquet when drawing blood samples; and in the calibration of measurement devices. Occasionally, problems with disturbing noise from outside or people coming into the room during the measurements were observed. In countries with an ongoing national HES or a long tradition of conducting national HESs at regular intervals, it was more difficult to modify national protocols to fulfil EHES requirements. CONCLUSIONS: The EHES protocols to standardize HES measurements and procedures for collection of blood samples are feasible in cross-country settings. The prerequisite for successful standardization is adequate training. External and internal evaluation activities during the survey fieldwork are also needed to monitor compliance to standards.

Type: Article
Title: Standardization of physical measurements in European health examination surveys-experiences from the site visits.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/eurpub/ckw271
Publisher version: https://doi.org/10.1093/eurpub/ckw271
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Blood pressure blood specimen collection calibration tourniquets noise posture educational field work
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1540677
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