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Health and Quality of Life Outcomes

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Open Access 01-12-2017 | Research

Validity and reliability of a Nigerian-Yoruba version of the stroke-specific quality of life scale 2.0

Authors: Marufat Oluyemisi Odetunde, Aderonke Omobonike Akinpelu, Adesola Christiana Odole

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

Abstract

Background

Psychometric evidence is necessary to establish scientific integrity and clinical usefulness of translations and cultural adaptations of the Stroke-Specific Quality of Life (SS-QoL) scale. However, the limited evidence on psychometrics of Yoruba version of SS-QoL 2.0 (SS-QoL(Y)) is a significant shortcoming. This study assessed the test-retest reliability, internal consistency, convergent, divergent, discriminant and known-group validity of the SS-QoL(Y).

Methods

Yoruba version of the WHOQoL-BREF was used to test the convergent and divergent validity of the SS-QoL(Y) among 100 consenting stroke survivors. The WHOQoL-BREF and SS-QoL(Y) was administered randomly in order to eliminate bias. The test-retest reliability of the SS-QoL(Y) was carried out among 68 of the respondents within an interval of 7 days. All respondents were purposively recruited from selected secondary and tertiary health facilities in South-west Nigeria. Data were analysed using descriptive statistics of mean and standard deviation, and inferential statistics of Spearman correlation, Cronbach’s alpha, Intra-class Correlation Coefficient (ICC), Independent t-test and One-way ANOVA. Alpha level was set at p < 0.05.

Result

The physical health, psychological health, social relationship and environment domains on WHOQoL-BREF with correlation coefficient that ranged from 0.214 to 0.360 showed significant correlation with similar domains on SS-QoL(Y). Dissimilar domains between the two scales had r values from 0.035 to 0.366. Discriminant validity of SS-QoL(Y) showed that items’ r value ranged from 0.711 to 0.920 with their hypothesized domains. The scale demonstrated moderate to strong test-retest reliability with Intra-class correlation coefficient (ICC) for the domains and overall scores (r = 0.47 to 0.81) and moderate to high internal consistency (Cronbach’s alpha =0.61 to 0.82) for domains scores. These correlations were also significant for the domains and overall scores (p < 0.05). There were no significant differences across different age groups or gender for the domains or overall scores of SS-QoL(Y).

Conclusions

Discriminant and known-group validity, test-retest reliability and internal consistency of the Yoruba version of the Stroke Specific Quality of Life 2.0 are adequate while the convergent and divergent validity are low but acceptable. The SS-QoL(Y) is recommended for assessing health-related quality of life among Yoruba stroke survivors.

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Xie, J; Wu, EQ; Zheng, Z; Croft, JB; Greenlund, KJ; Mensah, GA; Labarthe, DR. Impact of Stroke on Health-Related Quality of Life in the Non-institutionalized Population in the United States. Stroke. 2006; doi: 10.1161/01.STR.0000240506.34616.10.

Owolabi MO. Determinants of health-related quality of life in Nigerian stroke survivors. Trans R Soc Trop Med Hyg. 2008;102(12):1219–25. doi: 10.1016/j.trstmh.2008.05.003. Epub 2008 Jun 16

Salter KL, Moses MB, Foley NC, Teasell RW. Health-related quality of life after stroke: what are we measuring? Int J Rehabil Res. 2008;31:111–7.CrossRefPubMed

Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke- specific quality of life scale. Stroke. 1999;30:1362–9.CrossRefPubMed

Muus I, Ringsberg KC. Stroke -specific quality of life scale: Danish adaptation and a pilot study for testing psychometric properties. Scand J Caring Sci. 2005;19(20):140–7.CrossRefPubMed

Verbunt JA, Seelen HAM, Ramos FP, Michielsen BHM, Wetzelaer WL, Moennekens M. Mental practice-based rehabilitation training to improve arm function and daily activity performance in stroke patients: a randomized clinical trial. BMC Neurol. 2008;8:7.CrossRefPubMedPubMedCentral

Chou PC, Chu HY, Lin JG. Effects of electroacupuncture treatment on impaired cognition and quality of life in Taiwanese stroke patients. J Altern Complement Med. 2009;15:1067–73.PubMed

Carod-Artal FJ, Egido JA. Quality of life after stroke: the importance of a good recovery. Cerebrovasc Dis Disease. 2009;27:204–14.CrossRef

Hsueh I, Jeng J, Lee Y, Sheu C, Hsieh C. Construct validity of quality of life stroke questionnaire on Ischaemic stroke patients. Arch Phys Med Rehabil. 2011;92:1113–8.CrossRefPubMed

10.

