Skip to main content
Erschienen in: Quality of Life Research 5/2009

01.06.2009

Measurement equivalence of osteoporosis-specific and general quality-of-life instruments in Aboriginal and non-Aboriginal women

verfasst von: Lisa M. Lix, Colleen Metge, William D. Leslie

Erschienen in: Quality of Life Research | Ausgabe 5/2009

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To test the measurement equivalence (i.e., invariance) of osteoporosis-specific and general health-related quality-of-life (HRQOL) instruments in Canadian Aboriginal and non-Aboriginal women.

Methods

A total of 258 Aboriginal and 181 non-Aboriginal women were recruited to the First Nations Bone Health Study from rural and urban sites in the province of Manitoba, Canada. The Medical Outcomes Study Short Form-36 (SF-36) and the mini-Osteoporosis Quality of Life Questionnaire (mini-OQLQ) were administered to study participants by trained interviewers. Confirmatory factor analysis techniques were adopted to test hypotheses about four forms of invariance for the two groups using likelihood ratio tests and other goodness-of-fit indices.

Results

For the mini-OQLQ instrument configural and metric invariance were satisfied, indicating that both groups have the same conceptualization of osteoporotic quality of life and the concepts have equivalent meaning. However, scalar and complete invariance were not satisfied for this instrument. The SF-36 exhibited complete invariance in the two groups.

Conclusions

Measurement equivalence, which is required to conduct valid group comparisons, was not demonstrated for the disease-specific quality-of-life instrument but was supported for the general instrument. Ethnicity appears to influence responses about the effects of osteoporosis on quality of life.
Fußnoten
1
In Canada, the terms Aboriginal or Native are used to refer to “Indians,” and includes First Nations, Metis, and Inuit peoples. First Nations are Aboriginal peoples signatory to treaties and/or recognized by the federal government as a fiduciary responsibility. This paper reports on data derived exclusively from First Nations populations, which represent the large majority of Aboriginal persons living in Canada.
 
