Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context

Abstract Background The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) is a popular instrument used to assess quality of life. The objective of this study was to evaluate the following psychometric properties: structural validity, convergent validity, inte...

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Main Authors: Sandra Lima-Castro, Paúl Arias-Medina, Alexandra Bueno-Pacheco, Eva Peña-Contreras, Mónica Aguilar-Sizer, Marcela Cabrera-Vélez
Format: Article
Language:English
Published: SpringerOpen 2021-10-01
Series:Psicologia: Reflexão e Crítica
Subjects:
Online Access:https://doi.org/10.1186/s41155-021-00194-9
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author Sandra Lima-Castro
Paúl Arias-Medina
Alexandra Bueno-Pacheco
Eva Peña-Contreras
Mónica Aguilar-Sizer
Marcela Cabrera-Vélez
author_facet Sandra Lima-Castro
Paúl Arias-Medina
Alexandra Bueno-Pacheco
Eva Peña-Contreras
Mónica Aguilar-Sizer
Marcela Cabrera-Vélez
author_sort Sandra Lima-Castro
collection DOAJ
description Abstract Background The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) is a popular instrument used to assess quality of life. The objective of this study was to evaluate the following psychometric properties: structural validity, convergent validity, internal consistency, and measurement invariance across sex of the WHOQOL-BREF in a sample of Ecuadorian adults. Methods We used a sample of undergraduates (n = 987) to assess the WHOQOL-BREF original four-factor structure, a model with correlated factors, a hierarchical model, and two models resulting from the exploratory factor analysis and exploratory graph analysis. All the models were evaluated using confirmatory factor analysis. Results The results of the exploratory factor analysis and exploratory graph analysis suggest that the items are organized into four factors, although differently from the original version and the orthogonality assumption is not maintained. The confirmatory factor analysis shows that the original WHOQOL-BREF structure with correlated factors presents adequate psychometric properties. However, we propose a four-factor structure that has the best psychometric properties and adequate internal consistency. The results of the measurement invariance show that strict and strong invariance is achieved between men and women. Convergent validity analysis reveals moderate correlations with self-esteem, resilience, and social support. Conclusions Despite the original version of the WHOQOL-BREF with correlated factors has acceptable psychometric properties in the Ecuadorian context, we propose a version with a different organization of its items, which is consistent with the findings of other investigations.
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spelling doaj.art-55d1a13d1d574836924768053354a1502022-12-21T18:36:25ZengSpringerOpenPsicologia: Reflexão e Crítica1678-71532021-10-0134111410.1186/s41155-021-00194-9Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian contextSandra Lima-Castro0Paúl Arias-Medina1Alexandra Bueno-Pacheco2Eva Peña-Contreras3Mónica Aguilar-Sizer4Marcela Cabrera-Vélez5Faculty of Psychology, University of CuencaFaculty of Psychology, University of CuencaFaculty of Philosophy, Letters and Educational Sciences, Universidad del AzuayFaculty of Psychology, University of CuencaFaculty of Psychology, University of CuencaFaculty of Psychology, University of CuencaAbstract Background The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) is a popular instrument used to assess quality of life. The objective of this study was to evaluate the following psychometric properties: structural validity, convergent validity, internal consistency, and measurement invariance across sex of the WHOQOL-BREF in a sample of Ecuadorian adults. Methods We used a sample of undergraduates (n = 987) to assess the WHOQOL-BREF original four-factor structure, a model with correlated factors, a hierarchical model, and two models resulting from the exploratory factor analysis and exploratory graph analysis. All the models were evaluated using confirmatory factor analysis. Results The results of the exploratory factor analysis and exploratory graph analysis suggest that the items are organized into four factors, although differently from the original version and the orthogonality assumption is not maintained. The confirmatory factor analysis shows that the original WHOQOL-BREF structure with correlated factors presents adequate psychometric properties. However, we propose a four-factor structure that has the best psychometric properties and adequate internal consistency. The results of the measurement invariance show that strict and strong invariance is achieved between men and women. Convergent validity analysis reveals moderate correlations with self-esteem, resilience, and social support. Conclusions Despite the original version of the WHOQOL-BREF with correlated factors has acceptable psychometric properties in the Ecuadorian context, we propose a version with a different organization of its items, which is consistent with the findings of other investigations.https://doi.org/10.1186/s41155-021-00194-9Quality of lifeWHOQOL-BREFFactor analysisMeasurement invariancePsychometric propertiesEcuador
spellingShingle Sandra Lima-Castro
Paúl Arias-Medina
Alexandra Bueno-Pacheco
Eva Peña-Contreras
Mónica Aguilar-Sizer
Marcela Cabrera-Vélez
Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
Psicologia: Reflexão e Crítica
Quality of life
WHOQOL-BREF
Factor analysis
Measurement invariance
Psychometric properties
Ecuador
title Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
title_full Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
title_fullStr Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
title_full_unstemmed Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
title_short Factor structure, measurement invariance and psychometric properties of the Quality of Life Scale WHOQOL-BREF in the Ecuadorian context
title_sort factor structure measurement invariance and psychometric properties of the quality of life scale whoqol bref in the ecuadorian context
topic Quality of life
WHOQOL-BREF
Factor analysis
Measurement invariance
Psychometric properties
Ecuador
url https://doi.org/10.1186/s41155-021-00194-9
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