Saladin, L.K. Measuring quality of life post stroke. Copyright neurology report htm. Provided by pro quest information and learning company. 2000.

11.

Fernández-Concepción O, Verdecia-Fraga R, Alvarez-González MA, Román, Pastoriza Y, Ramírez-Pérez E . Stroke-specific quality of life scale (ECVI-38): an evaluation of its acceptance, reliability and validity]. Rev Neurol 2005;41(7):391-8.

12.

Ewert, Stucki. Validity of the SS-QOL in Germany and in survivors of hemorrhagic or ischemic stroke. Neurorehabil Neural Repair. 2007;21(2):1618.CrossRef

13.

Muus I, Williams LS, Ringsberg KC. Validation of the stroke-specific quality of life scale: test of reliability and validity SS-QOL-DK. Clin Rehabil. 2007;21(7):620–7.CrossRefPubMed

14.

Kartsona A, Hilari K. Quality of life in aphasia: Greek adaptation of the stroke and aphasia quality of life scale-39 item (SAQoL-39). Eura Medicophys. 2007;43(1):27–35.PubMed

15.

Lima RCM, Teixeira-Salmela LF, Magalhaes LC, Gomes-Neto M. Psychometric properties of the Brazilian version of the stroke specific quality of life scale: application of the Rasch model. Rev Bras Fisioter. 2008;12:149–56.

16.

Wang Y, Ma J, Li J et al. The study on reliability, validity and responsiveness of the Chinese version of Stroke-specific Quality of Life. http://en.cnki.com.cn/Journal_en/E-EO6-LNXG-2003-06htm. Accessed on 2 March, 2016.

17.

Hakverdioğlu Yönt G, Khorshid L. Turkish version of the stroke-specific quality of life scale. Int Nurs Rev. 2012;59(2):274–80.CrossRefPubMed

18.

Kiran S, Krishnan G. Stroke and aphasia quality of life scale in Kannada-evaluation of reliability, validity and internal consistency. Available from: http://www.annalsofian.org/text.asp?2013/16/3/361/116932. Accessed on 23 Jan. 2015.

19.

Mahmoodi M, Safari A, Vossoughi M, Golbon-Haghighi F, Kamali-Sarvestani M, Ghaem H, Borhani-Haghighi A. Stroke-specific quality of life questionnaire: test of reliability and validity of the Persian version. Iran J Neurol. 2015;14(2):94–100.PubMedPubMedCentral

20.

Raju R, Krishnan G. Adaptation and validation of stroke-aphasia quality of life (SAQoL-39) scale into Malayam. Ann Indian Acad Neurol. 2015;18(4):441–4.PubMedPubMedCentral

21.

Mitra I, Krishnan G. Adaptation and validation of stroke-aphasia quality of life scale (SAQoL-39) to Hindi. Ann Indian Acad Neurol. 2015;18:29–32.PubMedPubMedCentral

22.

Akinpelu A. O; Odetunde M O; Odole C a. Cross-cultural adaptation and initial validation of stroke-specific quality of life scale into Yoruba language. Int J Rehabil Res. 2012;35(4):339–44.CrossRefPubMed

23.

de Morton NA, Davidson M, Keating KL. Validity, responsiveness and the minimal clinically important difference for the de Morton mobility index (DEMMI) in an older acute medical population. BMC Geriatr. 2010;10:72. doi: 10.1186/1471-2318-10-72.CrossRefPubMedPubMedCentral

24.

Laake P, Olsen BR, Benestad HB. Research methodology in the medical and biological sciences. Amsterdam: Elsevier, Academic Press; 2007.

25.

Gjersing L, Caplehorn JRM, Clausen, T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol 2010. doi:10.1186/1471-2288-10-13 .

26.