Literatur
2.
Zurück zum Zitat Avis, N. E., Assmann, S. F., Kravitz, H. M., Ganz, P. A., & Ory, M. (2004). Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research, 13, 933–946. doi:10.1023/B:QURE.0000025582.91310.9f.PubMedCrossRef Avis, N. E., Assmann, S. F., Kravitz, H. M., Ganz, P. A., & Ory, M. (2004). Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research, 13, 933–946. doi:10.​1023/​B:​QURE.​0000025582.​91310.​9f.PubMedCrossRef
3.
Zurück zum Zitat Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the US general population. Quality of Life Research, 14, 2187–2196. doi:10.1007/s11136-005-8028-5.PubMedCrossRef Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the US general population. Quality of Life Research, 14, 2187–2196. doi:10.​1007/​s11136-005-8028-5.PubMedCrossRef
5.
Zurück zum Zitat Vandenburg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3, 4–70. doi:10.1177/109442810031002.CrossRef Vandenburg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3, 4–70. doi:10.​1177/​109442810031002.CrossRef
7.
Zurück zum Zitat Bjerregaard, P., Young, T. K., Dewailly, E., & Ebbesson, S. O. (2004). Indigenous health in the Arctic: An overview of the circumpolar Inuit population. Scandinavian Journal of Public Health, 32, 390–395. doi:10.1080/14034940410028398.PubMedCrossRef Bjerregaard, P., Young, T. K., Dewailly, E., & Ebbesson, S. O. (2004). Indigenous health in the Arctic: An overview of the circumpolar Inuit population. Scandinavian Journal of Public Health, 32, 390–395. doi:10.​1080/​1403494041002839​8.PubMedCrossRef
10.
Zurück zum Zitat Thommasen, H.V., Patenaude, J., Anderson, N., McArthur, A., & Tildesley, H. (2004). Differences in diabetic co-morbidity between Aboriginal and non-Aboriginal people living in Bella Coola, Canada. The International and Electronic Journal of Rural and Remote Health Research, Education, Practice and Policy. http://rrh.deakin.edu.au/. Accessed 7 March 2007. Thommasen, H.V., Patenaude, J., Anderson, N., McArthur, A., & Tildesley, H. (2004). Differences in diabetic co-morbidity between Aboriginal and non-Aboriginal people living in Bella Coola, Canada. The International and Electronic Journal of Rural and Remote Health Research, Education, Practice and Policy. http://​rrh.​deakin.​edu.​au/​. Accessed 7 March 2007.
11.
Zurück zum Zitat Leslie, W. D., Derksen, S., Metge, C. J., Lix, L. M., Salamon, E. A., Steiman, P. W., et al. (2004). Fracture risk among first nations people: A retrospective matched cohort study. Canadian Medical Association Journal, 171, 869–873. doi:10.1503/cmaj.1031624.PubMedCrossRef Leslie, W. D., Derksen, S., Metge, C. J., Lix, L. M., Salamon, E. A., Steiman, P. W., et al. (2004). Fracture risk among first nations people: A retrospective matched cohort study. Canadian Medical Association Journal, 171, 869–873. doi:10.​1503/​cmaj.​1031624.PubMedCrossRef
12.
Zurück zum Zitat Leslie, W. D., Derksen, S., Prior, H. J., Lix, L. M., Metge, C., & O’Neil, J. D. (2006). The interaction of ethnicity and chronic disease as risk factors for osteoporotic fractures: A comparison in Canadian Aboriginals and non-Aboriginals. Osteoporosis International, 17, 1358–1368. doi:10.1007/s00198-006-0111-4.PubMedCrossRef Leslie, W. D., Derksen, S., Prior, H. J., Lix, L. M., Metge, C., & O’Neil, J. D. (2006). The interaction of ethnicity and chronic disease as risk factors for osteoporotic fractures: A comparison in Canadian Aboriginals and non-Aboriginals. Osteoporosis International, 17, 1358–1368. doi:10.​1007/​s00198-006-0111-4.PubMedCrossRef
13.
Zurück zum Zitat Brenneman, S. K., Barrett-Connor, E., Sajjan, S., Markson, L. E., & Siris, E. S. (2006). Impact of recent fracture on health-related quality of life in postmenopausal women. Journal of Bone and Mineral Research, 21, 809–816. doi:10.1359/jbmr.060301.PubMedCrossRef Brenneman, S. K., Barrett-Connor, E., Sajjan, S., Markson, L. E., & Siris, E. S. (2006). Impact of recent fracture on health-related quality of life in postmenopausal women. Journal of Bone and Mineral Research, 21, 809–816. doi:10.​1359/​jbmr.​060301.PubMedCrossRef
14.
Zurück zum Zitat Salaaffi, F., Cimmino, M. A., Malavolta, N., Carotti, M., Di Matteo, L., & Scendoni, P. (2007). The burden of prevalent fractures on health-related quality of life in postmenopausal women with osteoporosis: The IMOF study. The Journal of Rheumatology, 34, 1551–1560. Salaaffi, F., Cimmino, M. A., Malavolta, N., Carotti, M., Di Matteo, L., & Scendoni, P. (2007). The burden of prevalent fractures on health-related quality of life in postmenopausal women with osteoporosis: The IMOF study. The Journal of Rheumatology, 34, 1551–1560.
