Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status
Purpose The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) is considered a valid instrument for use in Brazil. However, the previous Brazilian validation study included only 30 lung cancer patients and only measured test-retest reliabili...
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| Veröffentlicht in: | Supportive care in cancer 2014-08, Vol.22 (8), p.2151-2160 |
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| container_title | Supportive care in cancer |
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| creator | Paiva, Carlos Eduardo Carneseca, Estela Cristina Barroso, Eliane Marçon de Camargos, Mayara Goulart Alfano, Ana Camila Callado Rugno, Fernanda Capella Paiva, Bianca Sakamoto Ribeiro |
| description | Purpose
The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) is considered a valid instrument for use in Brazil. However, the previous Brazilian validation study included only 30 lung cancer patients and only measured test-retest reliability. The aim of this study was to evaluate the psychometric properties of the EORTC QLQ-C30 in a sample of cancer patients at different educational levels who completed the instrument administered by an interviewer.
Methods
Data from six prospective studies conducted by the same group of researchers were combined in this study (
N
= 986).
Results
Reliability was assessed using Cronbach’s alpha coefficient, all values of which were >0.7, with the exception of cognitive functioning, social functioning, and nausea and vomiting (
α
= 0.57,
α
= 0.69, and
α
= 0.68, respectively). In multi-trait scaling analysis, convergent and divergent validity were considered adequate (validity indices were 91.6 and 97.4 %). In general, moderate to strong correlations were found between the subscales of the EORTC QLQ-C30 and its respective dimensions from the WHOQOL-bref, the hospital anxiety and depression scale, and the Edmonton Symptom Assessment System (ESAS) instruments. In addition, the EORTC QLQ-C30 was able to differentiate groups of patients with distinct performance statuses and types of treatment (known-group validation). Statistical analyses were also performed on educational status, yielding similar results.
Conclusions
Detailed psychometric property data using the EORTC QLQ-C30 in Brazil are added by this study. In addition, we demonstrated that this instrument is in general reliable and valid regardless of the patient educational level. |
| doi_str_mv | 10.1007/s00520-014-2206-3 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1543285665</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A384098232</galeid><sourcerecordid>A384098232</sourcerecordid><originalsourceid>FETCH-LOGICAL-c509t-21db1e6f819ae665ffdad0f9afe1d5fc462971878bbcaacff7eb0e24749fbdbf3</originalsourceid><addsrcrecordid>eNp1kl1rFDEUhoModlv9Ad5IwBtvpuZzPi7r0lZhoVTqdchkTnZTZpI1yRTq7_AHm3WqVlFyEUie9z3nJC9Cryg5pYQ07xIhkpGKUFExRuqKP0ErKjivGs67p2hFOkErwaU8Qscp3RJCm0ay5-iIiboIJV2hbxdzzDuIGO70OOvsgsfB4nKEz68-3azx9ea6WnOC9-ne7MIEOTqD9zHsIWYHCTuPNR513AJ-H_VXNzrtsdHeFM998QOfsQm7EDPWqaB29uZRFVcqD7P5UViPOGWd5_QCPbN6TPDyYT9Bny_Ob9Yfqs3V5cf12aYyknS5YnToKdS2pZ2GupbWDnogttMW6CCtETXrGto2bd8brY21DfQEmGhEZ_uht_wEvV18yzxfZkhZTS4ZGEftIcxJUSk4a2WxLuibv9DbMMfS8kIR3pY3_U1t9QjKeRty1OZgqs54K0jXMs4KdfoPqqwBJmeCB-vK-R8CughMDClFsGof3aTjvaJEHZKgliSokgR1SILiRfP6oeG5n2D4pfj59QVgC5DKld9CfDTRf12_A27Avrk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1543038246</pqid></control><display><type>article</type><title>Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Paiva, Carlos Eduardo ; Carneseca, Estela Cristina ; Barroso, Eliane Marçon ; de Camargos, Mayara Goulart ; Alfano, Ana Camila Callado ; Rugno, Fernanda Capella ; Paiva, Bianca Sakamoto Ribeiro</creator><creatorcontrib>Paiva, Carlos Eduardo ; Carneseca, Estela Cristina ; Barroso, Eliane Marçon ; de Camargos, Mayara Goulart ; Alfano, Ana Camila Callado ; Rugno, Fernanda Capella ; Paiva, Bianca Sakamoto Ribeiro</creatorcontrib><description>Purpose
The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) is considered a valid instrument for use in Brazil. However, the previous Brazilian validation study included only 30 lung cancer patients and only measured test-retest reliability. The aim of this study was to evaluate the psychometric properties of the EORTC QLQ-C30 in a sample of cancer patients at different educational levels who completed the instrument administered by an interviewer.
Methods
Data from six prospective studies conducted by the same group of researchers were combined in this study (
N
= 986).
