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Quality of Life Research

Erschienen in:

01.11.2014 | Brief Communication

Assessing quality of life in middle-aged and older adults with HIV: psychometric testing of the WHOQOL-HIV-Bref

verfasst von: Marco Pereira, Alexandra Martins, Stephanie Alves, Maria Cristina Canavarro

Erschienen in: Quality of Life Research | Ausgabe 9/2014

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Abstract

Purpose

The aim of this study was to test the psychometric properties of the World Health Organization quality of life in HIV infection, abbreviated version (WHOQOL-HIV-Bref) in a sample of human immunodeficiency virus (HIV)-infected patients aged 50 years and older.

Methods

The sample consisted of 185 patients, recruited in the main departments of infectious diseases of 10 Portuguese hospitals. In addition to the WHOQOL-HIV-Bref, patients also completed the brief symptom inventory, a self-report questionnaire for measuring psychopathological symptoms.

Results

The European Portuguese version of WHOQOL-HIV-Bref showed acceptable reliability (Cronbach’s alpha range 0.65–0.86 across domains). Confirmatory factor analysis corroborated the original six-domain structure. Convergent validity with depressive and psychopathological symptoms was satisfactory for all domains. Overall quality of life (QoL), physical and independence domains discriminated well subjects considering the HIV stage. None of the domains were significantly different according to CD4+ T cell count subgroups.

Conclusions

These results offer promising support for the use of the WHOQOL-HIV-Bref as a measure of QoL among HIV-infected patients aged 50 years and older. Its briefness and multidimensionality allow a more practical and comprehensive assessment of QoL, both on clinical and research settings.

Martin, C. P., Fain, M. J., & Klotz, S. A. (2008). The older HIV-positive adult: A critical review of the medical literature. American Journal of Medicine, 121, 1032–1037. doi:10.1016/j.amjmed.2008.08.009.PubMedCrossRef

Balderson, B. H., Lou Grothaus, L., Harrison, R. G., McCoy, K., Mahoney, C., & Catz, S. (2013). Chronic illness burden and quality of life in an aging HIV population. AIDS Care, 25, 451–458. doi:10.1080/09540121.2012.712669.PubMedCrossRefPubMedCentral

Sankar, A., Nevedal, A., Neufeld, S., Berry, R., & Luborsky, M. (2011). What do we know about older adults and HIV? A review of social and behavioral literature. AIDS Care, 23, 1187–1207. doi:10.1080/09540121.2011.564115.PubMedCrossRefPubMedCentral

WHOQOL Group. (1994). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 23(3), 24–56.

WHOQOL-HIV Group. (2003). Initial steps to developing the World Health Organization’s quality of life instrument (WHOQOL) module for international assessment in HIV/AIDS. AIDS Care, 15, 347–357. doi:10.1080/0954012031000105405.CrossRef

WHOQOL-HIV Group. (2003). Preliminary development of the World Health Organization’s quality of life HIV instrument (WHOQOL-HIV): Analysis of the pilot version. Social Science and Medicine, 57, 1259–1275. doi:10.1016/S0277-9536(02)00506-3.CrossRef

WHOQOL-HIV Group. (2004). WHOQOL-HIV for quality of life assessment among people living with HIV and AIDS: Results from the field test. AIDS Care, 16, 882–889. doi:10.1080/09540120412331290194.CrossRef

O’Connell, K., & Skevington, S. (2012). An international quality of life instrument to assess wellbeing in adults who are HIV-positive: A short form of the WHOQOL-HIV (31 items). AIDS and Behavior, 16, 452–460. doi:10.1007/s10461-010-9683-0.PubMedCrossRef

Canavarro, M. C., & Pereira, M. (2012). Factor structure and psychometric properties of the European Portuguese version of a questionnaire to assess quality of life in HIV-infected adults: The WHOQOL-HIV-Bref. AIDS Care, 24, 799–807. doi:10.1080/09540121.2011.630362.PubMedCrossRef

10.

Canavarro, M. C., Pereira, M., Simões, M. R., & Pintassilgo, A. L. (2011). Quality of life assessment in HIV-infection: Validation of the European Portuguese version of WHOQOL-HIV. AIDS Care, 23, 187–194. doi:10.1080/09540121.2010.498870.PubMedCrossRef

11.