15.
Zurück zum Zitat Cook, D. J., Guyatt, G. H., Adachi, J. D., Epstein, R. S., Juniper, E. F., Austin, P. A., et al. (1999). Development and validation of the mini-Osteoporosis Quality of Life Questionnaire (OQLQ) in osteoporotic women with back pain due to vertebral fractures. Osteoporosis Quality of Life Study Group. Osteoporosis International, 10, 207–213. doi:10.1007/s001980050217.PubMedCrossRef Cook, D. J., Guyatt, G. H., Adachi, J. D., Epstein, R. S., Juniper, E. F., Austin, P. A., et al. (1999). Development and validation of the mini-Osteoporosis Quality of Life Questionnaire (OQLQ) in osteoporotic women with back pain due to vertebral fractures. Osteoporosis Quality of Life Study Group. Osteoporosis International, 10, 207–213. doi:10.​1007/​s001980050217.PubMedCrossRef
16.
Zurück zum Zitat Ware, J. E., Jr., Snow, K. K., Kosinski, M., et al. (1993). SF-36 health survey: Manual and interpretation guide. Boston MA: The Health Institute, New England Medical Center. Ware, J. E., Jr., Snow, K. K., Kosinski, M., et al. (1993). SF-36 health survey: Manual and interpretation guide. Boston MA: The Health Institute, New England Medical Center.
17.
Zurück zum Zitat Adachi, J. D., Ioannidis, G., Olszynski, W. P., Brown, J. P., et al. (2002). The impact of incident vertebral and non-vertebral fractures on health related quality of life in postmenopausal women. BMC Musculoskeletal Disorders, 3, 11. doi:10.1186/1471-2474-3-11.PubMedCrossRef Adachi, J. D., Ioannidis, G., Olszynski, W. P., Brown, J. P., et al. (2002). The impact of incident vertebral and non-vertebral fractures on health related quality of life in postmenopausal women. BMC Musculoskeletal Disorders, 3, 11. doi:10.​1186/​1471-2474-3-11.PubMedCrossRef
18.
Zurück zum Zitat Badia, X., Diez-Perez, A., Alvarez-Sanz, C., Diaz-Lopez, B., Diaz-Curiel, M., Guillen, F., et al. (2001). Measuring the quality of life in women with vertebral fractures due to osteoporosis: A comparison of the OQLQ and QUALEFFO. Quality of Life Research, 10, 307–317. doi:10.1023/A:1012200508847.PubMedCrossRef Badia, X., Diez-Perez, A., Alvarez-Sanz, C., Diaz-Lopez, B., Diaz-Curiel, M., Guillen, F., et al. (2001). Measuring the quality of life in women with vertebral fractures due to osteoporosis: A comparison of the OQLQ and QUALEFFO. Quality of Life Research, 10, 307–317. doi:10.​1023/​A:​1012200508847.PubMedCrossRef
19.
Zurück zum Zitat Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Jr, Aaronson, N. K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) project. Quality of Life Research, 13, 283–298. doi:10.1023/B:QURE.0000018472.46236.05.PubMedCrossRef Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Jr, Aaronson, N. K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) project. Quality of Life Research, 13, 283–298. doi:10.​1023/​B:​QURE.​0000018472.​46236.​05.PubMedCrossRef
20.
Zurück zum Zitat Anderson, R. T., Aaronson, N. K., Bullinger, M., & McBee, W. L. (1996). A review of the progress towards developing health-related quality-of-life instruments for international clinical studies and outcomes research. PharmacoEconomics, 10, 336–355. doi:10.2165/00019053-199610040-00004.PubMedCrossRef Anderson, R. T., Aaronson, N. K., Bullinger, M., & McBee, W. L. (1996). A review of the progress towards developing health-related quality-of-life instruments for international clinical studies and outcomes research. PharmacoEconomics, 10, 336–355. doi:10.​2165/​00019053-199610040-00004.PubMedCrossRef
21.
Zurück zum Zitat Keller, S. D., Ware, J. E., Jr, Bentler, P. M., Aaronson, N. K., Alonso, J., Apolone, G., et al. (1998). Use of structural equation modeling to test the construct validity of the SF-36 health survey in ten countries: Results from the IQOLA project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51, 1179–1188. doi:10.1016/S0895-4356(98)00110-3.PubMedCrossRef Keller, S. D., Ware, J. E., Jr, Bentler, P. M., Aaronson, N. K., Alonso, J., Apolone, G., et al. (1998). Use of structural equation modeling to test the construct validity of the SF-36 health survey in ten countries: Results from the IQOLA project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51, 1179–1188. doi:10.​1016/​S0895-4356(98)00110-3.PubMedCrossRef
22.
