Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan

The purposes of this three-phase study were to: (1) translate and evaluate the burden, content, and face validity of the Chinese version of the University of Washington Quality of Life Scale, version 4 (UWQOL-v4-C); and (2) examine the psychometric properties of the UWQOL-v4-C in oral cancer and lar...

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Main Authors: Yun-Hsiang Lee, Yeur-Hur Lai, Bevan Yueh, Pen-Yuan Chu, Yen-Ju Chen, Shu-Ching Chen, Cheng-Ping Wang
Format: Article
Language:English
Published: Elsevier 2017-04-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664617300207
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author Yun-Hsiang Lee
Yeur-Hur Lai
Bevan Yueh
Pen-Yuan Chu
Yen-Ju Chen
Shu-Ching Chen
Cheng-Ping Wang
author_facet Yun-Hsiang Lee
Yeur-Hur Lai
Bevan Yueh
Pen-Yuan Chu
Yen-Ju Chen
Shu-Ching Chen
Cheng-Ping Wang
author_sort Yun-Hsiang Lee
collection DOAJ
description The purposes of this three-phase study were to: (1) translate and evaluate the burden, content, and face validity of the Chinese version of the University of Washington Quality of Life Scale, version 4 (UWQOL-v4-C); and (2) examine the psychometric properties of the UWQOL-v4-C in oral cancer and laryngeal cancer patients in Taiwan. Methods: This instrument translation and validation study was part of a major research project. The first phase of this study developed and validated the content of the UWQOL-v4-C. The second phase sought to validate the internal consistency, reliability, and construct and discriminant validity in two major groups of head and neck cancer (HNC) patients: oral cavity cancers (n=109) and laryngeal cancer (n=102). Construct validity was measured using theoretically supported correlations between the UWQOL and related constructs. Discriminant validity was also assessed. In the third phase, test–retest reliability of UWQOL-v4-C was examined through the 1-week interval in another group of HNC patients (n=50). Results: The translated UWQOL-v4-C demonstrated satisfactory face validity, content validity, and minimal patient burden. Additionally, the UWQOL-v4-C showed excellent construct validity in patient testing, supported by significant correlations between the UWQOL-v4-C and hypothesized constructs, including generic measures of QOL and performance status. The developed scale correlated inversely with symptom severity and psychological distress. Discriminant validity was seen in patients with different cancer diagnoses, stages, and treatments. Finally, excellent stability was supported by a 1-week test–retest reliability of 0.88. Conclusion: The UWQOL-v4-C was a brief, low-burden, and valid instrument to measure the QOL in Chinese-speaking HNC patients in Taiwan.
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spelling doaj.art-14f2acf96cce4e9a937e66447640a0de2022-12-21T19:15:05ZengElsevierJournal of the Formosan Medical Association0929-66462017-04-01116424925610.1016/j.jfma.2017.01.002Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in TaiwanYun-Hsiang Lee0Yeur-Hur Lai1Bevan Yueh2Pen-Yuan Chu3Yen-Ju Chen4Shu-Ching Chen5Cheng-Ping Wang6Department of Nursing, Mackay Medical College, Taipei, TaiwanSchool of Nursing, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USADepartment of Otolaryngology, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Nursing, Da-Yeh University, Changhua, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, Kweishan, Taoyuan, TaiwanDepartment of Otolaryngology, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, TaiwanThe purposes of this three-phase study were to: (1) translate and evaluate the burden, content, and face validity of the Chinese version of the University of Washington Quality of Life Scale, version 4 (UWQOL-v4-C); and (2) examine the psychometric properties of the UWQOL-v4-C in oral cancer and laryngeal cancer patients in Taiwan. Methods: This instrument translation and validation study was part of a major research project. The first phase of this study developed and validated the content of the UWQOL-v4-C. The second phase sought to validate the internal consistency, reliability, and construct and discriminant validity in two major groups of head and neck cancer (HNC) patients: oral cavity cancers (n=109) and laryngeal cancer (n=102). Construct validity was measured using theoretically supported correlations between the UWQOL and related constructs. Discriminant validity was also assessed. In the third phase, test–retest reliability of UWQOL-v4-C was examined through the 1-week interval in another group of HNC patients (n=50). Results: The translated UWQOL-v4-C demonstrated satisfactory face validity, content validity, and minimal patient burden. Additionally, the UWQOL-v4-C showed excellent construct validity in patient testing, supported by significant correlations between the UWQOL-v4-C and hypothesized constructs, including generic measures of QOL and performance status. The developed scale correlated inversely with symptom severity and psychological distress. Discriminant validity was seen in patients with different cancer diagnoses, stages, and treatments. Finally, excellent stability was supported by a 1-week test–retest reliability of 0.88. Conclusion: The UWQOL-v4-C was a brief, low-burden, and valid instrument to measure the QOL in Chinese-speaking HNC patients in Taiwan.http://www.sciencedirect.com/science/article/pii/S0929664617300207head and neck cancerquality of lifeUWQOL Chinese version
spellingShingle Yun-Hsiang Lee
Yeur-Hur Lai
Bevan Yueh
Pen-Yuan Chu
Yen-Ju Chen
Shu-Ching Chen
Cheng-Ping Wang
Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
Journal of the Formosan Medical Association
head and neck cancer
quality of life
UWQOL Chinese version
title Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
title_full Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
title_fullStr Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
title_full_unstemmed Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
title_short Validation of the University of Washington Quality of Life Chinese Version (UWQOL-C) for head and neck cancer patients in Taiwan
title_sort validation of the university of washington quality of life chinese version uwqol c for head and neck cancer patients in taiwan
topic head and neck cancer
quality of life
UWQOL Chinese version
url http://www.sciencedirect.com/science/article/pii/S0929664617300207
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