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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Format: | Article |
Language: | English |
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Elsevier
2017-04-01
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Series: | Journal of the Formosan Medical Association |
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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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id | doaj.art-14f2acf96cce4e9a937e66447640a0de |
institution | Directory Open Access Journal |
issn | 0929-6646 |
language | English |
last_indexed | 2024-12-21T05:09:32Z |
publishDate | 2017-04-01 |
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series | Journal of the Formosan Medical Association |
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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