scholarly journals The Maternal Postpartum Quality of Life Instrument (MPQOLI): Development and Psychometric Evaluation in an Exploratory Sequential Mixed-Method Study

Author(s):  
Tahereh Mokhtarian-Gilani ◽  
Nourossadat Kariman ◽  
Hamid Sharif Nia ◽  
Mahbobeh Ahmadi Doulabi ◽  
Malihe Nasiri

Abstract Background and Objective: There is no comprehensive instrument for the assessment of postpartum quality of life (QOL). This study was conducted to develop the Maternal Postpartum Quality of Life Instrument (MPQOLI) and assess its psychometric properties.Materials and Methods: This methodological study was conducted in 2019–2020 using an exploratory sequential mixed-method design. A qualitative study and a literature review were conducted to generate MPQOLI items. Through purposeful sampling, 590 postpartum women were recruited to respond the instrument. Face and content validity were assessed qualitatively and quantitatively and construct validity was assessed through exploratory and confirmatory factor analyses and convergent and discriminant validity assessments. Reliability was also assessed through different methods, including Cronbach’s alpha and McDonald’s Omega.Results: Eight items were deleted in content validity assessments and eighteen items were deleted in item analysis. Participants responded the 31-item MPQOLI. During exploratory factor analysis, fifteen items were deleted and the remaining sixteen items were loaded on five factors labeled perceived support, sexual relationship, bonding with newborn, breastfeeding and newborn care, and satisfaction with postpartum transition. These five factors explained 53.26% of the total variance. Confirmatory factor analysis confirmed the five-factor structure of MPQOLI with a CMIN/DF of 2.192, an RMSEA of 0.057, a χ2 of 206.087, a PCFI of 0.738, a PNFI of 0.705, a CFI of 0.942, and an IFI of 0.943. Average variance extracted was more than 0.5 and more than maximum shared squared variance, confirming convergent and discriminant validity, respectively. Reliability was also confirmed with Cronbach’s alpha values of 0.70–0.907 and an intraclass correlation coefficient of 0.919.Conclusion: The sixteen-item MPQOLI is a valid and reliable instrument for postpartum QOL assessment. It includes items on the different aspects of postpartum QOL and can be used for the early diagnosis of impaired postpartum QOL. Further studies are needed to assess the psychometric properties of MPQOLI in different cultures and communities.

2014 ◽  
Vol 3 (3) ◽  
pp. 179
Author(s):  
Adnan Adnan ◽  
Dyah Aryani Perwitasari ◽  
Ully Adhie Mulyani

Tuberculosis (TB) is one of the disease as the highest contributor to the disease burden in Indonesia. Tuberculosis can affect the patients’ quality of life, such as psychological, physical, and social functioning. St. George's Respiratory Questionnaire (SGRQ) is a special instrument which was widely used to measure the patients’ quality of life with respiratory disease. The objective of this study was to validate the Indonesian version of the SGRQ as instrument to collect data. A descriptive cross section design with 61 subjects was conducted at the Pulmonary Clinics and Primary Health Centers in the region of Yogyakarta within 3 months. The validation process included the known group validity, convergent and discriminant validity and factor analysis. There were 14 items question numbers which did not meet the criteria for convergent validity and 9 items which did not meet the criteria for discriminant validity. Known group validity analysis on gender showed that of the three domains of SGRQ, the activity domain gave statistically significant result. The factor analysis showed the result of Kaiser Meyer Olkin analysis (KMO) was less than 0.5. With a few modifications, the Indonesian version of SGRQ is valid and reliable for measuring quality of life in tuberculosis patients.


2014 ◽  
Vol 3 (3) ◽  
pp. 179 ◽  
Author(s):  
Adnan Adnan ◽  
Dyah Aryani Perwitasari ◽  
Ully Adhie Mulyani

Tuberculosis (TB) is one of the disease as the highest contributor to the disease burden in Indonesia. Tuberculosis can affect the patients’ quality of life, such as psychological, physical, and social functioning. St. George's Respiratory Questionnaire (SGRQ) is a special instrument which was widely used to measure the patients’ quality of life with respiratory disease. The objective of this study was to validate the Indonesian version of the SGRQ as instrument to collect data. A descriptive cross section design with 61 subjects was conducted at the Pulmonary Clinics and Primary Health Centers in the region of Yogyakarta within 3 months. The validation process included the known group validity, convergent and discriminant validity and factor analysis. There were 14 items question numbers which did not meet the criteria for convergent validity and 9 items which did not meet the criteria for discriminant validity. Known group validity analysis on gender showed that of the three domains of SGRQ, the activity domain gave statistically significant result. The factor analysis showed the result of Kaiser Meyer Olkin analysis (KMO) was less than 0.5. With a few modifications, the Indonesian version of SGRQ is valid and reliable for measuring quality of life in tuberculosis patients.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Tahereh Mokhtaryan-Gilani ◽  
Giti Ozgoli ◽  
Nourossadat Kariman ◽  
Hamid Sharif Nia ◽  
Mahbobeh Ahmadi Doulabi ◽  
...  

