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Erschienen in: Quality of Life Research 6/2013

01.08.2013

Validation of the Arabic version of the EORTC quality of life questionnaire among cancer patients in Lebanon

verfasst von: Huda Abu-Saad Huijer, Knar Sagherian, Hani Tamim

Erschienen in: Quality of Life Research | Ausgabe 6/2013

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Abstract

Purpose

The objective of this article was to evaluate the psychometric properties of the translated Lebanese Arabic version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 in a sample of adult cancer patients in Lebanon.

Methods

The EORTC QLQ-C30 was translated into Lebanese Arabic and administered to a convenient sample of 200 adult patients diagnosed with cancer at a tertiary care center in Lebanon between 2009 and 2010. The psychometric indices assessed were reliability, multitrait scaling analysis, construct validity, and confirmatory factor analysis.

Results

Six out of nine subscales had Cronbach’s alpha coefficients above 0.70. Multitrait scaling analysis showed that all item-scale correlation coefficients met the set standards of convergent validity with the exception of item 5 only (95.8 %). In addition, 79.7 % of the item-scale correlation coefficients met the criterion for discriminant validity. In inter-scale correlations, all conceptually related scales had correlation coefficients of ≥0.40 with the exception of role functioning and fatigue scales having an undesirable correlation coefficient of −0.76. In known-groups comparison, the instrument differentiated significantly between some of the subscales with respect to education, employment, and age. CFA showed an almost good fit (GFI = 0.87) with respect to our current data set.