Canavarro, M. C., Vaz Serra, A., Simões, M. R., Rijo, D., Pereira, M., Gameiro, S., et al. (2009). Development and general psychometric properties of the Portuguese from Portugal version of the World Health Organization quality of life assessment (WHOQOL-100). International Journal of Behavioral Medicine, 16, 116–124. doi:10.1007/s12529-008-9024-2.PubMedCrossRef

12.

Chandra, P. S., Gandhi, C., Satishchandra, P., Kamat, A., Desai, A., Ravi, V., et al. (2006). Quality of life in HIV subtype C infection among asymptomatic subjects and its association with CD4 counts and viral loads—a study from South India. Quality of Life Research, 15, 1597–1605. doi:10.1007/s11136-006-9001-7.PubMedCrossRef

13.

Hsiung, P.-C., Fang, C.-T., Wu, C.-H., Sheng, W.-H., Chen, S.-C., Wang, J.-D., et al. (2011). Validation of the WHOQOL-HIV-BREF among HIV-infected patients in Taiwan. AIDS Care, 23, 1035–1042. doi:10.1080/09540121.2010.543881.PubMedCrossRef

14.

Tran, B. X. (2012). Quality of life outcomes of antiretroviral treatment for HIV/AIDS patients in Vietnam. PLoS ONE, 7, e41062. doi:10.1371/journal.pone.0041062.PubMedCrossRefPubMedCentral

15.

Saddki, N., Noor, M. M., Norbanee, T. H., Rusli, M. A., Norzila, Z., Zaharah, S., et al. (2009). Validity and reliability of the Malay version of WHOQOL-HIV BREF in patients with HIV infection. AIDS Care, 21, 1271–1278. doi:10.1080/09540120902803216.PubMedCrossRef

16.

Pereira, M., & Canavarro, M. C. (2011). Gender and age differences in quality of life and the impact of psychopathological symptoms among HIV-infected patients. AIDS and Behavior, 15, 1857–1869. doi:10.1007/s10461-011-9928-8.PubMedCrossRef

17.

Derogatis, L. R. (1993). BSI: Brief symptom inventory: Administration, scoring and procedures manual. Minneapolis: Natural Computers System.

18.

National Institute on Aging. (2009). HIV, AIDS and older people. Retrieved April 11, 2014. http://www.niapublications.org/agepages/aids.asp.

19.

Byrne, B. (2010). Structural equation modeling with AMOS: Basic concepts, applications and programming (2nd ed.). New York: Taylor & Francis Group.

20.

Streiner, D. L., & Norman, G. N. (1995). Health measurement scales: A practical guide to their development and use (2nd ed.). Oxford: Oxford University Press.

21.

Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60, 34–42. doi:10.1016/j.jclinepi.2006.03.012.PubMedCrossRef

22.

Hyland, M. E. (2003). A brief guide to the selection of quality of life instrument. Health and Quality of Life Outcomes, 1, 24. doi:10.1186/1477-7525-1-24.PubMedCrossRefPubMedCentral

23.

Heinonen, H., Aro, A. R., Aalto, A.-M., & Uutela, A. (2004). Is the evaluation of the global quality of life determined by emotional status? Quality of Life Research, 13, 1347–1356. doi:10.1023/B:QURE.0000040788.12947.b9.PubMedCrossRef

24.

High, K. P., Brennan-Ing, M., Clifford, D. B., Cohen, M. H., Currier, J., Deeks, S. G., et al. (2012). HIV and aging: State of knowledge and areas of critical need for research. A report to the NIH office of AIDS research by the HIV and aging working group. Journal of Acquired Immune Deficiency Syndromes, 60, S1–S18. doi:10.1097/QAI.1090b1013e31825a33668.PubMedCrossRef

25.

Hays, R. D., Cunningham, W. E., Sherbourne, C. D., Wilson, I. B., Wu, A. W., Cleary, P. D., et al. (2000). Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV Cost and Services Utilization Study. American Journal of Medicine, 108, 714–722. doi:10.1016/S0002-9343(00)00387-9.PubMedCrossRef

Titel: Assessing quality of life in middle-aged and older adults with HIV: psychometric testing of the WHOQOL-HIV-Bref
verfasst von: Marco Pereira
Alexandra Martins
Stephanie Alves
Maria Cristina Canavarro
Publikationsdatum: 01.11.2014
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 9/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0707-7

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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