Further Validation of the Uterine Fibroid Symptom and Quality-of-Life Questionnaire

• Published in: Value in health 2012-01, Vol.15 (1), p.135-142
• Main Authors: Coyne, Karin S., PhD, MPH, Margolis, Mary Kay, MPH, MHA, Bradley, Linda D., MD, Guido, Richard, MD, Maxwell, G. Larry, MD, MC, Spies, James B., MD, MPH
• Format: Article
• Language: English
• Subjects: Adult; Comorbidity; Female; Fibroids; Health Status; health-related quality of life; Humans; Internal Medicine; Leiomyoma - physiopathology; Leiomyoma - psychology; Magnitude; Mental Health; Middle Aged; Patient-reported outcomes; Prospective Studies; Psychometrics; Quality of Life; Reproducibility of Results; Responsiveness; Socioeconomic Factors; Surveys and Questionnaires; Symptoms; Uterine fibroids; Women
• ISSN: 1098-3015; 1524-4733
• DOI: 10.1016/j.jval.2011.07.007

Abstract Objective To further examine the reliability, validity and responsiveness of the uterine fibroid symptom and quality-of-life (UFS-QOL) questionnaire among women with and without uterine fibroids. Methods A multicenter, non-randomized, prospective study was conducted with women undergoing treatment for uterine fibroids (fibroid treatment group [FTG]) and normal controls (normal control group [NCG]). Women in the FTG were recruited when they were scheduled for treatment; women in the NCG were recruited during their annual exam. Participants completed the UFS-QOL and a short form 36 health survey (SF-36) at enrollment and at 6 and 12 months. Descriptive statistics, Cronbach's alpha, Spearman's correlations, t tests, and general linear models were used to analyze the internal consistency and test–retest reliability, concurrent and discriminant validity, and responsiveness of the UFS-QOL. Results There were 89 NCG and 234 FTG women who completed the study. Mean age was 43.1 years for FTG and 40.8 for NCG ( P < 0.001). The FTG reported significantly greater symptom severity and worse health-related quality of life (HRQL) than the NCG (all UFS-QOL subscales P < 0.001). The UFS-QOL subscales were significantly correlated in the expected direction and magnitude with each SF-36 subscale in the FTG, indicating acceptable concurrent validity. Cronbach's alphas were 0.73 to 0.97, reflecting adequate internal consistency. Each UFS-QOL subscale was responsive to changes after treatment in the FTG with effect sizes ranging between 1.1 and −2.35. The UFS-QOL remained stable in the NCG during the 1 year follow-up. Conclusion The UFS-QOL is a valid and reliable measure to assess symptoms and HRQL in women with uterine fibroids and is highly responsive to treatment-related changes.