Conclusion

The translated Lebanese Arabic version of the EORTC QLQ-C30 is a reliable and valid instrument that can be used to assess the quality of life of Lebanese cancer patients.
Literatur
1.
Zurück zum Zitat Guzelant, A., Goksel, T., Ozkok, S., Tasbakan, S., Aysant, T., & Bottomley, A. (2004). The European organization for research and treatment of cancer QLQ-C30: An examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. European Journal of Cancer Care, 13, 135–144.PubMedCrossRef Guzelant, A., Goksel, T., Ozkok, S., Tasbakan, S., Aysant, T., & Bottomley, A. (2004). The European organization for research and treatment of cancer QLQ-C30: An examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. European Journal of Cancer Care, 13, 135–144.PubMedCrossRef
2.
Zurück zum Zitat Palmer, J. L., & Fisch, M. J. (2005). Association between symptom distress and survival in outpatients seen in a palliative care cancer center. Journal of Pain and Symptom Management, 29(6), 565–571.PubMedCrossRef Palmer, J. L., & Fisch, M. J. (2005). Association between symptom distress and survival in outpatients seen in a palliative care cancer center. Journal of Pain and Symptom Management, 29(6), 565–571.PubMedCrossRef
3.
Zurück zum Zitat Minasian, L. M., O’Mara, A. M., Reeve, B. B., Denicoff, A. M., Kelaghan, J., Rowland, J. H., et al. (2007). Health-related quality of life and symptom management research sponsored by the National Cancer Institute. Journal of Clinical Oncology, 25, 5128–5132.PubMedCrossRef Minasian, L. M., O’Mara, A. M., Reeve, B. B., Denicoff, A. M., Kelaghan, J., Rowland, J. H., et al. (2007). Health-related quality of life and symptom management research sponsored by the National Cancer Institute. Journal of Clinical Oncology, 25, 5128–5132.PubMedCrossRef
4.
Zurück zum Zitat Perwitasari, D. A., Atthobari, J., Dwiprahasto, I., Hakimi, M., Gelderblom, H., Putter, H., et al. (2011). Translation and validation of EORTC QLQ-C30 into Indonesian version for cancer patients in Indonesia. Japanese Journal of Clinical Oncology, 41(4), 519–529.PubMedCrossRef Perwitasari, D. A., Atthobari, J., Dwiprahasto, I., Hakimi, M., Gelderblom, H., Putter, H., et al. (2011). Translation and validation of EORTC QLQ-C30 into Indonesian version for cancer patients in Indonesia. Japanese Journal of Clinical Oncology, 41(4), 519–529.PubMedCrossRef
5.
Zurück zum Zitat Lehto, U. S., Ojanen, M., & Kellokumpu-Lehtinen, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Annals of Oncology, 16, 805–816.PubMedCrossRef Lehto, U. S., Ojanen, M., & Kellokumpu-Lehtinen, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Annals of Oncology, 16, 805–816.PubMedCrossRef
6.
Zurück zum Zitat Pal Singh, D. (2010). Quality of life in cancer patients receiving palliative care. Indian Journal of Palliative Care, 16(1), 36–43.CrossRef Pal Singh, D. (2010). Quality of life in cancer patients receiving palliative care. Indian Journal of Palliative Care, 16(1), 36–43.CrossRef
7.
Zurück zum Zitat Buccheri, G., Ferrigno, D., & Tamburini, M. (1996). Karnofsky and ECOG performance status scoring in lung cancer: A prospective, longitudinal study of 536 patients from a single institution. European Journal of Cancer, 32A(7), 1135–1141.PubMedCrossRef Buccheri, G., Ferrigno, D., & Tamburini, M. (1996). Karnofsky and ECOG performance status scoring in lung cancer: A prospective, longitudinal study of 536 patients from a single institution. European Journal of Cancer, 32A(7), 1135–1141.PubMedCrossRef
8.
Zurück zum Zitat Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376.PubMedCrossRef Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). The European organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376.PubMedCrossRef
9.
Zurück zum Zitat Koller, M., Aaronson, N. K., Blazeby, J., Bottomley, A., Dewolf, L., Fayers, P., et al. (2007). Translation procedures for standardised quality of life questionnaires: The European organization for research and treatment of cancer (EORTC) approach. European Journal of Cancer, 43, 1810–1820.PubMedCrossRef Koller, M., Aaronson, N. K., Blazeby, J., Bottomley, A., Dewolf, L., Fayers, P., et al. (2007). Translation procedures for standardised quality of life questionnaires: The European organization for research and treatment of cancer (EORTC) approach. European Journal of Cancer, 43, 1810–1820.PubMedCrossRef
10.
Zurück zum Zitat Bjordal, K., de Graeff, A., Fayers, P. M., Hammerlid, E., van Pottelsberghe, C., Curran, D., et al. (2000). A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC quality of life group. European Journal of Cancer, 36, 1796–1807.PubMedCrossRef Bjordal, K., de Graeff, A., Fayers, P. M., Hammerlid, E., van Pottelsberghe, C., Curran, D., et al. (2000). A 12 country field study of the EORTC QLQ-C30 (version 3.0) and the head and neck cancer specific module (EORTC QLQ-H&N35) in head and neck patients. EORTC quality of life group. European Journal of Cancer, 36, 1796–1807.PubMedCrossRef
