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Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Validation of the German version of the late adolescence and young adulthood survivorship-related quality of life measure (LAYA-SRQL)

Authors: Diana Richter, Anja Mehnert, Florian Schepper, Katja Leuteritz, Crystal Park, Jochen Ernst

Published in: Health and Quality of Life Outcomes | Issue 1/2018

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Abstract

Background

Cancer has adverse effects on patient’s quality of life. As such, measuring quality of life (QoL) has become an integral part of psycho-oncological health care. Because adolescent and young adult patients have different needs in contrast to children and older cancer patients, instruments for adequately measuring QoL of cancer survivors in this age range are essential. As there is not a corresponding instrument in Germany, we aimed to validate the German version of the Late Adolescence and Young Adulthood Survivorship-Related Quality of Life Measure (LAYA-SRQL), a 30-item questionnaire covering 10 dimensions related to QoL.

Methods

The LAYA-SRQL was translated into German following state-of-the-art criteria. We enrolled 234 adolescent and young adult (AYA) cancer patients with different tumour entities aged between 16 and 39 years old. Factorial structure was tested using confirmatory factor analysis. Internal consistency was determined by Cronbach’s α. The Short Form Survey quality of life questionnaire (SF-12v2) was used to examine convergent validity.

Results

The 10-factor structure of the LAYA-SRQL was confirmed in the German sample, and the model shows high values of fit indicators: χ2 = 723.32 (df = 360, p < 0.001), CFI = 0.92, TLI = 0.90, SRMR = 0.074, RMSEA = 0.066). Subscales showed acceptable to excellent internal consistencies with Cronbach’s α > 0.70 and total Cronbach’s α of 0.93. Convergent validity was demonstrated by high positive correlations between the LAYA-SRQL and the physical (r = 0.45) and mental component (r = 0.65) of the SF-12v2.