Beaton DE, Claire MD, Guillemin FMD. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;24:3186–91.CrossRef

27.

Schmidt B. Current issues in cross-cultural quality of life instrument development. Arch Phys Med Rehabil. 2003;84(4Suppl 2):S29–34.CrossRefPubMed

28.

Mamora O. Yoruba at home and in Diaspora: partnering for development. Nigeria world 2006. http://nigeriaworld.com/cgibin/search/search.pl?Realm=Nigeriaworldiiki&match=1&Terms=Olorunnimbe+Mamora&Rank=1. Accessed 29 April 2012.

29.

Lin K; Fu T; Wu C and Hsieh C. Assessing the Stroke-Specific Quality of Life for Outcome Measurement in Stroke Rehabilitation: Minimal Detectable Change and Clinically Important Difference. Health Qual Life Outcomes 2011. doi:10.1186/1477-7525-9-5.

30.

WHOQoL Group. Development of the WHOQoL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef

31.

Akinpelu AO, Maruf FA, BOA A. Validation a Yoruba translation of the World Health Organisation’s quality of life scale-short form among stroke survivors in south western Nigeria. Afr J Med Med Sci. 2006;35:417–21.PubMed

32.

Bowling A: Mode of questionnaire administration can have serious effects on data quality. J Public Health 2005; 27(3):281-292. DOI:https://doi/10.1093/pubmed

33.

Lynch EB, Butt Z, Heinemann A, Victorson D, Nowinski CJ, Perez L, Cella D. A qualitative study of quality of life after stroke: the importance of social relationships. J Rehabil Med. 2008;40:518–23.CrossRefPubMed

34.

Boosman H, Passier PECA, Visser-Meily JMA, Rinkel GJE, Post MWM. Validation of the stroke-specific quality of life scale (SS-QOL 2.0) in patients with aneurismal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 2010;81(5):4859. Downloaded from jnnp.bmj.com on September 25, 2011CrossRef

35.

Lin KC, Fu T, Wu CY, Hsieh YW, Chen CL, Lee PC. Psychometric comparisons of the stroke impact scale 3.0 and stroke-specific quality of life scale. Qual Life Res. 2010;19(3):435–43.CrossRefPubMed

36.

Chen H, Wu C, Lin K, Li M, Yu H. Validity, reliability and responsiveness of a short version of the stroke-specific quality of life scale in patients receiving rehabilitation. J Rehabil Med. 2012;44:629–36.CrossRefPubMed

37.

Hamzat TK, Olaleye OA, Akinwumi OB. Functional ability, community reintegration and participation restriction among community dwelling female stroke survivors in Ibadan. Ethiop J Health Sci. 2014;24(1):43–8.CrossRefPubMedPubMedCentral

38.

Smajlović D. Strokes in young adults: epidemiology and prevention. Vasc Health Risk Manag. 2015;11:157–64 doi:10.2147/VHRM.S53203.

39.

Falcone G; and Chong JY. Geriatr Aging 2007:10(08):497–500.

40.

Andersen KK; Olsen TS; Dehlendorff C; Kammersgaard LP. Hemorrhagic and ischemic strokes compared: stroke severity, mortality, and risk factors. Stroke 2009. doi:10.1161/STROKEAHA.108.540112.

41.

Hedna VS; Bodhit AN; Ansari S; Falchook AD; Stead L; Heilman KM, Waters FM Hemispheric differences in Ischaemic Stroke: Is left hemisphere stroke more common. J Clin Neurol. 2013l doi: 10.3988/jcn.2013.9.2.2.97

42.

Cruz-Cruz C, Martinez-Nuñez JM, Perez ME, Pharm D, Kravzov-Jinich J, Ríos-Castañeda C, Altagracia-Martinez M. Evaluation of the Stroke-Specific Quality-of-Life (SS-QoL) Scale in Mexico: A Preliminary Approach. Value Health Reg Issues 2013. doi: 10.1016/j.vhri.2013.04.002. Accessed on16/4/2015

43.

Li JT, Wang YL, Yu J H. The study on validity of the Chinese version of the Stroke specific Quality of Life in the south of Ji. Journal of Brain and Nervous Diseases 2007. Accessed on http://en.cnki.cn/Journal_en/E-E070-LYSJ-2007-03.htm. Accessed on 16/4/2015.