11.
Zurück zum Zitat Hoopman, R., Muller, M. J., Terwee, C. B., & Aaronson, N. K. (2006). Translation and validation of the EORTC QLQ-C30 for use among Turkish and Moroccan ethnic minority cancer patients in the Netherlands. European Journal of Cancer, 42, 1839–1847.PubMedCrossRef Hoopman, R., Muller, M. J., Terwee, C. B., & Aaronson, N. K. (2006). Translation and validation of the EORTC QLQ-C30 for use among Turkish and Moroccan ethnic minority cancer patients in the Netherlands. European Journal of Cancer, 42, 1839–1847.PubMedCrossRef
12.
Zurück zum Zitat Awad, M. A., Denic, S., & El-Hakam, T. (2008). Validation of the European organization for research and treatment of cancer quality of life questionnaires for Arabic-speaking populations. Annals of the New York Academy of Sciences, 1138, 146–154.PubMedCrossRef Awad, M. A., Denic, S., & El-Hakam, T. (2008). Validation of the European organization for research and treatment of cancer quality of life questionnaires for Arabic-speaking populations. Annals of the New York Academy of Sciences, 1138, 146–154.PubMedCrossRef
13.
Zurück zum Zitat Alawadhi, S. A., & Ohaeri, J. U. (2010). Validity and reliability of the European organization for research and treatment in cancer quality of life questionnaire (EORTC QLQ): Experience from Kuwait using a sample of women with breast cancer. Annals of Saudi Medicine, 30(5), 390–396.PubMed Alawadhi, S. A., & Ohaeri, J. U. (2010). Validity and reliability of the European organization for research and treatment in cancer quality of life questionnaire (EORTC QLQ): Experience from Kuwait using a sample of women with breast cancer. Annals of Saudi Medicine, 30(5), 390–396.PubMed
14.
Zurück zum Zitat Abu-Saad Huijer, H., Abboud, S. & Doumit, M. (2012). Symptom prevalence and management of cancer patients in Lebanon. Journal of Pain and Symptom Management. (in Press). Abu-Saad Huijer, H., Abboud, S. & Doumit, M. (2012). Symptom prevalence and management of cancer patients in Lebanon. Journal of Pain and Symptom Management. (in Press).
15.
Zurück zum Zitat Abu-Saad Huijer, H., Doumit, M. Abboud, S., & Dimassi, H. (2012). Quality of palliative care; perspectives of Lebanese patients with cancer. Lebanese Medical Journal, 60(2). (in Press). Abu-Saad Huijer, H., Doumit, M. Abboud, S., & Dimassi, H. (2012). Quality of palliative care; perspectives of Lebanese patients with cancer. Lebanese Medical Journal, 60(2). (in Press).
16.
Zurück zum Zitat Fayers, P. M., Aaronson, N. K., Bjordal, K., Groenvold, M., Curran, D., & Bottomley, A. (2001). On behalf of the EORTC quality of life group. EORTC QLQ-C30 Scoring Manual (3rd ed.). Brussels: EORTC. Fayers, P. M., Aaronson, N. K., Bjordal, K., Groenvold, M., Curran, D., & Bottomley, A. (2001). On behalf of the EORTC quality of life group. EORTC QLQ-C30 Scoring Manual (3rd ed.). Brussels: EORTC.
17.
Zurück zum Zitat Varricchio, C. G. (2004). Measurements issues concerning linguistic translations. In M. Frank-Stromborg & J. Olsen (Eds.), Instruments for clinical health-care research (pp. 56–64). Boston: Jones and Barlett. Varricchio, C. G. (2004). Measurements issues concerning linguistic translations. In M. Frank-Stromborg & J. Olsen (Eds.), Instruments for clinical health-care research (pp. 56–64). Boston: Jones and Barlett.
18.
Zurück zum Zitat Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
19.
Zurück zum Zitat Hays, R. D., & Hayashi, T. (1990). Beyond internal consistency reliability: Rationale and user’s guide for multitrait analysis program on the microcomputer. Behavior Research Methods, Instruments, Computers, 22, 167–175.CrossRef Hays, R. D., & Hayashi, T. (1990). Beyond internal consistency reliability: Rationale and user’s guide for multitrait analysis program on the microcomputer. Behavior Research Methods, Instruments, Computers, 22, 167–175.CrossRef
20.
Zurück zum Zitat Marsh, H. W., Balla, J. R., & Hau, K. T. (1996). An evaluation of incremental fit indices: A clarification of mathematical and empirical properties. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modelling: Issues and techniques (pp. 315–535). London, NJ: Erlbaum Publishers. Marsh, H. W., Balla, J. R., & Hau, K. T. (1996). An evaluation of incremental fit indices: A clarification of mathematical and empirical properties. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modelling: Issues and techniques (pp. 315–535). London, NJ: Erlbaum Publishers.
21.
Zurück zum Zitat Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef
22.