Results
Reliability was assessed using Cronbach’s alpha coefficient, all values of which were >0.7, with the exception of cognitive functioning, social functioning, and nausea and vomiting (
α
= 0.57,
α
= 0.69, and
α
= 0.68, respectively). In multi-trait scaling analysis, convergent and divergent validity were considered adequate (validity indices were 91.6 and 97.4 %). In general, moderate to strong correlations were found between the subscales of the EORTC QLQ-C30 and its respective dimensions from the WHOQOL-bref, the hospital anxiety and depression scale, and the Edmonton Symptom Assessment System (ESAS) instruments. In addition, the EORTC QLQ-C30 was able to differentiate groups of patients with distinct performance statuses and types of treatment (known-group validation). Statistical analyses were also performed on educational status, yielding similar results.
Conclusions
Detailed psychometric property data using the EORTC QLQ-C30 in Brazil are added by this study. In addition, we demonstrated that this instrument is in general reliable and valid regardless of the patient educational level.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-014-2206-3</identifier><identifier>PMID: 24652051</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Analysis ; Brazil ; Cancer ; Cancer patients ; Care and treatment ; Cohort Studies ; Educational attainment ; Educational Status ; Female ; Humans ; Lung cancer ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasms - physiopathology ; Neoplasms - psychology ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Psychometrics - methods ; Psychometrics - standards ; Quality of Life ; Quantitative psychology ; Rehabilitation Medicine ; Reproducibility of Results ; Surveys and Questionnaires</subject><ispartof>Supportive care in cancer, 2014-08, Vol.22 (8), p.2151-2160</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-21db1e6f819ae665ffdad0f9afe1d5fc462971878bbcaacff7eb0e24749fbdbf3</citedby><cites>FETCH-LOGICAL-c509t-21db1e6f819ae665ffdad0f9afe1d5fc462971878bbcaacff7eb0e24749fbdbf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-014-2206-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-014-2206-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24652051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paiva, Carlos Eduardo</creatorcontrib><creatorcontrib>Carneseca, Estela Cristina</creatorcontrib><creatorcontrib>Barroso, Eliane Marçon</creatorcontrib><creatorcontrib>de Camargos, Mayara Goulart</creatorcontrib><creatorcontrib>Alfano, Ana Camila Callado</creatorcontrib><creatorcontrib>Rugno, Fernanda Capella</creatorcontrib><creatorcontrib>Paiva, Bianca Sakamoto Ribeiro</creatorcontrib><title>Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) is considered a valid instrument for use in Brazil. However, the previous Brazilian validation study included only 30 lung cancer patients and only measured test-retest reliability. The aim of this study was to evaluate the psychometric properties of the EORTC QLQ-C30 in a sample of cancer patients at different educational levels who completed the instrument administered by an interviewer.
Methods
Data from six prospective studies conducted by the same group of researchers were combined in this study (
N
= 986).
Results
Reliability was assessed using Cronbach’s alpha coefficient, all values of which were >0.7, with the exception of cognitive functioning, social functioning, and nausea and vomiting (
α
= 0.57,
α
= 0.69, and
α
= 0.68, respectively). In multi-trait scaling analysis, convergent and divergent validity were considered adequate (validity indices were 91.6 and 97.4 %). In general, moderate to strong correlations were found between the subscales of the EORTC QLQ-C30 and its respective dimensions from the WHOQOL-bref, the hospital anxiety and depression scale, and the Edmonton Symptom Assessment System (ESAS) instruments. In addition, the EORTC QLQ-C30 was able to differentiate groups of patients with distinct performance statuses and types of treatment (known-group validation). Statistical analyses were also performed on educational status, yielding similar results.
