Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT)
Abstract Background Generic assessments are less responsive to subtle changes due to specific diseases, making it challenging to fully understand the impact of pulmonary tuberculosis (TB) on patient’s quality of life (QOL). Methods We applied programmed decision procedures and theories on instrument...
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doaj-7441a7e20b05483d9fb1e055040b46092020-11-24T21:24:04ZengBMCHealth and Quality of Life Outcomes1477-75252018-07-0116111010.1186/s12955-018-0960-5Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT)Yanchun Sun0Zheng Yang1Chonghua Wan2Chuanzhi Xu3Liuping Chen4Lin Xu5Xiaoqing Zhang6Fei Yan7Department of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan UniversitySchool of Public Health, Guangdong Medical UniversitySchool of Humanities and Management, Research Center for Quality of Life and Applied Psychology, Guangdong Medical UniversitySchool of Public Health, Kunming Medical UniversityYunnnan Center for Disease Control and PreventionYunnnan Center for Disease Control and PreventionSchool of Public Health, Kunming Medical UniversityDepartment of Social Medicine, School of Public Health, National Key Laboratory of Health Technology Assessment (National Health and Family Planning Commission), Collaborative Innovation Center of Social Risks Governance in Health, Fudan UniversityAbstract Background Generic assessments are less responsive to subtle changes due to specific diseases, making it challenging to fully understand the impact of pulmonary tuberculosis (TB) on patient’s quality of life (QOL). Methods We applied programmed decision procedures and theories on instrument development to develop the scale. Two hundred patients with pulmonary TB participated in measuring QOL three times before and after treatments. We assessed the validity, reliability, and responsiveness of QLICD-PT using correlation analysis, factor analysis, multi-trait scaling analysis, randomized block analyses of variance with Least Significant Difference post-hoc tests. Results We composed QLICD-PT with 3 domains (28 items) for general QOL and 1 pulmonary TB specific domain (12 items). Correlation and factor analysis confirmed good structure validity and criterion-related validity when using Chinese version of the Medical Outcomes Short-Form Health Survey (SF-36) as a criterion. The internal consistency of α values were higher than 0.70. The score changes after treatment were of statistical significance for the overall scale, physical domain and specific domain with effect size ranging from 0.32 to 0.72. No floor effects but small ceiling effects were observed at domain level. Conclusions As the first pulmonary TB-specific QOL scale developed by a module approach in Chinese, QLICD-PT has an acceptable degree of validity, reliability and responsiveness, and can be used to measure the life quality of PT patients specifically and sufficiently.http://link.springer.com/article/10.1186/s12955-018-0960-5Quality of lifeDisease-specific instrumentQLICD-GMPulmonary tuberculosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yanchun Sun Zheng Yang Chonghua Wan Chuanzhi Xu Liuping Chen Lin Xu Xiaoqing Zhang Fei Yan |
spellingShingle |
Yanchun Sun Zheng Yang Chonghua Wan Chuanzhi Xu Liuping Chen Lin Xu Xiaoqing Zhang Fei Yan Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) Health and Quality of Life Outcomes Quality of life Disease-specific instrument QLICD-GM Pulmonary tuberculosis |
author_facet |
Yanchun Sun Zheng Yang Chonghua Wan Chuanzhi Xu Liuping Chen Lin Xu Xiaoqing Zhang Fei Yan |
author_sort |
Yanchun Sun |
title |
Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) |
title_short |
Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) |
title_full |
Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) |
title_fullStr |
Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) |
title_full_unstemmed |
Development and validation of the pulmonary tuberculosis scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-PT) |
title_sort |
development and validation of the pulmonary tuberculosis scale of the system of quality of life instruments for chronic diseases (qlicd-pt) |
publisher |
BMC |
series |
Health and Quality of Life Outcomes |
issn |
1477-7525 |
publishDate |
2018-07-01 |
description |
Abstract Background Generic assessments are less responsive to subtle changes due to specific diseases, making it challenging to fully understand the impact of pulmonary tuberculosis (TB) on patient’s quality of life (QOL). Methods We applied programmed decision procedures and theories on instrument development to develop the scale. Two hundred patients with pulmonary TB participated in measuring QOL three times before and after treatments. We assessed the validity, reliability, and responsiveness of QLICD-PT using correlation analysis, factor analysis, multi-trait scaling analysis, randomized block analyses of variance with Least Significant Difference post-hoc tests. Results We composed QLICD-PT with 3 domains (28 items) for general QOL and 1 pulmonary TB specific domain (12 items). Correlation and factor analysis confirmed good structure validity and criterion-related validity when using Chinese version of the Medical Outcomes Short-Form Health Survey (SF-36) as a criterion. The internal consistency of α values were higher than 0.70. The score changes after treatment were of statistical significance for the overall scale, physical domain and specific domain with effect size ranging from 0.32 to 0.72. No floor effects but small ceiling effects were observed at domain level. Conclusions As the first pulmonary TB-specific QOL scale developed by a module approach in Chinese, QLICD-PT has an acceptable degree of validity, reliability and responsiveness, and can be used to measure the life quality of PT patients specifically and sufficiently. |
topic |
Quality of life Disease-specific instrument QLICD-GM Pulmonary tuberculosis |
url |
http://link.springer.com/article/10.1186/s12955-018-0960-5 |
work_keys_str_mv |
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