Zurück zum Zitat Schwarz, R., & Hinz, A. (2001). Reference data for the quality of life questionnaire EORTC QLQ-C30 in the general German population. European Journal of Cancer, 37, 1345–1351.PubMedCrossRef Schwarz, R., & Hinz, A. (2001). Reference data for the quality of life questionnaire EORTC QLQ-C30 in the general German population. European Journal of Cancer, 37, 1345–1351.PubMedCrossRef
23.
Zurück zum Zitat Montazeri, A., Harirchi, I., Vahdani, M., Khaleghi, F., Jarvandi, S., Ebrahimi, M., et al. (1999). The European organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Translation and validation study of the Iranian version. Supportive Care in Cancer, 7, 400–406.PubMedCrossRef Montazeri, A., Harirchi, I., Vahdani, M., Khaleghi, F., Jarvandi, S., Ebrahimi, M., et al. (1999). The European organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Translation and validation study of the Iranian version. Supportive Care in Cancer, 7, 400–406.PubMedCrossRef
24.
Zurück zum Zitat Sherman, A. C., Simonton, S., Adams, A. C., Vural, E., Qwens, B., & Hanna, E. (2000). Assessing quality of life in patients with head and neck cancer. Archives of Otolaryngology- Head & Neck Surgery, 126, 459–467.CrossRef Sherman, A. C., Simonton, S., Adams, A. C., Vural, E., Qwens, B., & Hanna, E. (2000). Assessing quality of life in patients with head and neck cancer. Archives of Otolaryngology- Head & Neck Surgery, 126, 459–467.CrossRef
25.
Zurück zum Zitat Luo, N., Fones, C. S. L., Lim, S. E., Xie, F., Thumboo, J., & Li, S. C. (2005). The european organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Validation of English version in Singapore. Quality of Life Research, 14, 1181–1186.PubMedCrossRef Luo, N., Fones, C. S. L., Lim, S. E., Xie, F., Thumboo, J., & Li, S. C. (2005). The european organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Validation of English version in Singapore. Quality of Life Research, 14, 1181–1186.PubMedCrossRef
26.
Zurück zum Zitat Zhao, H., & Kanda, K. (2004). Testing psychometric properties of the standard Chinese version of the European organization for research and treatment of cancer quality of life core questionnaire 30 (EORTC QLQ-C30). Journal of Epidemiology, 14, 193–203.PubMedCrossRef Zhao, H., & Kanda, K. (2004). Testing psychometric properties of the standard Chinese version of the European organization for research and treatment of cancer quality of life core questionnaire 30 (EORTC QLQ-C30). Journal of Epidemiology, 14, 193–203.PubMedCrossRef
27.
Zurück zum Zitat Kobayashi, K., Takeda, F., Teramukai, S., Gotoh, I., Sakai, H., Yoneda, S., et al. (1998). A cross-validation of the European organization for research and treatment of cancer QLQ-C30 (EORTC QLQ-C30) for Japanese with lung cancer. European Journal of Cancer, 34(6), 810–815.PubMedCrossRef Kobayashi, K., Takeda, F., Teramukai, S., Gotoh, I., Sakai, H., Yoneda, S., et al. (1998). A cross-validation of the European organization for research and treatment of cancer QLQ-C30 (EORTC QLQ-C30) for Japanese with lung cancer. European Journal of Cancer, 34(6), 810–815.PubMedCrossRef
28.
Zurück zum Zitat Kontodimopoulos, N., Ntinoulis, K., & Niakas, D. (2011). Validity of the Greek EORTC QLQ-C30 and QLQ-BR23 for measuring health-related quality of life in breast cancer patients. European Journal of Cancer Care, 20, 354–361.PubMedCrossRef Kontodimopoulos, N., Ntinoulis, K., & Niakas, D. (2011). Validity of the Greek EORTC QLQ-C30 and QLQ-BR23 for measuring health-related quality of life in breast cancer patients. European Journal of Cancer Care, 20, 354–361.PubMedCrossRef
29.
Zurück zum Zitat Cankurtaran, E. S., Ozalp, E., Soygur, H., Ozer, S., Akbiyik, D. I., & Bottomley, A. (2008). Understanding the reliability and validity of the EORTC QLQ-C30 in Turkish cancer patients. European Journal of Cancer Care, 17, 98–104.PubMed Cankurtaran, E. S., Ozalp, E., Soygur, H., Ozer, S., Akbiyik, D. I., & Bottomley, A. (2008). Understanding the reliability and validity of the EORTC QLQ-C30 in Turkish cancer patients. European Journal of Cancer Care, 17, 98–104.PubMed
30.
Zurück zum Zitat Michelson, H., Bolund, C., Nilsson, B., & Brandberg, Y. (2000). Health-related quality of life measured by the EORTC QLQ-C30: Reference values from a large sample of the Swedish population. Acta Oncologica, 39(4), 477–484.PubMedCrossRef Michelson, H., Bolund, C., Nilsson, B., & Brandberg, Y. (2000). Health-related quality of life measured by the EORTC QLQ-C30: Reference values from a large sample of the Swedish population. Acta Oncologica, 39(4), 477–484.PubMedCrossRef
Metadaten
Titel
Validation of the Arabic version of the EORTC quality of life questionnaire among cancer patients in Lebanon
verfasst von
Huda Abu-Saad Huijer
Knar Sagherian
Hani Tamim
Publikationsdatum
01.08.2013
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 6/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0261-0

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