A Chinese Version of the City of Hope Quality of Life-Ostomy Questionnaire
and Department of Nursing Research and Quality Outcomes and Clinical and Community Research Center, Children's National Medical Center, School of Medicine, The George Washington University, Washington, DC (Dr Hinds).Cancer nursing (Impact Factor: 1.97). 04/2012; 36(1). DOI: 10.1097/NCC.0b013e3182479c59
BACKGROUND:: The City of Hope Quality of Life-Ostomy Questionnaire is a widely accepted scale to assess quality of life in ostomy patients. However, the validity and reliability of the Chinese version (C-COH) have not been studied. OBJECTIVE:: The objective of the study was to assess the validity and reliability of the C-COH among ostomy patients sampled from Shanghai from August 2010 to June 2011. METHODS:: Content validity was examined based on the reviews of a panel of 10 experts; test-retest was conducted to assess the item reliabilities of the scale; a pilot sample (n = 274) was selected to explore the factorial structure of the C-COH using exploratory factor analysis; a validation sample (n = 370) was selected to confirm the findings from the exploratory study using confirmatory factor analysis (CFA). Statistical package SPSS version 16.0 was used for the exploratory factor analysis, and Amos 17.0 was used for the CFA. RESULTS:: The C-COH was developed by modifying 1 item and excluding 11 items from the original scale. Four factors/subscales (physical well-being, psychological well-being, social well-being, and spiritual well-being) were identified and confirmed in the C-COH The scale reliabilities estimated from the CFA results for the 4 subscales were 0.860, 0.885, 0.864, and 0.686, respectively. CONCLUSIONS:: Findings support the reliability and validity of the C-COH. IMPLICATIONS FOR PRACTICE:: The C-COH could be a useful measure of the level of quality of life among Chinese patients with a stoma and may provide important intervention implications for healthcare providers to help improve the life quality of patients with a stoma.
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- "Subscale scores are calculated by adding all the scores of each subscale and dividing their sum by the number of items in that subscale. A total QOL score is calculated by adding the scores on all 10-point items and dividing by the total number of items. "
ABSTRACT: Background:Since there is no disease-specific instrument for measuring quality-of-life (QOL) in Ostomy patients in Persian language.Aim:This study was designed to translate and evaluate the validity and reliability of City of Hope-quality of life-Ostomy questionnaire (COH-QOL-Ostomy questionnaire).Subjects and Methods:This study was designed as cross-sectional study. Reliability of the subscales and the summary scores were demonstrated by intra-class correlation coefficients. Pearson's correlations of an item with its own scale and other scales were calculated to evaluated convergent and discriminant validity. Clinical validity was also evaluated by known-group comparisons.Results:Cronbach's alpha coefficient for all subscales was about 0.70 or higher. Results of interscale correlation were satisfactory and each subscale only measured a single and specified trait. All subscales met the standards of convergent and discriminant validity. Known group comparison analysis showed significant differences in social and spiritual well-being.Conclusion:The findings confirmed the reliability and validity of Persian version of COH-QOL-Ostomy questionnaire. The instrument was also well received by the Iranian patients. It can be considered as a valuable instrument to assess the different aspects of health related quality-of-life in Ostomy patients and used in clinical research in the future.
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ABSTRACT: The Ostomy Adjustment Scale (OAS) has been widely used to measure the adjustment to an ostomy. Although the instrument had been used among subjects from various backgrounds, psychometric properties had never been evaluated. The primary aim of this study was to test the psychometric properties of the OAS among Chinese colostomy patients, and the secondary aim was to examine the predictors of colostomy adjustment. The translated OAS was tested using a convenience sample of 207 colostomy patients from a university-affiliated cancer center in China. The content validity of the OAS was 0.91. Four items were removed during the process of validity and reliability testing. The final Chinese version of the OAS consisted of 30 items (OAS-C-30) with 4 subscales as follows: negative affect, normal functioning, therapy attitude, and life worry. The Cronbach's α, the intraclass correlation, and a split-half Spearman-Brown coefficient for the total scale were 0.915, 0.902 and 0.871, respectively. Multiple linear regression analysis showed that stoma self-efficacy, stoma acceptance, excessive aerofluxus, constipation, family relationship, and body image loss were the predictors of adjustment among Chinese colostomy patients. The OAS-C-30 has been proven to be a valid and reliable measure to assess the adjustment among colostomy patients. The OAS-C-30 is a useful instrument to assess and monitor the level of adjustment among patients with permanent colostomies. The identified predictor variables for adjustment also provide insights to clinicians to assist them in planning interventions to facilitate the adjustment of colostomy patients.
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