Reliability analysis of the Chinese version of the Functional Assessment of Cancer Therapy – Leukemia (FACT-Leu) scale based on multivariate generalizability theory

Health and Quality of Life Outcomes

Research

Yang Wu¹  Xuezhong Gu²  Chonghua Wan³  Zheng Yang⁴  Yuanyuan Xiao⁵  Xiaosong Li⁶  Meixia Zhang⁶  Qiong Meng⁷ 

[1] Department of Health Education and Basic Public Health, Kunming Health Education Institute, 650034, Kunming, Yunnan Province, China;Department of Hematology, The First People’s Hospital of Yunnan Province, 650032, Kunming, Yunnan Province, China;School of Humanities and Management, Guangdong Medical University, 523808, Dongguan, Guangdong Province, China;School of Public Health, Guangdong Medical University, 523808, Dongguan, Guangdong Province, China;School of Public Health, Kunming Medical University, 650500, Kunming, Yunnan Province, China;West China School of Public Health, Sichuan University, 610041, Chengdu, Sichuan, China;West China School of Public Health, Sichuan University, 610041, Chengdu, Sichuan, China;School of Public Health, Kunming Medical University, 650500, Kunming, Yunnan Province, China;

关键词: Acute leukemia;    Chronic leukemia;    Quality of life;    Evaluation studies;    Multivariate generalizability theory;    Reliability;   

DOI  :  10.1186/s12955-017-0664-2

 received in 2017-01-29, accepted in 2017-04-21,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe Functional Assessment of Cancer Therapy–Leukemia (FACT-Leu) scale, a leukemia-specific instrument for determining the health-related quality of life (HRQOL) in patients with leukemia, had been developed and validated, but there have been no reports on the development of a simplified Chinese version of this scale. This is a new exploration to analyze the reliability of the HRQOL measurement using multivariate generalizability theory (MGT). This study aimed to develop a Chinese version of the FACT-Leu scale and evaluate its reliability using MGT to provide evidence to support the revision and improvement of this scale.MethodsThe Chinese version of the FACT-Leu scale was developed by four steps: forward translation, backward translation, cultural adaptation and pilot-testing. The HRQOL was measured for eligible inpatients with leukemia using this scale to provide data. A single-facet multivariate Generalizability Study (G-study) design was demonstrated to estimate the variance–covariance components and then several Decision Studies (D-studies) with varying numbers of items were analyzed to obtain reliability coefficients and to understand how much the measurement reliability could be vary as the number of items in MGT changes.ResultsOne-hundred and one eligible inpatients diagnosed with leukemia were recruited and completed the HRQOL measurement at the time of admission to the hospital. In the G-study, the variation component of the patient-item interaction was largest while the variation component of the item was the smallest for the four of five domains, except for the leukemia-specific (LEUS) domain. In the D-study, at the level of domain, the generalizability coefficients (G) and the indexes of dependability (Ф) for four of the five domains were approximately equal to or greater than 0.80 except for the Emotional Well-being (EWB) domain (>0.70 but <0.80). For the overall scale, the composite G and composite Ф coefficients were greater than 0.90. Based on the G coefficient and Ф coefficient, two decision options for revising this scale considering the number of items were obtained: one is a 37-item version while the other is a 45-item version.ConclusionThe Chinese version of the FACT-Leu scale has good reliability as a whole based on the results of MGT and the implementation of MGT could lead to more informed decisions in complex questionnaire design and improvement.

【 授权许可】

CC BY   
© The Author(s). 2017

【 图 表 】

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