44.

Rochette A, Desrosiers J. Coping with the consequences of a stroke. Int J Rehabil Res. 2002;25(1):17–24.CrossRefPubMed

45.

Donnellan C, Havey D, Hickey A, O’Neill D. Defining and quantifying coping strategies after stroke: a review. J Neurol Neurosurg Psychiatry. 2006;77:1208–18. doi: 10.1136/jnnp2005.085670.CrossRefPubMedPubMedCentral

46.

Zalihić A, Markotić V, Zalihić D, Mabić M. Gender and quality of life after cerebral stroke. Bosn J Basic Med Sci. 2010;10(2):94–9.PubMedPubMedCentral

47.

Gargano JW, Reeves MJ. Sex differences in stroke recovery and stroke-specific quality of life. Result from a state-wide stroke registry inc. Stroke. 2007;38(9):2541–8.CrossRefPubMed

48.

Franzén-Dahlin Å, Laska AC. Gender differences in quality of life after stroke and TIA: a cross-sectional survey of out-patients. J Clin Nurs. 2012;21(15–16):2386-2391. 2012 DOI: 10.1111/j.1365-2702.2011. 04064.x.

49.

Bushnell CD, Reeves MJ, Pan W, Prvu-Bettger J, Zimmer L, Olson D, Peterson E. Sex differences in quality of life after ischemic stroke. Neurology 2014; doi:10.1212/WNL.0000000000000208 PMCID: PMC4211921.

50.

Nichols-Larsen DS, Clark PC, Zeringue A, Greenspan A, Blanton S. Factors Influencing Stroke Survivors’ Quality of Life During Subacute Recovery. http://stroke.ahajournals.org/content/strokeaha/36/7/1480.full.pdf. Accessed on 24 August 2017.

51.

Badaru UM, Ogwumike OO, Adeniyi AF. Quality of life of Nigerian stroke survivors and its determinants. Afr J Biomed Res. 2015;18:1–5.

52.

Alonso-Moran E, Nuno- Solinis R et al. Health-related quality of life and multimorbidity in community-dwelling telecare- assisted elders in the Basque Country. European Journal of Internal Medicine 2015; 26:169-175.

53.

Hong. Age Differences in health-related quality of life among South Korean elderly. Research & Reviews: J. Nurs. Health Sci. 2015. http//www.rroij.com/open-access/agedifferences-in-healthrelated-quality-of-life-among-southkorean-elderly.php?aid=64486. Accessed on 22 August 2017.

54.

Jeste DV, Savla GN, et al. Association between older age and more successful aging: critical role of resilience and depression. Am J Psychiatry. 2013;170:188–96.CrossRefPubMedPubMedCentral

55.

Kerber KA, Brown DL, Skolarus LE, Morgenstern LB, Smith MA, Garcia NM, Lisabeth LD.Validation of the 12-Item Stroke-Specific Quality of Life Scale in a Bi-ethnic Stroke Population. J Stroke Cerebrovasc Dis. 2012; doi:10.1016/j.jstrokecerebrovasdis.2012.08.011.

56.

Wong GK, Lam SW, Ngai K, Wong A, Poon WS, Mok V. Validation of the Stroke-specific Quality of Life for patients after aneurysmal subarachnoid haemorrhage and proposed summary sub-scores. J Neurol Sci. 2012. doi: 10.1016/j.jns.2012.06.025.

57.

Gundy CM, Aaronson NK. Effects of mode of administration (MOA) on the measurement properties of the EORTC QLQ-C30: a randomized study. Health Qual Life Outcomes. 2010;8:35.CrossRefPubMedPubMedCentral

Title: Validity and reliability of a Nigerian-Yoruba version of the stroke-specific quality of life scale 2.0
Authors: Marufat Oluyemisi Odetunde
Aderonke Omobonike Akinpelu
Adesola Christiana Odole
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/s12955-017-0775-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Validity and reliability of a Nigerian-Yoruba version of the stroke-specific quality of life scale 2.0

Abstract

Background

Methods

Result

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Result

Conclusions

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