Zurück zum Zitat Jebamani, L. S., Burchill, C. A., & Martens, P. J. (2005). Using data linkage to identify first nations Manitobans: Technical, ethical, and political issues. Canadian Journal of Public Health, 96(Supplement), S28–S32. Jebamani, L. S., Burchill, C. A., & Martens, P. J. (2005). Using data linkage to identify first nations Manitobans: Technical, ethical, and political issues. Canadian Journal of Public Health, 96(Supplement), S28–S32.
23.
Zurück zum Zitat Martens, P., Bond, R., Jebamani, L., Burchill, C., Roos, N., Tnner-Spence, M., et al. (2002). The health and health care use of registered first nations people living in Manitoba: A population-based study. Manitoba Centre for Health Policy. Winnipeg: University of Manitoba. Martens, P., Bond, R., Jebamani, L., Burchill, C., Roos, N., Tnner-Spence, M., et al. (2002). The health and health care use of registered first nations people living in Manitoba: A population-based study. Manitoba Centre for Health Policy. Winnipeg: University of Manitoba.
24.
Zurück zum Zitat Badia, X., Díez-Pérez, A., Alvarez-Sanz, C., Díaz-López, B., Diaz-Curiel, M., Guillén, F., et al. (1997). Measuring quality of life in women with osteoporosis. Osteoporosis Quality of Life Study Group. Osteoporosis International, 7, 478–487. doi:10.1007/PL00004151.CrossRef Badia, X., Díez-Pérez, A., Alvarez-Sanz, C., Díaz-López, B., Diaz-Curiel, M., Guillén, F., et al. (1997). Measuring quality of life in women with osteoporosis. Osteoporosis Quality of Life Study Group. Osteoporosis International, 7, 478–487. doi:10.​1007/​PL00004151.CrossRef
25.
Zurück zum Zitat Badia, X., Diez-Perez, A., Lahoz, R., Lizan, L., Nogues, X., & Iborra, J. (2004). The ECOS-16 questionnaire for the evaluation of health related quality of life in post-menopausal women with osteoporosis. Health and Quality of Life Outcomes, 2, 41. doi:10.1186/1477-7525-2-41.PubMedCrossRef Badia, X., Diez-Perez, A., Lahoz, R., Lizan, L., Nogues, X., & Iborra, J. (2004). The ECOS-16 questionnaire for the evaluation of health related quality of life in post-menopausal women with osteoporosis. Health and Quality of Life Outcomes, 2, 41. doi:10.​1186/​1477-7525-2-41.PubMedCrossRef
26.
Zurück zum Zitat de Vet, H. C. S., Ader, H. J., Berwee, C. B., & Pouwer, F. (2005). Are factor analytical techniques used appropriately in the validation of health status questionnaires? A systematic review on the quality of factor analysis of the SF-36. Quality of Life Research, 14, 1203–1218. doi:10.1007/s11136-004-5742-3.PubMedCrossRef de Vet, H. C. S., Ader, H. J., Berwee, C. B., & Pouwer, F. (2005). Are factor analytical techniques used appropriately in the validation of health status questionnaires? A systematic review on the quality of factor analysis of the SF-36. Quality of Life Research, 14, 1203–1218. doi:10.​1007/​s11136-004-5742-3.PubMedCrossRef
27.
Zurück zum Zitat Dauphinee, S. W., Gauthier, L., Gandek, B., Magnan, L., & Pierre, U. (1997). Reading a US measure of health status, the SF-36, for use in Canada. Clinical and Investigative Medicine. Medecine Clinique et Experimentale, 20, 224–238.PubMed Dauphinee, S. W., Gauthier, L., Gandek, B., Magnan, L., & Pierre, U. (1997). Reading a US measure of health status, the SF-36, for use in Canada. Clinical and Investigative Medicine. Medecine Clinique et Experimentale, 20, 224–238.PubMed
29.
Zurück zum Zitat Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press. Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.
30.
Zurück zum Zitat Joreskog, K. G., Sorbom, D., du Toit, S., & du Toit, M. (2001). LISREL 8: New statistical features. Lincolnwood, IL: Scientific Software International. Joreskog, K. G., Sorbom, D., du Toit, S., & du Toit, M. (2001). LISREL 8: New statistical features. Lincolnwood, IL: Scientific Software International.
31.
Zurück zum Zitat Blom, G. (1958). Statistical estimates and transformed beta-variables. New York: Wiley. Blom, G. (1958). Statistical estimates and transformed beta-variables. New York: Wiley.
32.
Zurück zum Zitat Horn, J. L., & McArdle, J. J. (1992). A practical and theoretical guide to measurement invariance in aging research. Experimental Aging Research, 18, 117–144.PubMed Horn, J. L., & McArdle, J. J. (1992). A practical and theoretical guide to measurement invariance in aging research. Experimental Aging Research, 18, 117–144.PubMed
33.