Conclusions

The German version of the LAYA-SRQL showed good psychometric properties. The instrument proved to be a highly reliable and valid instrument that can be recommended for use in the follow-up care of AYAs and for clinical research.
Literature
1.
go back to reference GEKID. Beiträge zur Gesundheitsberichterstattung des Bundes - Krebs in Deutschland 2011/2012. 10. Ausgabe. Berlin: RKI; 2015. GEKID. Beiträge zur Gesundheitsberichterstattung des Bundes - Krebs in Deutschland 2011/2012. 10. Ausgabe. Berlin: RKI; 2015.
2.
go back to reference Robert Koch Institut. Krebs in Deutschland 2013/2014. Robert Koch Institut und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V.(Eds.). Berlin: Deutschland; 2017. 11th ed. Robert Koch Institut. Krebs in Deutschland 2013/2014. Robert Koch Institut und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V.(Eds.). Berlin: Deutschland; 2017. 11th ed.
11.
15.
go back to reference Zebrack BJ, Corbett V, Embry L, Aguilar C, Meeske KA, Hayes-Lattin B, et al. Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology. 2014;23:1267–75. https://doi.org/10.1002/pon.3533.CrossRefPubMed Zebrack BJ, Corbett V, Embry L, Aguilar C, Meeske KA, Hayes-Lattin B, et al. Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology. 2014;23:1267–75. https://​doi.​org/​10.​1002/​pon.​3533.CrossRefPubMed
16.
17.
go back to reference Leuteritz K, Friedrich M, Nowe E, Sender A, Stöbel-Richter Y, Geue K. Life situation and psychosocial care of adolescent and young adult (AYA) cancer patients - study protocol of a 12-month prospective longitudinal study. BMC Cancer 2017;17. doi:https://doi.org/10.1186/s12885-017-3077-z. Leuteritz K, Friedrich M, Nowe E, Sender A, Stöbel-Richter Y, Geue K. Life situation and psychosocial care of adolescent and young adult (AYA) cancer patients - study protocol of a 12-month prospective longitudinal study. BMC Cancer 2017;17. doi:https://​doi.​org/​10.​1186/​s12885-017-3077-z.
24.
go back to reference Andersen HH, Mühlbacher A, Nübling M. Deutsches Institut für Wirtschaftsforschung Berlin / Projektgruppe Das Sozio-Ökonomische Panel. Die SOEP-Version des SF 12 als Instrument gesundheitsökonomischer Analysen. korrigierte Fassung. Berlin: DIW Berlin; 2007. Andersen HH, Mühlbacher A, Nübling M. Deutsches Institut für Wirtschaftsforschung Berlin / Projektgruppe Das Sozio-Ökonomische Panel. Die SOEP-Version des SF 12 als Instrument gesundheitsökonomischer Analysen. korrigierte Fassung. Berlin: DIW Berlin; 2007.
25.
go back to reference Tourangeau R. Cognitive science and survey methods. In: Cognitive aspects of survey methodology: building a bridge between disciplines. Washington, DC: National Academy Press; 1984. p. 73–100. Tourangeau R. Cognitive science and survey methods. In: Cognitive aspects of survey methodology: building a bridge between disciplines. Washington, DC: National ­Academy Press; 1984. p. 73–100.
26.
go back to reference Willis GB. Cognitive interviewing. A tool for improving questionnaire design. Thousand Oaks, CA: Sage; 2005.CrossRef Willis GB. Cognitive interviewing. A tool for improving questionnaire design. Thousand Oaks, CA: Sage; 2005.CrossRef
28.
go back to reference McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32:40–66.CrossRefPubMed McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32:40–66.CrossRefPubMed
33.
go back to reference Pickel G. Religionssoziologie: Eine Einführung in zentrale Themenbereiche. Wiesbaden: VS Verlag für Sozialwissenschaften; 2011.CrossRef Pickel G. Religionssoziologie: Eine Einführung in zentrale Themenbereiche. Wiesbaden: VS Verlag für Sozialwissenschaften; 2011.CrossRef
37.
go back to reference Streib H. Was bedeutet Spiritualität?: Befunde, Analysen und Fallstudien aus Deutschland. Göttingen: Vandenhoeck & Ruprecht; 2015. Streib H. Was bedeutet Spiritualität?: Befunde, Analysen und Fallstudien aus Deutschland. Göttingen: Vandenhoeck & Ruprecht; 2015.
38.
go back to reference Brady MJ, Peterman AH, Fitchett G, Mo M, Cella D. A case for including spirituality in quality of life measurement in oncology. Psychooncology. 1999;8:417–28.CrossRefPubMed Brady MJ, Peterman AH, Fitchett G, Mo M, Cella D. A case for including spirituality in quality of life measurement in oncology. Psychooncology. 1999;8:417–28.CrossRefPubMed
39.
go back to reference Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995;4:523–31.CrossRefPubMed Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995;4:523–31.CrossRefPubMed
40.
go back to reference Mytko JJ, Knight SJ. Body, mind and spirit: towards the integration of religiosity and spirituality in cancer quality of life research. Psychooncology. 1999;8:439–50.CrossRefPubMed Mytko JJ, Knight SJ. Body, mind and spirit: towards the integration of religiosity and spirituality in cancer quality of life research. Psychooncology. 1999;8:439–50.CrossRefPubMed
41.
go back to reference Chambers LW, Macdonald LA, Tugwell P, Buchanan WW, Kraag G. The McMaster health index questionnaire as a measure of quality of life for patients with rheumatoid disease. J Rheumatol. 1982;9:780–4.PubMed Chambers LW, Macdonald LA, Tugwell P, Buchanan WW, Kraag G. The McMaster health index questionnaire as a measure of quality of life for patients with rheumatoid disease. J Rheumatol. 1982;9:780–4.PubMed
42.
go back to reference Power M, Harper A, Bullinger M. The World Health Organization WHOQOL-100: tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychol. 1999;18:495–505.CrossRefPubMed Power M, Harper A, Bullinger M. The World Health Organization WHOQOL-100: tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychol. 1999;18:495–505.CrossRefPubMed
45.
go back to reference Gioiella ME, Berkman B, Robinson M. Spirituality and quality of life in gynecologic oncology patients. Cancer Pract. 1998;6:333–8.CrossRefPubMed Gioiella ME, Berkman B, Robinson M. Spirituality and quality of life in gynecologic oncology patients. Cancer Pract. 1998;6:333–8.CrossRefPubMed
47.
go back to reference Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--spiritual well-being scale (FACIT-sp). Ann Behav Med. 2002;24:49–58.CrossRefPubMed Peterman AH, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy--spiritual well-being scale (FACIT-sp). Ann Behav Med. 2002;24:49–58.CrossRefPubMed
Metadata
Title
Validation of the German version of the late adolescence and young adulthood survivorship-related quality of life measure (LAYA-SRQL)
Authors
Diana Richter
Anja Mehnert
Florian Schepper
Katja Leuteritz
Crystal Park
Jochen Ernst
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0827-1

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