Abstract Background and objective Many studies have been conducted in Iran on the postpartum quality of life, and the majority have used the general quality of life questionnaire. With a specific tool in this context, the dimensions of maternal postpartum quality of life can be more accurately determined. The present study was conducted to determine psychometric properties and validate the Persian version of the Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL). Materials and methods The present methodological study was conducted in 2018. The original version of MAPP-QOL was translated into Persian by both forward and backward translation. In a cross-sectional study, the Persian version was completed by 407 eligible postpartum women aged 18 to 47 and living in Tehran. Reliability of the questionnaire was assessed using Cronbach's alpha coefficient and test–retest. For construct validity, exploratory and confirmatory factor analyses were used. Results The MAPP-QOL showed good content validity; content validity ratio (CVR) ranged from 0.6 to 1.00, and content validity index (CVI) ranged from 0.7 to 1.00. Using exploratory factor analysis, five factors, including Socioeconomic; Relational/Family-Friends; Psychological/Baby; Health & functioning; and Relational/Spouse-Partner, were extracted, which together explained 78.84% of the total variance. After modifications of CFA, the confirmatory factor analysis showed an acceptable goodness-of-fit. AVE value Above 0.5 exhibited appropriate convergent validity, and AVE greater than MSV confirmed divergent validity. The Cronbach's alpha, McDonald's Omega, Composite reliability and maximum reliability H of the five extracted factors were excellent (> 0.9). Also, the AIC values of the factors were good (between 0.721 to 0.859). Conclusion The 38-item Persian version of the postpartum quality of life questionnaire is adequately reliable for postpartum women in Iran. Given its appropriate psychometric properties, this scale is fit to be used in future studies on postpartum women.


2021 ◽  
Author(s):  
Mokhtarian-Gilani Tahereh ◽  
Gity Ozgoli ◽  
Nourossadat Kariman ◽  
Sharif Nia Hamid ◽  
Mahbobeh Ahmadi Doulabi ◽  
...  

Abstract Background and Objective: Many studies have been conducted in Iran on the postpartum quality of life, and the majority have used the general quality of life questionnaire. With a specific tool in this context, the dimensions of maternal postpartum quality of life can be more accurately determined. The present study was conducted to determine psychometric properties and validate the Persian version of the Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL).Materials and Methods: The present methodological study was conducted in 2018. The original version of MAPP-QOL was translated into Persian by both forward and backward translation. In a cross-sectional study, the Persian version was completed by 407 eligible postpartum women aged 18 to 47 and living in Tehran. Reliability of the questionnaire was assessed using Cronbach's alpha coefficient and test-retest. For construct validity, exploratory and confirmatory factor analyses were used.Results: The MAPP-QOL showed good content validity; content validity ratio (CVR) ranged from 0.6 to 1.00, and content validity index (CVI) ranged from 0.7 to 1.00. Using exploratory factor analysis, five factors, including Socioeconomic; Relational/Family-Friends; Psychological/Baby; Health & functioning; and Relational/Spouse-Partner, were extracted, which together explained 78.84% of the total variance. After modifications of CFA, the confirmatory factor analysis showed an acceptable goodness-of-fit. AVE value Above 0.5 exhibited appropriate convergent validity, and AVE greater than MSV confirmed divergent validity. The Cronbach's alpha, McDonald's Omega, Composite reliability and maximum reliability H of the five extracted factors were excellent (>0.9). Also, the AIC values of the factors were good (between 0.721 to 0.859). Conclusion: The 38-item Persian version of the postpartum quality of life questionnaire is adequately reliable for postpartum women in Iran. Given its appropriate psychometric properties, this scale is fit to be used in future studies on postpartum women.


2021 ◽  
pp. 140349482098143
Author(s):  
Louise N Jespersen ◽  
Anette Andersen ◽  
Pernille Due ◽  
Annette K Ersbøll ◽  
Mogens T Damsgaard ◽  
...  

Aims: Existing quality of life questionnaires are either disease specific or generic in their assessment of themes which are perceived important to the quality of life in populations with disabilities. To be able to improve quality of life in a population with diverse disabilities there was a need for a cross-disability instrument. The Electronic Quality of Life (EQOL)-questionnaire was developed to meet this need. It is crucial that such an instrument is validated, easy to use, and interpret by, for example, clinicians and policy planners. This study aims to test the content validity of the EQOL questionnaire and to construct a user-friendly, cross-disability quality of life profile. Methods: To further test the content validity of the EQOL-questionnaire, we conducted field test analyses on 318 individuals (aged 16–64) with self-reported disabilities. Comments on the questionnaire were scrutinised and sorted. A profile with six domains of quality of life was developed. Model fit was evaluated by confirmatory factor analysis and content validity was evaluated based on distributions. Results: The EQOL-questionnaire was found to have an acceptable content validity and respondents from the field test found that it features important themes of quality of life. The confirmatory factor analysis estimated a satisfying model fit by the root-mean-squared error of approximation (0.06), whereas the comparative fit index and goodness of fit index indicated poorer model fit. Graphical charts, with colour categories for user-friendly interpretation, were constructed. Conclusion: By identifying themes reported as problematic, the EQOL-profile can be used to inform and target interventions aiming to improve quality of life in populations with diverse disabilities.


