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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-12-2017 | Research

Development of diabetes-specific quality of life module to be in conjunction with the World Health Organization quality of life scale brief version (WHOQOL-BREF)

Authors: Chung-Ying Lin, Tsung-Ying Lee, Zih-Jie Sun, Yi-Ching Yang, Jin-Shang Wu, Huang-Tz Ou

Published in: Health and Quality of Life Outcomes | Issue 1/2017

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Abstract

Background

Although numerous health-related quality of life (HRQoL) instruments are available for patients with diabetes, the length of these measures may limit their feasibility to routine practice. Also, these measures do not distinguish items for generic and diabetes-specific HRQoL. This study was aimed to develop a diabetes-specific quality of life questionnaire module (DMQoL) to be in conjunction with the World Health Organization Quality of Life scale brief version (WHOQOL-BREF).

Methods

One hundred seventeen patients with diabetes were enrolled from a medical center in Taiwan. The item content of DMQoL was constructed based on an extensive review of existing HRQoL instruments for diabetes, expert discussions and patient interviews. A series of psychometric tests were conducted to ensure the reliability and validity of DMQoL. The WHOQOL-BREF served as an existing HRQoL measure for construct validity testing. The response scale of DMQoL was adopted from the 5-point Likert scale of WHOQOL-BREF.

Results

A total of 10 items without ceiling or floor effects were selected from 20 items. Exploratory factor analysis (EFA) with parallel analysis and Rasch analysis concluded that the 10 items were embedded in the same underlying concept. The corrected item-total correlations and factor loadings from EFA were all above 0.4. The internal consistency of the 10 items was satisfactory (Cronbach’s α = 0.84). The DMQoL total score was moderately correlated with that of WHOQOL-BREF (r = 0.48, p < 0.001). The known-group validity showed that patients with HbA1c ≤ 7% had significantly higher mean scores of DMQoL than did those with HbA1c > 8% (3.66 ± 0.47 vs. 3.41 ± 0.53; p = 0.037).