Zurück zum Zitat Loehlin, J. C. (2004). Latent variable models: An introduction to factor, path, and structural equation analysis (4th ed.). Mahwah, NJ: Lawrence Erlbaum Associates. Loehlin, J. C. (2004). Latent variable models: An introduction to factor, path, and structural equation analysis (4th ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
34.
Zurück zum Zitat Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage Publications. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage Publications.
36.
Zurück zum Zitat Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
38.
Zurück zum Zitat Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9, 233–255.CrossRef Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9, 233–255.CrossRef
39.
Zurück zum Zitat SAS Institute, Inc. (2004). SAS/STAT user’s guide, version 9. Cary, NC: SAS Institute, Inc. SAS Institute, Inc. (2004). SAS/STAT user’s guide, version 9. Cary, NC: SAS Institute, Inc.
40.
Zurück zum Zitat Joreskog, K. G., & Sorbom, D. (1996). LISREL 8: User’s reference guide. Chicago, IL: Scientific Software International. Joreskog, K. G., & Sorbom, D. (1996). LISREL 8: User’s reference guide. Chicago, IL: Scientific Software International.
42.
Zurück zum Zitat Papaioannou, A., Kennedy, C. C., Ioannidis, G., Brown, J. P., Pathak, A., Hanley, D. A., et al. (2006). Determinants of health-related quality of life in women with vertebral fractures. Osteoporosis International, 17, 355–363. doi:10.1007/s00198-005-2020-3.PubMedCrossRef Papaioannou, A., Kennedy, C. C., Ioannidis, G., Brown, J. P., Pathak, A., Hanley, D. A., et al. (2006). Determinants of health-related quality of life in women with vertebral fractures. Osteoporosis International, 17, 355–363. doi:10.​1007/​s00198-005-2020-3.PubMedCrossRef
44.
Zurück zum Zitat Hopman, W. M., Towheed, T., Anastassiades, T., Tenenhouse, A., Poliquin, S., Berger, C., et al. (2000). Canadian normative data for the SF-36 health survey. Canadian multicentre osteoporosis study research group. Canadian Medical Association Journal, 163, 265–271.PubMed Hopman, W. M., Towheed, T., Anastassiades, T., Tenenhouse, A., Poliquin, S., Berger, C., et al. (2000). Canadian normative data for the SF-36 health survey. Canadian multicentre osteoporosis study research group. Canadian Medical Association Journal, 163, 265–271.PubMed
45.
Zurück zum Zitat Lips, P., Cooper, C., Agnusdei, D., Caulin, F., Egger, P., Johnell, O., et al. (1997). Quality of life as outcome in the treatment of osteoporosis: The development of a questionnaire for quality of life by the European foundation for osteoporosis. Osteoporosis International, 7, 36–38. doi:10.1007/BF01623457.PubMedCrossRef Lips, P., Cooper, C., Agnusdei, D., Caulin, F., Egger, P., Johnell, O., et al. (1997). Quality of life as outcome in the treatment of osteoporosis: The development of a questionnaire for quality of life by the European foundation for osteoporosis. Osteoporosis International, 7, 36–38. doi:10.​1007/​BF01623457.PubMedCrossRef
46.
Zurück zum Zitat Lips, P. (1999). Prevention of corticosteroid induced osteoporosis. British Medical Journal, 318, 1366–1367.PubMed Lips, P. (1999). Prevention of corticosteroid induced osteoporosis. British Medical Journal, 318, 1366–1367.PubMed
47.
Zurück zum Zitat Randell, A. G., Bhalerao, N., Nguyen, T. V., Sambrook, P. N., Eisman, J. A., & Silverman, S. L. (1998). Quality of life in osteoporosis: Reliability, consistency, and validity of the osteoporosis assessment questionnaire. The Journal of Rheumatology, 25, 1171–1179.PubMed Randell, A. G., Bhalerao, N., Nguyen, T. V., Sambrook, P. N., Eisman, J. A., & Silverman, S. L. (1998). Quality of life in osteoporosis: Reliability, consistency, and validity of the osteoporosis assessment questionnaire. The Journal of Rheumatology, 25, 1171–1179.PubMed
48.
Zurück zum Zitat Kind, P., Brooks, R., & Rabin, R. (1996). EQ-5D concepts and methods: A developmental history. The Netherlands: Springer. Kind, P., Brooks, R., & Rabin, R. (1996). EQ-5D concepts and methods: A developmental history. The Netherlands: Springer.
50.
Metadaten
Titel
Measurement equivalence of osteoporosis-specific and general quality-of-life instruments in Aboriginal and non-Aboriginal women
verfasst von
Lisa M. Lix
Colleen Metge
William D. Leslie
Publikationsdatum
01.06.2009
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 5/2009
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9470-6

Weitere Artikel der Ausgabe 5/2009

Quality of Life Research 5/2009 Zur Ausgabe