Author(s):  
Karla Gallo-Giunzioni ◽  
María Prieto-Ursúa ◽  
Cristina Fernández-Belinchón ◽  
Octavio Luque-Reca

Given the scarcity of instruments in Spanish to measure forgiveness, two studies were conducted in this population to obtain validity evidence of the Heartland Forgiveness Scale (HFS), an instrument that measures dispositional forgiveness of self, others, and situations. In the first study, 203 students (65% women) participated. After ensuring the linguistic adequacy and clarity of the wording of the items, a lack of congruence was found between the factors obtained in the exploratory factor analysis and the original theoretical structure of the HFS. A sample of 512 participants (63.9% women) attended the second study. This study aimed to analyze the construct validity of the HFS using confirmatory factor analysis through structural equation modelling and to explore convergent, discriminant, and criterion validity. Of the different factorial configurations tested (including the original), only a scale reduction to eight items, grouped into three factors, showed an appropriate fit. The HFS eight-item version also showed acceptable internal consistency, adequate convergent and discriminant validity, and criterion validity with respect to related variables. These findings suggest that the eight-item version of the HFS may be a valid and reliable tool for assessing forgiveness for self, others, and situations in Spanish adults.


Author(s):  
Anna Balcells-Balcells ◽  
Joana M. Mas ◽  
Natasha Baqués ◽  
Cecilia Simón ◽  
Simón García-Ventura

Background: Family quality of life (FQoL), just like individual quality of life, has become a priority outcome in the policies and services received by persons with intellectual and developmental disabilities (IDD) and their families. Conceptualizing, measuring, and theorizing FQoL has been the object of investigation in recent decades. The goal of this paper is to present a revision of the Spanish Family Quality of Life Scales, the CdVF-E < 18 and the CdVF-E >18, and describe the FQoL of Spanish families with a member with IDD. Methods: The sample included a total of 548 families with a member under 18 years old and 657 families with a member over 18. Based on an Exploratory Factor Analysis (EFA) firstly and a Confirmatory Factor Analysis (CFA) secondly, the two scales’ psychometric properties were explored. Results: The CdVF-ER < 18 and the CdVF-ER > 18 comprise 5 dimensions, containing 35 and 32 items, respectively, and they show good validity and reliability. The families obtained a high FQoL score, although some differences exist between the dimensions on which families with children under and over 18 score highest and lowest. Conclusion: The characteristics of the revised scales facilitate their use by professionals, administrations, and services.


2019 ◽  
Vol 14 (4) ◽  
Author(s):  
R. Trafford Crump ◽  
Alex Peterson ◽  
Camille Charbonneau ◽  
Kevin V. Carlson ◽  
Jason M. Sutherland ◽  
...  

Introduction: We aimed to evaluate the psychometric properties of the 26-item Expanded Prostate Cancer Index Composite (EPIC-26) for measuring the quality of life in patients treated for localized prostate cancer. The EPIC-26 is a patient-reported outcome instrument recommended for use with patients treated for localized prostate cancer. Methods: This study is based on data collected prospectively between September 2014 and February 2017 in Alberta, Canada. Men were treated with either radical prostatectomy or radiation therapy and administered the EPIC-26. Responses to the EPIC-26 were the primary outcome. Construct validity was measured using confirmatory factor analysis. Reliability was measured using Chronbach’s alpha and item-total correlation. Ceiling and floor effects were also investigated. Results: EPIC-26 response data from 205 participants (prostatectomy =138; radiation=60; both=7) were used in this analysis. The EPIC-26 was administered an average of 33.8 weeks after treatment. The confirmatory factor analysis model did not meet the threshold for adequate fit. Several items had near-zero factor loadings and were non-significant. Four out of the EPIC- 26’s five domains met the acceptable reliability threshold based on Cronbach’s alpha. Ceiling effects were observed in four out of five domains. Conclusions: The EPIC-26 demonstrated poor construct validity, adequate reliability, and large ceiling effects. Several issues were observed, suggesting that the instrument’s five domains were not well-defined by their respective items. The original EPIC’s conceptual framework should be reviewed and the shortened instrument revised to improve its performance for measuring post-treatment quality of life.


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