Conclusions

The DMQoL with only 10 items is developed and it is sensitive to the change of diabetes progression in early phases (e.g., glycemic changes). The combination of WHOQOL-BREF and DMQoL provides a comprehensive picture of overall HRQoL in patients with diabetes and enhance the instrument’s ability to detect clinically meaningful changes in diabetes.
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Literature
1.
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047–53.CrossRefPubMed
2.
Solli O, Stavem K, Kristiansen IS. Health-related quality of life in diabetes: the associations of complications with EQ-5D scores. Health Qual Life Outcomes. 2010;8:18.CrossRefPubMedPubMedCentral
3.
Holmes J, McGill S, Kind P, Bottomley J, Gillam S, Murphy M. Health-related quality of life in type 2 diabetes (T2ARDIS-2). Value Health. 2000;3:47–51.CrossRefPubMed
4.
Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–9.CrossRefPubMed
5.
Edlund M, Tancredi LR. Quality of life: an ideological critique. Perspect Biol Med. 1985;28:591–607.CrossRefPubMed
6.
Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care. 1989;27:217–32.
7.
The WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46:1569-85.
8.
Abdelgadir M, Shebeika W, Eltom M, Berne C, Wikblad K. Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation. Tohoku J Exp Med. 2009;217:45–50.CrossRefPubMed
9.
Eljedi A, Mikolajczyk RT, Kraemer A, Laaser U. Health-related quality of life in diabetic patients and controls without diabetes in refugee camps in the Gaza strip: a cross-sectional study. BMC Public Health. 2006;6:1.CrossRef
10.
Chung M-H, Hsu N, Wang Y-C, Lai K-L, Kao S. Exploration into the variance in self-reported health-related quality of life between the chronically-ill elderly and their family caregivers. J Nurs Res. 2007;15:175–82.CrossRefPubMed
11.
Yao G, Wu C-h. Similarities and differences among the Taiwan, China, and Hong-Kong versions of the WHOQOL questionnaire. Soc Indic Res. 2009;91:79–98.CrossRef
12.
Garratt A, Schmidt L, Fitzpatrick R. Patient-assessed health outcome measures for diabetes: a structured review. Diabet Med. 2002;19:1–11.CrossRefPubMed
13.
Hwang CC, Huang IC, Wu MY, Chen TC, Wu JJ, Lin WD. Development and validation of a Chinese version of the diabetes-39 to measure diabetes quality of life in Taiwan. Taiwan J Public Health. 2009;28:218–31.
14.
Li T-C, Lin C-C, Liu C-S, Li C-I, Lee Y-D. Validation of the Chinese version of the diabetes impact measurement scales amongst people suffering from diabetes. Qual Life Res. 2006;15:1613–9.CrossRefPubMed
15.
Cheng AY, Tsui EY, Hanley AJ, Zinman B. Developing a quality of life measure for Chinese patients with diabetes. Diabetes Res Clin Pract. 1999;46:259–67.CrossRefPubMed
16.
Goddijn PPM, Bilo HJG, Feskens EJM, Groenier KH, Van der Zee KI, De Jong BM. Longitudinal study on glycaemic control and quality of life in patients with type 2 diabetes mellitus referred for intensified control. Diabet Med. 1999;16:23–30.CrossRefPubMed
17.
El Achhab Y, Nejjari C, Chikri M, Lyoussi B. Disease-specific health-related quality of life instruments among adults diabetic: a systematic review. Diabetes Res Clin Pract. 2008;80:171–84.CrossRefPubMed
18.
Strong C, Lin Y-C, Tsai M-C, Lin C-Y. Factor structure of sizing me up, a self-reported weight-related quality of life instrument, in community children across weight status. Child Obes. 2017;13:111–9.CrossRefPubMed
19.
Modabbernia A, Yaghoubidoust M, Lin C-Y, Fridlund B, Michalak EE, Murray G, Pakpour AH. Quality of life in Iranian patients with bipolar disorder: a psychometric study of the Persian brief quality of life in bipolar disorder (QoL. BD). Qual Life Res. 2016;25:1835–44.CrossRefPubMed
20.
Hallberg H, Mattsson B. Life after divorce: a study of newly divorced middle-aged men in Sweden. Fam Pract. 1989;6:9–15.CrossRefPubMed
21.
Bourassa KJ, Knowles LM, Sbarra DA, O’Connor M-F. Absent but not gone interdependence in couples’ quality of life persists after a Partner’s death. Psychol Sci. 2016;27:270–81.CrossRefPubMed
22.
Marks NF, Jun H, Song J. Death of parents and adult psychological and physical well-being a prospective US National Study. J Fam Issues. 2007;28:1611–38.CrossRefPubMedPubMedCentral
23.
McCoach DB, Gable RK, Madura JP. Review of the Steps for Designing an Instrument. Instrument Development in the Affective Domain. Springer, New York. 2013:277-84.
24.
Lin M-R, Yao K-p, Hwang J, Wang J. Scale descriptor selection for Taiwan-version of questionnaire of World Health Organization quality of life. Chin J Public Health. 1999;18:262–70.
25.
Østerås N, Gulbrandsen P, Garratt A, Benth JŠ, Dahl FA, Natvig B, Brage S. A randomised comparison of a four-and a five-point scale version of the Norwegian function assessment scale. Health Qual Life Outcomes. 2008;6:14.CrossRefPubMedPubMedCentral
26.
Yao G, Chung C-W, Yu C-F, Wang J-D. Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. J Formos Med Assoc. 2002;101:342–51.PubMed
27.
Group W. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Qual Life Res. 1993;2:153–9.CrossRef
28.
Lin C, Li Y, Lin S, Chen C. Measurement equivalence across gender and education in the WHOQOL-BREF for community-dwelling elderly Taiwanese. Int Psychogeriatr. 2016;28:1–8.
29.
Jette DU, Warren RL, Wirtalla C. Functional independence domains in patients receiving rehabilitation in skilled nursing facilities: evaluation of psychometric properties. Arch Phys Med Rehabil. 2005;86:1089–94.CrossRefPubMed
30.
Chang C-C, Su J-A, Tsai C-S, Yen C-F, Liu J-H, Lin C-Y. Rasch analysis suggested three unidimensional domains for affiliate stigma scale: additional psychometric evaluation. J Clin Epidemiol. 2015;68:674–83.CrossRefPubMed
31.
O’connor BP. SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behav Res Methods Instrum Comput. 2000;32:396–402.CrossRefPubMed
32.
Khanna A, Bush AL, Swint JM, Peskin MF, Street RL, Naik AD. Hemoglobin a 1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: a nested cohort study. Health Qual Life Outcomes. 2012;10:1.CrossRef
33.
Ali MK, Feeney P, Hire D, Simmons DL, O’Connor PJ, Ganz-Lord F, Goff D, Zhang P, Anderson RT, Narayan KMV. Glycaemia and correlates of patient-reported outcomes in ACCORD trial participants. Diabet Med. 2012;29:e67–74.CrossRefPubMed
34.
Kuznetsov L, Long GH, Griffin SJ, Simmons RK. Are changes in glycaemic control associated with diabetes-specific quality of life and health status in screen-detected type 2 diabetes patients? Four-year follow up of the ADDITION-Cambridge cohort. Diabetes Metab Res Rev. 2015;31:69–75.CrossRefPubMedPubMedCentral
35.
Shen W, Kotsanos JG, Huster WJ, Mathias SD, Andrejasich CM, Patrick DL. Development and validation of the diabetes quality of life clinical trial questionnaire. Med Care. 1999;37:45–66.
36.
Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HAW. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359:1577–89.CrossRefPubMed
37.
Chew B-H, Mohd-Sidik S, Shariff-Ghazali S. Negative effects of diabetes–related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health Qual Life Outcomes. 2015;13:1.CrossRef
38.
Bani-Issa W. Evaluation of the health-related quality of life of Emirati people with diabetes: integration of sociodemographic and disease-related variables. East Mediterr Health J. 2011;17:825.PubMed
39.
Ware JE Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.CrossRefPubMed
40.
Ware JE Jr. Improvements in short-form measures of health status: introduction to a series. J Clin Epidemiol. 2008;61:1.CrossRefPubMed
Metadata
Title
Development of diabetes-specific quality of life module to be in conjunction with the World Health Organization quality of life scale brief version (WHOQOL-BREF)
Authors
Chung-Ying Lin
Tsung-Ying Lee
Zih-Jie Sun
Yi-Ching Yang
Jin-Shang Wu
Huang-Tz Ou
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0744-3

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