Reliability and validity of Amharic version of EORTC QLQ-C30 and QLQ-BR23 modules for assessing health-related quality of life among breast cancer patients in Ethiopia

Breast cancer is the most common cancer among women and it affects quality of life of those women. So far, the two most frequently used tools for assessing health related quality of life in breast cancer patients, EORTC QLQ-C30 and EORTC QLQ-BR23 modules, were not validated in Ethiopia. Hence, the p...

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Published in:Health and quality of life outcomes 2019-12, Vol.17 (1), p.182-8, Article 182
Main Authors: Gadisa, Diriba Alemayehu, Gebremariam, Esayas Tadesse, Ali, Getnet Yimer
Format: Article
Language:English
Subjects:
Adult
Aged
Amharic
Analysis
Body image
Body Image - psychology
Breast cancer
Breast Neoplasms - psychology
Cancer patients
Cancer therapies
Care and treatment
Chemotherapy
Clinical trials
Cognitive ability
Convergence
Correlation analysis
Epidemiology
Ethiopia
Female
Health
Health Surveys - standards
Humans
Longitudinal Studies
Medical imaging
Middle Aged
Modules
Oncology
Patients
Quality assessment
Quality of Life
Reliability analysis
Reproducibility of Results
Self image
Sociodemographics
Statistical analysis
Translations
Validation
Validity
Women
Womens health
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description Breast cancer is the most common cancer among women and it affects quality of life of those women. So far, the two most frequently used tools for assessing health related quality of life in breast cancer patients, EORTC QLQ-C30 and EORTC QLQ-BR23 modules, were not validated in Ethiopia. Hence, the present study aimed to assess the psychometric properties of the tools among Ethiopian breast cancer patients. Institutional based longitudinal study was conducted from January 1 to May 1, 2017 GC at only nationwide oncology center, Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia. A total of 146 patients who visited the facility during that period, with no missing quality of life data, were selected for analysis. The psychometric properties of the EORTC QLQ-C30 and EORTC QLQ-BR23 were evaluated in terms of reliability, convergent, divergent, construct and clinical validity using SPSS version 22. Satisfactory internal consistency reliability (Cronbach's α coefficients > 0.7) was confirmed, except for cognitive function (α = 0.516) of EORTC QLQ-C30 and body image (α = 0.510) of EORTC QLQ-BR23. Multiple-trait scaling analysis demonstrated a good convergent and divergent validity. No scaling errors were observed. Most items in EORTC QLQ-BR23 possessed a weak or no correlation with its own dimension in EORTC QLQ-C30 (r 
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Satisfactory internal consistency reliability (Cronbach's α coefficients &gt; 0.7) was confirmed, except for cognitive function (α = 0.516) of EORTC QLQ-C30 and body image (α = 0.510) of EORTC QLQ-BR23. Multiple-trait scaling analysis demonstrated a good convergent and divergent validity. No scaling errors were observed. Most items in EORTC QLQ-BR23 possessed a weak or no correlation with its own dimension in EORTC QLQ-C30 (r &lt; 0.4) except with some of symptom scales. A statistically significant chemotherapy induced quality of life scores changes (P ≤ 0.05) were observed in all dimensions of both instruments between baseline and the end of first cycle chemotherapy, except for body image (P = 0.985) and sexual enjoyment (P = 0.817) of EORTC QLQ-BR23, indicating clinical validity. 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Gebremariam, Esayas Tadesse ; Ali, Getnet Yimer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-b9d23c3b7efe4077470a4544444844481149897bf06c2e979a3be9faee8804f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Amharic</topic><topic>Analysis</topic><topic>Body image</topic><topic>Body Image - psychology</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - psychology</topic><topic>Cancer patients</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Clinical trials</topic><topic>Cognitive ability</topic><topic>Convergence</topic><topic>Correlation analysis</topic><topic>Epidemiology</topic><topic>Ethiopia</topic><topic>Female</topic><topic>Health</topic><topic>Health Surveys - standards</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Modules</topic><topic>Oncology</topic><topic>Patients</topic><topic>Quality assessment</topic><topic>Quality of Life</topic><topic>Reliability analysis</topic><topic>Reproducibility of Results</topic><topic>Self image</topic><topic>Sociodemographics</topic><topic>Statistical analysis</topic><topic>Translations</topic><topic>Validation</topic><topic>Validity</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gadisa, Diriba Alemayehu</creatorcontrib><creatorcontrib>Gebremariam, Esayas Tadesse</creatorcontrib><creatorcontrib>Ali, Getnet Yimer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>ProQuest Health &amp; 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So far, the two most frequently used tools for assessing health related quality of life in breast cancer patients, EORTC QLQ-C30 and EORTC QLQ-BR23 modules, were not validated in Ethiopia. Hence, the present study aimed to assess the psychometric properties of the tools among Ethiopian breast cancer patients. Institutional based longitudinal study was conducted from January 1 to May 1, 2017 GC at only nationwide oncology center, Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia. A total of 146 patients who visited the facility during that period, with no missing quality of life data, were selected for analysis. The psychometric properties of the EORTC QLQ-C30 and EORTC QLQ-BR23 were evaluated in terms of reliability, convergent, divergent, construct and clinical validity using SPSS version 22. Satisfactory internal consistency reliability (Cronbach's α coefficients &gt; 0.7) was confirmed, except for cognitive function (α = 0.516) of EORTC QLQ-C30 and body image (α = 0.510) of EORTC QLQ-BR23. Multiple-trait scaling analysis demonstrated a good convergent and divergent validity. No scaling errors were observed. Most items in EORTC QLQ-BR23 possessed a weak or no correlation with its own dimension in EORTC QLQ-C30 (r &lt; 0.4) except with some of symptom scales. A statistically significant chemotherapy induced quality of life scores changes (P ≤ 0.05) were observed in all dimensions of both instruments between baseline and the end of first cycle chemotherapy, except for body image (P = 0.985) and sexual enjoyment (P = 0.817) of EORTC QLQ-BR23, indicating clinical validity. Amharic version of the EORTC QLQ-C30 and EORTC QLQ-BR23 modules are valid and adequately reliable tool and can be used for clinical and epidemiological cancer researches to study the health related quality of life (HRQoL) of women with breast cancer in Ethiopia.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31830992</pmid><doi>10.1186/s12955-019-1257-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7047-2394</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Amharic
Analysis
Body image
Body Image - psychology
Breast cancer
Breast Neoplasms - psychology
Cancer patients
Cancer therapies
Care and treatment
Chemotherapy
Clinical trials
Cognitive ability
Convergence
Correlation analysis
Epidemiology
Ethiopia
Female
Health
Health Surveys - standards
Humans
Longitudinal Studies
Medical imaging
Middle Aged
Modules
Oncology
Patients
Quality assessment
Quality of Life
Reliability analysis
Reproducibility of Results
Self image
Sociodemographics
Statistical analysis
Translations
Validation
Validity
Women
Womens health
title Reliability and validity of Amharic version of EORTC QLQ-C30 and QLQ-BR23 modules for assessing health-related quality of life among breast cancer patients in Ethiopia
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