Conclusions
Detailed psychometric property data using the EORTC QLQ-C30 in Brazil are added by this study. In addition, we demonstrated that this instrument is in general reliable and valid regardless of the patient educational level.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Brazil</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Educational attainment</subject><subject>Educational Status</subject><subject>Female</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms - physiopathology</subject><subject>Neoplasms - psychology</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Psychometrics - methods</subject><subject>Psychometrics - standards</subject><subject>Quality of Life</subject><subject>Quantitative psychology</subject><subject>Rehabilitation Medicine</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kl1rFDEUhoModlv9Ad5IwBtvpuZzPi7r0lZhoVTqdchkTnZTZpI1yRTq7_AHm3WqVlFyEUie9z3nJC9Cryg5pYQ07xIhkpGKUFExRuqKP0ErKjivGs67p2hFOkErwaU8Qscp3RJCm0ay5-iIiboIJV2hbxdzzDuIGO70OOvsgsfB4nKEz68-3azx9ea6WnOC9-ne7MIEOTqD9zHsIWYHCTuPNR513AJ-H_VXNzrtsdHeFM998QOfsQm7EDPWqaB29uZRFVcqD7P5UViPOGWd5_QCPbN6TPDyYT9Bny_Ob9Yfqs3V5cf12aYyknS5YnToKdS2pZ2GupbWDnogttMW6CCtETXrGto2bd8brY21DfQEmGhEZ_uht_wEvV18yzxfZkhZTS4ZGEftIcxJUSk4a2WxLuibv9DbMMfS8kIR3pY3_U1t9QjKeRty1OZgqs54K0jXMs4KdfoPqqwBJmeCB-vK-R8CughMDClFsGof3aTjvaJEHZKgliSokgR1SILiRfP6oeG5n2D4pfj59QVgC5DKld9CfDTRf12_A27Avrk</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Paiva, Carlos Eduardo</creator><creator>Carneseca, Estela Cristina</creator><creator>Barroso, Eliane Marçon</creator><creator>de Camargos, Mayara Goulart</creator><creator>Alfano, Ana Camila Callado</creator><creator>Rugno, Fernanda Capella</creator><creator>Paiva, Bianca Sakamoto Ribeiro</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status</title><author>Paiva, Carlos Eduardo ; Carneseca, Estela Cristina ; Barroso, Eliane Marçon ; de Camargos, Mayara Goulart ; Alfano, Ana Camila Callado ; Rugno, Fernanda Capella ; Paiva, Bianca Sakamoto Ribeiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-21db1e6f819ae665ffdad0f9afe1d5fc462971878bbcaacff7eb0e24749fbdbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Brazil</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Cohort Studies</topic><topic>Educational attainment</topic><topic>Educational Status</topic><topic>Female</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasms - physiopathology</topic><topic>Neoplasms - psychology</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Psychometrics - methods</topic><topic>Psychometrics - standards</topic><topic>Quality of Life</topic><topic>Quantitative psychology</topic><topic>Rehabilitation Medicine</topic><topic>Reproducibility of Results</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paiva, Carlos Eduardo</creatorcontrib><creatorcontrib>Carneseca, Estela Cristina</creatorcontrib><creatorcontrib>Barroso, Eliane Marçon</creatorcontrib><creatorcontrib>de Camargos, Mayara Goulart</creatorcontrib><creatorcontrib>Alfano, Ana Camila Callado</creatorcontrib><creatorcontrib>Rugno, Fernanda Capella</creatorcontrib><creatorcontrib>Paiva, Bianca Sakamoto Ribeiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paiva, Carlos Eduardo</au><au>Carneseca, Estela Cristina</au><au>Barroso, Eliane Marçon</au><au>de Camargos, Mayara Goulart</au><au>Alfano, Ana Camila Callado</au><au>Rugno, Fernanda Capella</au><au>Paiva, Bianca Sakamoto Ribeiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>22</volume><issue>8</issue><spage>2151</spage><epage>2160</epage><pages>2151-2160</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) is considered a valid instrument for use in Brazil. However, the previous Brazilian validation study included only 30 lung cancer patients and only measured test-retest reliability. The aim of this study was to evaluate the psychometric properties of the EORTC QLQ-C30 in a sample of cancer patients at different educational levels who completed the instrument administered by an interviewer.
Methods
Data from six prospective studies conducted by the same group of researchers were combined in this study (
N
= 986).
Results
Reliability was assessed using Cronbach’s alpha coefficient, all values of which were >0.7, with the exception of cognitive functioning, social functioning, and nausea and vomiting (
α
= 0.57,
α
= 0.69, and
α
= 0.68, respectively). In multi-trait scaling analysis, convergent and divergent validity were considered adequate (validity indices were 91.6 and 97.4 %). In general, moderate to strong correlations were found between the subscales of the EORTC QLQ-C30 and its respective dimensions from the WHOQOL-bref, the hospital anxiety and depression scale, and the Edmonton Symptom Assessment System (ESAS) instruments. In addition, the EORTC QLQ-C30 was able to differentiate groups of patients with distinct performance statuses and types of treatment (known-group validation). Statistical analyses were also performed on educational status, yielding similar results.
Conclusions
Detailed psychometric property data using the EORTC QLQ-C30 in Brazil are added by this study. In addition, we demonstrated that this instrument is in general reliable and valid regardless of the patient educational level.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24652051</pmid><doi>10.1007/s00520-014-2206-3</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Supportive care in cancer, 2014-08, Vol.22 (8), p.2151-2160 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Analysis Brazil Cancer Cancer patients Care and treatment Cohort Studies Educational attainment Educational Status Female Humans Lung cancer Male Medicine Medicine & Public Health Middle Aged Neoplasms - physiopathology Neoplasms - psychology Nursing Nursing Research Oncology Original Article Pain Medicine Psychometrics - methods Psychometrics - standards Quality of Life Quantitative psychology Rehabilitation Medicine Reproducibility of Results Surveys and Questionnaires |
| title | Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status |
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